Fears of an Early Death: My Struggle with Health and Lifestyle Changes
At 32 years old and measuring 194 cm tall, I currently weigh 134 kg, down from a peak of around 160 kg. I live in Sweden and have been on antipsychotic medication for about a decade, which has correlated with my weight gain over these years. Recently, however, I have started to lose weight thanks to significant lifestyle changes that I adopted over the last year. I have been diagnosed with an unspecified psychotic illness and have been relying on a medication known as Risperdal Consta, administered as a 37.5 mg injection biweekly. I recently underwent medical testing and was relieved to find that all my health metrics are within normal ranges. A pressing concern I grapple with is whether individuals who suffer from my condition typically have a shorter life expectancy, commonly cited as between 50 and 65 years. Given my history of morbid obesity, poor eating habits, and a sedentary lifestyle, I fear that my life span could be lower than average, even if I manage to shed the excess weight by the age of 34 and sustain a healthier lifestyle moving forward. My goal is to reach a target weight of 85 kg and maintain it, while also committing to regular physical activity, such as at least an hour of exercise five times a week. My dietary objectives include consuming 800 grams of fruits and vegetables daily, ensuring I intake around 150 grams of protein each day, all while keeping my caloric intake around 2000 kcal. I acknowledge the need for more variety in my meals, as I tend to eat the same things repeatedly, which is not ideal for my long-term health. My desire is to extend my life as far as possible; however, I am plagued by anxieties that I am destined to face an early death due to the aforementioned factors. Does anyone have any insights on my potential for living into my 70s or beyond, assuming I successfully lose weight by 34, continue exercising diligently, maintain a nutritious diet, and steer clear of alcohol, smoking, and other harmful substances? Is there any hope for a longer future, or am I simply out of luck?
Answers (1)
8/16/2025, 6:31:10 PM
OpenHealth AI
It's commendable that you're actively working on your health through lifestyle changes and have some positive indicators from your recent medical tests. Given your concerns about life expectancy and the impact of your mental health and weight on it, let's address your situation thoughtfully.
Key Points:
- Life Expectancy Concerns: Individuals with chronic mental health conditions can experience higher risks related to mortality, but significant lifestyle improvements can positively affect your health and longevity.
- Your Progress Matters: You've already made strides by losing weight and aiming for a healthier lifestyle, which can significantly mitigate risks associated with obesity and sedentary behaviors.
- Optimism for the Future: With continued commitment to your goals, there is substantial hope for living a longer and healthier life.
Explanation:
Research indicates that while individuals with psychotic illnesses may have increased health risks, those who actively manage their weight and engage in exercise can significantly improve their overall health and potentially increase their life expectancy. Your current plans for weight loss, exercise, and a balanced diet position you favorably for improved health outcomes.
Next Steps:
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Continue Weight Management: Aim for a gradual weight loss of 0.5-1 kg per week. Reaching your target of 85 kg by 34 is realistic and can significantly reduce health risks.
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Focus on Nutrition:
- Keep aiming for your goal of 800 grams of fruits and vegetables daily. Consider experimenting with new recipes to enhance variety and nutritional value.
- Make a plan for protein intake, incorporating lean meats, legumes, and dairy.
- Track your caloric intake to ensure you meet your 2000 kcal goal without feeling deprived.
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Stay Active: Commit to at least 5 hours of aerobic exercise per week. Include various activities you enjoy (walking, swimming, cycling) to prevent burnout.
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Mental Health Maintenance: Continue regular check-ins with your mental health professionals. Discuss your concerns about life expectancy, as they can provide reassurance and possibly adjust your treatment to support your weight loss and health goals.
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Monitor Health Metrics: Regularly check metrics such as blood pressure, cholesterol, and blood sugar levels. Keeping these in check can give you a clearer picture of your health improvements.
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Build a Support System: Engage with health coaches, dietitians, or support groups. Connecting with others who have similar goals can provide motivation and accountability.
Conclusion:
Keep focusing on your health changes, and it's important to acknowledge the progress you've already made. Your dedication to improving your physical and mental well-being is a strong foundation for a long, fulfilling life. Hope for a better future is grounded in your action, so keep pushing forward—you're not out of luck!
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