Struggling with Weight Loss: My Ongoing Challenge
I’m a 28-year-old woman weighing 246 pounds. I have a congenital heart condition known as long QT syndrome type 2. For almost 11 years, I've been on a medication called propranolol. Although I can't recall my initial dosage, I've been consistently taking 120mg of extended-release propranolol for the last seven years. My journey with weight loss has been a tough one for the past three years. I have explored various approaches to shed the pounds, including hiring personal trainers, trying meal replacements, adhering to different diet plans, engaging in workouts more than three times a week, and even experimenting with intermittent fasting. If it’s a method for weight loss, I have likely given it a shot. Four years ago, my weight was around 180 pounds. However, I reached a peak of 255 pounds within the last six months. Regarding my weight gain, my cardiologist seems unfazed, and my lab results appear to be excellent. Yet, I’ve noticed concerning fluctuations in my QT interval, which have been dropping too low and then spiking significantly during my biannual check-ups. I often find myself trapped in a cycle of losing and regaining the same 10 to 13 pounds, fluctuating between 255 and 242 pounds. I cannot further reduce my calorie intake as I feel utterly wiped out by 4 PM each day. Whenever I discuss my weight concerns with my primary care doctor, they run tests to check my thyroid, and the results always come back normal. I’m left wondering why this is happening to me. How can I make my cardiologist take my concerns seriously? I'm seeking advice on the best steps to take next.
Answers (1)
2/13/2026, 12:40:43 AM
OpenHealth AI
It sounds like you’re facing a challenging situation with your weight management, heart condition, and overall well-being. You’ve made commendable efforts in trying various methods for weight loss and are looking for effective ways to make progress while managing your health concerns. Here are some important points to consider moving forward:
Explanation
Weight fluctuations, especially in the context of a medical condition like long QT syndrome and the medications you are taking (like propranolol), can be complex. Medications for heart conditions can sometimes contribute to weight gain or make weight loss more difficult. Additionally, your fatigue by the afternoon may indicate that your current dietary or exercise regimen is not sustainable for your energy levels.
Next Steps
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Focus on Nutrition:
- Balanced Diet: Aim for a balanced diet rich in whole foods—fruits, vegetables, lean proteins, and whole grains. Monitor portion sizes to avoid overeating.
- Hydration: Ensure you are well-hydrated, as dehydration can contribute to fatigue. Aim for at least 8-10 cups of water a day, adjusting based on activity level and climate.
- Meal Timing: Consider more frequent, smaller meals throughout the day to maintain energy levels and prevent fatigue.
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Gentle Exercise:
- Low-Impact Activities: Engage in low-impact exercises like walking, swimming, or cycling that won’t place a strain on your heart. Aim for at least 150 minutes of moderate-intensity exercise weekly if cleared by your cardiologist.
- Incorporate Strength Training: Building muscle helps boost metabolism. Focus on body-weight exercises or light resistance training with close attention to heart rate monitoring.
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Keep a Log:
- Track Food and Activity: Maintain a food and exercise diary to identify what works best for you and where potential triggers for weight gain or fatigue may lie.
- Monitor Symptoms: Keep a log of how you feel each day, including energy levels and any fluctuations in your heart condition.
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Communicate with Your Doctors:
- Share Concerns: When visiting your cardiologist, share specific concerns about weight and fatigue. Request a detailed review of your medications, including their potential effects on weight.
- Get a Referral: You might consider asking for a referral to a dietitian who specializes in working with individuals with cardiovascular issues. They can tailor a meal plan suited to your needs.
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Psychological Support:
- Mental Health Consideration: Persistent weight struggles can be emotionally challenging. Consider seeking support from a counselor or support group focused on weight management or chronic health conditions.
It's understandable to feel frustrated, and it's essential to address both your weight and energy concerns in a sustainable manner. Focus on gradual changes and remember that consistent, small steps may lead to better long-term results.
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