Following up on the Contrave hopes, they ended up being dashed. Not long after starting Contrave, three primary symptoms showed up, constipation, headaches, and ringing in the ears. I was ramping up the dose at the rate suggested by my doctor but it turned out to be too difficult. I called him and he told me to ramp up the dosage at an even slower rate. After a month of very little sleep, an increased temper, and only a minor change in eating habits, I saw my doctor for a follow-up. I did manage to lose somewhere between 3 and 5 pounds in those 4 weeks. He said that I needed to see the silver lining in these symptoms. By being so sensitive to the medication that I was having intense symptoms, it was quite likely that the Contrave would be a successful recourse for my weight loss.
After two more weeks, MBWM and I discussed things. She encouraged me to stop the Contrave. I reversed the ramp up to a ramp down and pulled myself off of it over the course of three weeks. After 2 weeks of being completed off of it, the constipation went away. The headaches have diminished but not gone away. The tintinnabulation has not diminished. It has me worried that it may have become a permanent part of my life.
I have to admit that I am completely disappointed in the Contrave. I didn't realize it until I was ramping down that I had put so much faith in the medication. I fear that I am down to only one choice, surgery. That is a discussion for another time, however.
What is going to happen is that the whole family is getting into making changes to our collective eating habits. Over the last couple weeks, I have been teaching the kids about using a stop light to describe foods. There are red light foods (only once a week, if that). Yellow light foods (once every day or two). Green light foods (As often as possible). MBWM has added the idea of changing the base of our meal plan from carbohydrates to salad. I am definitely looking forward to that. I am also going to start grading my efforts. I am an instructor, after all. I am used to develping a rubric and grading assignments.
With the future firmly in sight,