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Ask an Expert: Does taking Meridia affect fertility?


I am 32, in pretty good shape and I have started to take on weight. I am now overweight (BMI 26). Although I exercise 3 times per week, I always feel very hungry and find it extremely difficult to avoid eating during the day. I have also tried to improve what I am eating. On the advice of my doctor, I am now considering taking Meridia for a short period of time, to help loose some of the weight and help me fight my food cravings.

However, we are considering having a baby. I am wondering if they are any side effects (especially on conception) that I should be aware of. As said, I am in good shape, no medical problems, no other medication and normal blood pressure.

First of all, Meridia would not be indicated for you. A BMI of 26 is just not that bad. Secondly, I generally frown on using a drug for this purpose unless there is a major current health problem (or risk) due to obesity. I’m doubtful any study has shown whether or not Merida can affect male fertility, but it seems unlikely. I recommend considering a low carbohydrate diet such as The South Beach Diet. People generally have fewer cravings on a low carb diet and weight loss can progress pretty rapidly in many cases, making it especially attractive.

Answered by Frank Littell, MD, Hospitalist, Springfield, PHMG/PeaceHealth Hospital Medicine

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