If you’ve started Lexapro (escitalopram) and noticed your meals feeling different, you’re not alone. Many people on this antidepressant report a bump in hunger, a drop in appetite, or even weight swings. The good news? You can understand why it happens and take easy steps to keep your weight where you want it.
Lexapro works by balancing serotonin, a brain chemical that also plays a role in how hungry you feel. When serotonin levels rise, some folks notice a boost in cravings, especially for carbs or sweets. Others feel a slowdown in stomach signals, leading to less desire to eat. The effect varies because each brain reacts a bit differently.
Research shows that about 20‑30% of Lexapro users experience weight gain, while a smaller group loses weight. The change often shows up in the first few weeks and can settle down after a month or two. If you’re taking other meds, like antihistamines or steroids, the appetite shift might be stronger.
Another factor is mood. As depressive symptoms improve, you may regain energy and start enjoying food again. That’s a positive sign, but it can also mean extra calories if you’re not mindful.
Track what you eat. A quick note in a phone app or a simple notebook helps you see patterns. If you notice a surge in late‑night snacking, you can plan healthier alternatives.
Choose protein and fiber. Both keep you full longer. Adding a boiled egg, Greek yogurt, or a handful of nuts to breakfast can stop cravings before they start.
Stay hydrated. Sometimes thirst masquerades as hunger. Sip water throughout the day, especially before meals.
Set regular meal times. Even if you don’t feel hungry, eating at consistent intervals trains your body to expect food, which can smooth out erratic cravings.
Move a little. Light exercise—like a 15‑minute walk after lunch—helps regulate hormones that control appetite and can offset any weight gain.
If you’re losing weight unintentionally, focus on calorie‑dense, nutritious foods: avocado, olive oil, cheese, or smoothies with nut butter. Talk to your doctor if the change is rapid or you're feeling weak.
Lastly, never stop Lexapro without a doctor’s guidance. Stopping abruptly can cause withdrawal symptoms that may also affect appetite. If the appetite changes are distressing, your provider might adjust the dose or try a different antidepressant.
Bottom line: Lexapro can tilt your hunger scale, but with a few practical habits you can stay on track with your health goals. Keep an eye on how you feel, make small adjustments, and stay in touch with your healthcare team. Your mood and your waistline can both improve with the right balance.
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