Paul Saladino· MD
so what happens in people with bad depression like what Brett had we would call it you know intractable depression or untreatable depression is they just get through this series of medications and the side effects get worse and worse and they get on more and more severe medications in terms of side effects many of which cause diabetes they cause obesity the an psychotic medications are well known for that in Psychiatry we use anti-depressants like fluoxitine or proac and then if it doesn't work we put people on antic psychotic medications and those can really cause bad side effects and it sounds like you were you went 289 pounds and then then you were put on ladone which is Latuda which is another anti psychotic medication that often gets used