I was on paxil for 2 1/2 years and gained 40 pounds .... At first the med made me really hungry all the time & made me crave JUNK. After I realized how horribly i had been eating (I am typically a health NUT) I started making healthier choices with no avail. I am off of the drug now (after horrible horrible withdrawals) but I am slowly losing the weight by eating healthy foods about 4 times a day and drinking lots of water....watch out for refined foods esp refined sugars and starches, DO NOT cut out fat as good fats are essential to life functions and will actually help you lose weight, UP UP UP your fiber intake, get adequate protein, & watch empty calories. Also, try to get some kind of physical activity even if you have to start out light with like 10 to 15 mins !!!! Hope this helps =]] It's bittersweet to read all these posts - sweet because at least I now know I'm not alone, and bitter because I know that none of us should have to be enduring this. 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