A 21-year-old female asked:
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i have narcolepsy, cataplexy, sleep apnea, and depression and i weigh right at 300 pounds i can not seem to lose any weight any advice would be great?

1 doctor answer
Dr. John Feola
31 years experience Internal Medicine
FATIGUE WITH OSA: Provigil is cheaper and better tolerated than Nuvigil .Also adderal/Ritalin/Starttera can help. Start a gluten free diet Wholeapproach.com gut bliss.com. If CPAP/BIPAP is poorly tolerated seek ENT CONSULT for UPP/ vs Hyoid suspension. ALSO FOCUS ON WEIGHT LOSS. TOPAMAX (topiramate) IS effective FOR. RLS AND WEIGHT LOSS.
Answered on Apr 14, 2015

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