Conversation: The conversation between human and AI assistant.
[|Human|] I am 44 years old. I have gained 17 pounds in 2 months and I m not eating any more calories. My eyesight has decreased significantly in a very short amount of time. I have times where I feel very cold and moments when I feel extremely hot. I have had some difficulty feeling like I can t get enough air. I have a very dry mouth (which could be from my medications). I m not sure if this is from getting old , hormone changes, or what. I was diagnosed with RA 15 years ago. I am currently taking Enbrel 50mg weekly, methotrexate 2.5 x 6 weekly, Celebrex 200 mg daily, Prilosec 40 mg daily, Neurontin 3 x daily (recently diagnosed with neuropathy),
[|AI|]  My dear, Thank you for visiting me here at Chat Doctor. You want to know what causes weight gain, decreased eyesight and breathlessness. I have reviewed what little information you sent for such a complex array of problems impacting on your weight gain. I will try to identify as many problems with associated solutions as I can. First, you sent me quite a list of medications, so let us start there. Many of your necessary medications encourage the weight gain process, and they are all through different mechanisms. One medication lowers you metabolic rate, so how do we get it back up? Another medication affects one of your appetite hormones, ghrelin. Another acts via leptin. Then lets through in the probable vitamin deficiencies from the medications so your body doesn't have the nutrients it needs to process the food energy it is given. You are correct, it sounds like you are menopausal, and it is not uncommon for the hormonal changes to act against your weight control efforts. I would like to go through each medication/condition and how to correct any potential deficiencies or possible interactions: Chat Doctor.