So the obesity was from abilify, which I took twice. First, around 2011-2013, wherein I gained the weight in late 2012. I was only on abilify and fluoxetine in that time and then on no psychiatric drugs whatsoever until July 2021, or a period of 8 years. For those 8 years, even though I was obese, I didn't have problems exercising and in fact, did tons of it, enjoying it and benefiting from it (with the exception of losing weight). In those eight years, I exercised and dieted religiously: running, sprinting, weight lifting, yoga, team sports, dog walking, housekeeping, cooking, you name it, every single day, in addition to working jobs where I often was standing for long periods of the day and sometimes doing manual labor. I often did bouts of vegetarianism, sometimes did one day food fasts, sometimes did bouts of raw veganism, and ate really healthy in general, covering all bases: omega 3s from fish, plenty of fiber and grains, leafy vegetables, fresh fruits, home cooked food with fresh produce, salads, nuts, eggs, occasional red meat, adequate protein, vitamins, minerals, etc. I was unable to lose the majority of the weight.
After my paliperidone induced permanent, incurable, untreatable depression and sexual dysfunction that has gone on since December 2021, I have not been able to exercise much at all nor eat as healthy as I used to. I've been off any antipsychotics (I was on abilify from Jan 2022 to Oct 2022 and gained weight, yet again, in Fall 2022) since the end of October 2022 and all antidepressants since the end of December 2022. Those previous 8 years I mentioned, from roughly 2013-2021 were proof positive that exercising and diet do not work for the abilify-induced permanent, irreversible, incurable, untreatable weight gain. I was doing such intensive exercise actually for most of my life before 2013, so it's more than 8 years, but it was 8 years while I was not on any psychiatric drugs.
Now, I didn't maintain a 1200 calorie a day or less diet for any considerable period of time, except sometimes during extended stays at a Raw Vegan Institute, typically for 1-3 weeks.
1200 calories a day or less is pretty low, especially if one is exercising a ton. Obviously, very harsh measures starting to approach quasi-starvation could work for weight loss but would be inhumane and could have negative health consequences. Most normally functioning people should be able to lose massive amounts of weight and/or at least achieve a normal, non-overweight BMI with heavy exercise and reasonable dieting. At any rate, a 1200 calorie a day diet was only possible pre-paliperidone. Now, my faculties and strength are so destroyed (including religious faculties important to my ability to fast and diet), in addition to all the health problems and psychiatric drug injuries I've mentioned, that such a restrictive diet of 1200 calories a day or less is really not practical.
I appreciate your input but I think my weight loss (from obesity to overweight and ultimately to normal weight) is a lost cause unless a treatment/cure is found for antipsychotic-induced injuries. All antipsychotic and antidepressant induced injuries should come from their effects and possible damage on neurochemistry receptors. How this translates into permanent, irreversible, untreatable, incurable obesity and weight gain is an interesting question which seems almost unsolvable for the time being--perhaps it damages subcortical structures in the brain responsible for regulating metabolism, but this raises more questions than it answers! Besides my weight, there have never been indicators of an abnormal metabolism: I wasn't really eating more than normal and I was exercising heavily and eating healthy the first time I gained weight from abilify and to my knowledge, my health readings were all normal. Even now, my health readings are normal across many parameters: blood lipids, thyroids, other blood measurements, hormones, although I have elevated liver enzymes and an allergic reaction in my esophagus. The second time I gained weight from abilify, I was of course not exercising but I still was eating normally.