Yes, unfortunately weight gain with lupus can feel really unfair — even when doing everything "right." A pescatarian diet and regular exercise are genuinely great choices, but several lupus-specific factors can still work against weight management efforts.
Here are some common culprits:
- Corticosteroids (like prednisone) — Show Full Answer
Yes, unfortunately weight gain with lupus can feel really unfair — even when doing everything "right." A pescatarian diet and regular exercise are genuinely great choices, but several lupus-specific factors can still work against weight management efforts.
Here are some common culprits:
- Corticosteroids (like prednisone) — These can increase appetite, cause water retention, and shift where fat is stored in the body
- Fluid retention — Lupus-related kidney involvement can cause fluid buildup, adding to body weight
- Fatigue and joint pain — These symptoms can limit how much or how intensely someone can exercise
- Thyroid issues — Hypothyroidism is more common in people with lupus and is strongly linked to weight gain
- Low vitamin D — Also common in lupus and associated with higher body weight
- Poor sleep — Can disrupt hunger hormones, making it harder to manage weight One MyLupusTeam member shared, "Each time I take prednisone, I gain more weight," which resonates with many in the community.
It's worth asking a rheumatologist to review all current medications and check thyroid function and vitamin D levels, as addressing those underlying issues can make a real difference. A referral to a nutritionist familiar with lupus could also be a helpful next step.
October 4
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