First a little background.
Mrs. Cad has been battling weight for years and is at least 100 lbs overweight. However, the two times that she has been pregnant she’s lost weight - like being 50 pounds lighter at nine months than when she got pregnant. After the baby the weight got packed on despite diet and exercise. Shes done weight watchers and had a little success but even with exercise it got maybe 30 pounds off after a couple years but she did learn to food-jounal (important later on).
She has been with a couple doctors and please do not suggest we keep going until we find one that will listen to her. We say we think it is hormonal because of the emperical evidence but they ignore her. We can’t afford to keep shopping around and to be honest, I don’t think doctors that listen to patients actually exist. Basically her doctors tell her to take the fork out of her mouth and exercise. When she shows them her food journal, they ignore it and her current doctor wants her to try some heavy duty drugs for appitite suppression (not her issue on a 1500-2000 cal diet). The rare case she does get a endocrine test that she begs for (even from an endocrinologist) they basically test thyroid (slightly low, take levothyroid) and diabetes (not even pre-diabetic).
Now she at 46 is hitting menopause (not pleasant) and is breaking out with pimples. So now for the probably horrible idea - ortho cyclen. That’s right, birth control. She doesn’t smoke and doesn’t fit into any danger groups except 35+ (and she was pregnant at 35 with no complications) so my layman idea is
- Simulates pregnancy and we know that equals weight loss
- Hormone replacement therapy
- Ortho cyclen seems relatively safe . . . at least compared to other BC and OpalCat
- Helps reduce acne
I know the answer is to never take perscription meds without a prescription but ignore that for a second. Why given this specific situation would ortho cyclen be a bad choice. Assume this patient history, would you at least consider it as a possibility?