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Despite her efforts, Oprah noticed she gained around 20 pounds over the year she remained off the medication

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He called the four months after going off medication "a roulette wheel of binges, diets, exercise regimens and mental and emotional battles with myself over will power, self-image and motivation." Olson said he gained back five pounds within two months, but was eventually able to lose it by imposing a strict regime: 12 hours of exercise a week and an extremely high-protein diet