I realize that pregnancy isn't the time to lose weight and was wondering if part of the reason is because toxins from your fat cells can pass to the baby as they are flushing out of your system. I was also on a 60 mg dose of prednisone and on a daily dose of 20mg of prednisone after that for 8 months, 3 years ago. I worry about the effects of that on this pregnancy also.

A: Congratulations to you! Don't fret about your weight, but rather take some action to be a healthy eater to best nurture your developing baby. First, your prednisone use from years ago will have no effect on your pregnancy. You can also forget about toxins from fat having any negative effects - just not true. So, let's get an action plan for you. 

I hope you've been seeing your obstetrician, who is going to best advise you as to the total weight gain you need for a healthy baby. Because you're carrying some extra weight already, you'll likely be advised to gain around 15 pounds. Nowadays, recommended pregnancy weight gain is based on your starting weight - and no longer around 25 pounds for everyone. 

Don't think about weight loss now, but rather being a healthy eater. Monitor your eating - you don't need to "eat for two". Focus on lean proteins, and fruits and vegetables. Use fiber-rich breads and cereals in smaller portions, as a side-dish. Really work on cutting out sugary sodas, and other liquid calories - even juice! You want to eat your fruit, not drink it! 

If you are a mindful eater and pay attention to what you're eating, you'll be able to stay on track. A must-do is a daily pre-natal vitamin. If you start your healthy eating plan now, you'll be able to maintain it after your baby arrives, to lose not only the pregnancy weight, but some of the rest. Good luck! Let me know how you're doing!

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