"when i was taking mirtazapine, it worked very well and very fast. my depression completely disappeared. i ended up stopping the medication slowly several months later after i had gained 40 pounds. when i stopped, my appetite went away and i barely eat now. i was not feeling well the last couple months. very tired and anxiety and hot flashes. come to find out i am now prediabetic. my blood sugar is really hard to keep up at a normal level. i loved the medication except that i gained so much weight so quickly and now i am stuck with blood sugar problems."