Hi maybe it isnt the Amitriptyline that is causing the weight gain then, this last 3 years has been a bit of a nightmare, since I had my Hysterectomy at the end of Dec '12 my stomach sticks out and I have what they call middle age spread, I have not pigged out cause I have stomach problems, the HRT I am on has be great but my sex drive is very low plus my weight , no energy , I know when I went to the meno consultant he said he may give me testosterone, I have an appointment with him in Oct so hopefully he will give me some to try, I will stick with the 10mg Amitriptline for now and not go up to the 20mg dose, as I dont feel like a zombie on that dose as she how things go, thanks ladies for your help and advice x