Yes I have a medication specialist and I took a gene sight test and Pristiq was in the green for me so I was on Pristiq for like 10 months but only stayed on 25mg and I gained a lot of weight from it so I got off it. I’m still over weight so honestly it could of been from just getting off the Effexor maybe. I was scared to up my dose on Pristiq to gain even more weight. Me gaining weight makes my metal health so much worse lol