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Pure O OCD medication and possibly antipsychotic med

What are some the more "successful" medication cocktails people are seeing these days for OCD and especially the pure O type?  I am currently on 112.5 mg of Effexor and moving up to 150 mg soon.  I was "fine" for about 6 years after my last bout of medication (Risperdal and Zoloft) that I quit due to horrible weight gain.  So, I am also looking to find the most weight neutral combination as well.

In the past 4 years, I have tried Luvox (increased my heart rate and I could not sleep), Prozac (gained weight), and now Effexor.  I know others who take these same drugs and did not have these side effects, so I get it that it's different for everyone.  After my 150 mg increase, I may want to look into temporarily (1 year) having an anti-psych added like last time because it did wonders.  Just don't want that weight gain!
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