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03 Aug 2007

Extreme weight burning
For as long as i can remember my weight has always been extremely low but since i was 13 yrs old my weight has gone to 50 kg and it has stuck here religiously. The problem i now have is that i'm now 21 and 1.85m tall and still weighing 50 kg so my bmi has dropped over the years and i'm now at about 16. I've been to see a gp and i've been passed from doctor to docor and i was diagnosed with gastritis which was then changed to gord which was then changed to chrons. I've now as the last resort they've sent me to a neurologist checking for depression. I've now been sent to a dietician and they've tried to increase my calorie intake by eating 5 times a day to a total colorie count of 4800 calories which then actually made me lose weight and so it was increased to +-6800 calories/day by adding to glasses of modulin and my weight is still going down after which a protein shake was added to increase the calories to about 7000 calories and my weight is still going down to keep me at 50 kg. The problem i have is that i get extremely tired and my muscles hurt to the extent that it feels as though i have run a marathon the day before. I have as a last resort checked websites and the most common thing is malabsorbtion but the quantity of food going in is alot higher than waste going out and i'm not constipated. The suggestion from my dietician is that my metabolism is extremely high but blood tests done by presious doctors indicate that it is normal. Do you know of anything that might cause this?
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Expert
DietDoc
DietDoc

01 Jan 0001

Dear Clint
I am also at a loss as to why you just can't gain any weight. If you are with a dietitian and ingesting 7000 cal a day then you should be gaining weight. I am also at a loss as to why you just can't gain any weight. If you are with a dietitian and ingesting 7000 cal a day then you should be gaining weight. I am going to list some factors that could prevent weight gain and who you can see for this type of diagnosis: 1) Overactive thyroid or hypothyroidism (consult an endocrinologist). 2) other rare hormonal imbalances (also consult an endocrinologist), 3) malabsorption syndrome or enzyme deficiencies (consult a physician); 4) severe endogenous depression. You don't mention if the neurologist did diagnose depression?? If you are depressed this could account for pronounced weight loss and inability to gain weight. As a final resort I would suggest that you have a psychiatrist assess you for depression. Did the neurologist prescribe antidepressants or not? Seeing that your life is being ruined by this situation, it may well be a good idea to see a psychiatrist to one of the above mentioned specialists.
You don't mention if the neurologist did diagnose depression?? If you are depressed this could account for pronounced weight loss and inability to gain weight. As a final resort I would suggest that you have a psychiatrist assess you for depression. Did the neurologist prescribe antidepressants or not? Seeing that your life is being ruined by this situation, it may well be a good idea to see a psychiatrist or one of the above mentioned specialists.
I do hope that you can find out what is wrong as it is essential for you to start gaining weight.
Holding thumbs that you can get to the bottom of this problem.
Best regards
DietDoc
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