I am unable to gain weight?
Hello, Dr.
Qi.
I have had an abnormal weight since childhood.
In the sixth grade, I was 126 cm tall and weighed 21 kg.
Now that I have graduated from high school, I am 169 cm tall but only weigh 42 kg.
I have been teased about my thin legs since I was young.
I want to have a girlfriend, but I am afraid that being too thin will prevent me from finding one.
In the second year of junior high, I started smoking, and my friends told me that smoking can lead to weight loss.
They said that if I quit, I would gain weight, so I decided to quit smoking.
I successfully quit in early November this year, and it has been almost two months.
I am grateful that my goal helped me quit smoking, but my weight has remained stagnant.
While my height may still increase, my weight does not.
My parents tell me not to worry too much; they believe that as long as I am healthy, it is fine.
They think I am naturally "thin-boned" (I apologize for not knowing the Mandarin term).
However, I am quite concerned about it.
Perhaps my thinness has made me a bit insecure about dating.
Recently, I want to secretly check my health to see if there is an issue with my gastrointestinal system or something else.
Which specialty should I consult? Would I need to undergo an endoscopy? My meal times are breakfast at 8:00 AM, lunch at 1:00 PM, and dinner at 9:00 PM.
Due to work, my meal times are affected, and I am hesitant to drink milk or fresh fish soup.
Lun Zai, 10~19 year old female. Ask Date: 2003/12/26
Dr. Qi Minghua reply Nutrition
Hello: Your height is 169 cm, and your ideal weight range is 56-69 kg, but you only weigh 42 kg, which indicates that you are underweight.
Your weight has consistently been below the ideal range since childhood.
If gastrointestinal issues (such as malabsorption, gastric ulcers, or duodenal ulcers) are ruled out, it may be due to insufficient caloric intake during your growth period, leading to malnutrition and low body weight.
However, since you have reached a height of 169 cm, you are not considered too short, just underweight.
Based on the meal times you provided, I cannot assess the types and portions of food you consume, so I cannot determine if your daily intake is adequate.
I recommend that you first consult a gastroenterologist or an endocrinologist to diagnose any potential discomfort.
If there are any issues, they should be treated first; if not, you can consult a nutritionist to evaluate your dietary concerns and provide you with appropriate dietary recommendations.
P.S.
Whether a gastroscopy is necessary should be determined by a physician.
Reply Date: 2003/12/26
More Info
Hello! Thank you for sharing your concerns about your weight and health. It’s understandable to feel self-conscious about being underweight, especially when it affects your confidence in social situations, such as dating. Let's explore some potential reasons for your low weight and discuss strategies to help you gain weight in a healthy manner.
Firstly, it’s important to recognize that being underweight can be caused by a variety of factors, including genetics, metabolism, dietary habits, and underlying health issues. Since you mentioned that you have been thin for most of your life, it’s possible that genetics play a significant role. However, it’s also crucial to rule out any medical conditions that could be contributing to your low weight.
You mentioned considering a medical check-up to investigate potential issues with your gastrointestinal system. This is a wise decision. I recommend consulting with a gastroenterologist, who specializes in digestive health. They can assess whether there are any underlying conditions, such as malabsorption syndromes, gastrointestinal disorders, or other metabolic issues that might be preventing you from gaining weight. Depending on your symptoms, they may suggest tests, including blood tests or imaging studies, and possibly an endoscopy if they suspect any serious issues.
Regarding your smoking history, it’s great to hear that you’ve successfully quit smoking. Smoking can indeed suppress appetite and affect your metabolism, so quitting may help improve your appetite over time. However, it’s important to give your body some time to adjust after quitting, as it may take a while for your appetite to normalize.
Now, let’s discuss dietary strategies to help you gain weight. Since you have a busy schedule that affects your meal times, it’s essential to focus on nutrient-dense foods that provide a high number of calories in smaller portions. Here are some tips:
1. Increase Caloric Intake: Aim to consume more calories than your body burns. This can be achieved by incorporating calorie-dense foods into your meals, such as nuts, seeds, avocados, whole grains, and healthy oils (like olive oil or coconut oil).
2. Frequent Meals and Snacks: Instead of three large meals, try to eat smaller meals more frequently throughout the day. Include snacks that are high in protein and healthy fats, such as Greek yogurt, protein bars, or smoothies made with fruits, nut butter, and protein powder.
3. Protein-Rich Foods: Incorporate more protein into your diet to help build muscle mass. Good sources include lean meats, fish, eggs, dairy products, legumes, and plant-based proteins like tofu and tempeh.
4. Healthy Carbohydrates: Include whole grains, starchy vegetables, and fruits in your diet. Foods like brown rice, quinoa, sweet potatoes, and bananas can provide the necessary energy and calories.
5. Stay Hydrated: While you mentioned not being able to drink milk, consider other beverages that can help with calorie intake, such as smoothies, protein shakes, or even juices. Just be mindful of added sugars.
6. Strength Training: Incorporating resistance training into your routine can help you build muscle mass, which may contribute to weight gain. Focus on compound exercises that work multiple muscle groups.
7. Consult a Nutritionist: If possible, consider working with a registered dietitian or nutritionist who can help you create a personalized meal plan that aligns with your goals and lifestyle.
Lastly, remember that gaining weight healthily takes time and patience. It’s important to focus on gradual changes rather than quick fixes. Celebrate small victories along the way, and don’t hesitate to seek support from friends, family, or professionals who can encourage you on your journey.
Take care, and I wish you the best of luck in achieving your health goals!
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