Struggling to Gain Weight: Tips for Healthy Weight Increase - Nutrition

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I want to gain weight?


Hello, Doctor: I am 25 years old, 158 cm tall, and weigh 40 kg.
In high school, I weighed about 51 kg.
During the summer before starting college, I might have lost weight because I was going to bed very late and skipping breakfast.
By the time college started, I had already dropped to 43 kg.
Since then, I have been trying to gain weight back, but I haven't been able to.
Sometimes, if I am not careful with my daily routine, I lose weight quickly, which is very distressing for me.

1.
I have a sensitive stomach and often experience diarrhea.

2.
I suspect I might have a parasitic infection, so I bought antiparasitic medication from the pharmacy, but it doesn't seem to have much effect.

3.
Sometimes I feel too lazy to eat.
After a few bites, I don't feel hungry anymore and lose the desire to continue eating.
Forcing myself to eat feels somewhat painful.

I really want to gain weight.
Could you please give me some advice? Thank you!

Xiùzi, 20~29 year old female. Ask Date: 2001/10/09

Dr. Shi Guimei reply Nutrition


Hello Xiuzhi:
1.
For gastrointestinal and parasitic issues, it is recommended that you visit a hospital to consult a gastroenterologist for an examination to determine the cause.

2.
Your weight is indeed too low.
In terms of diet, it is advisable to follow a high-calorie, small-meal frequency approach.
In fact, for underweight individuals looking to gain weight, it should be done gradually.
Here are some specific suggestions for your reference:
a.
Avoid drinking beverages before meals and reduce liquid intake during meals.

b.
Increase snacks between main meals; aim for five to six meals a day.

c.
Start with calorie-dense foods before consuming lower-calorie foods during meals.

d.
Utilize creamy soups, nuts, and pastries to increase calorie intake, but do not let them interfere with main meals.

e.
Engage in moderate exercise to stimulate appetite and increase muscle mass.

Reply Date: 2001/10/09

More Info


Gaining weight in a healthy manner can be challenging, especially when dealing with digestive issues and a lack of appetite. Based on your situation, here are some tailored recommendations to help you increase your weight while considering your health concerns.


1. Address Digestive Health:
- Consult a Gastroenterologist: Since you mentioned having digestive issues and suspecting parasites, it's crucial to consult a healthcare professional. They can conduct tests to rule out any underlying conditions that may be affecting your appetite and digestion.

- Probiotics: Incorporating probiotics into your diet can help improve gut health. Foods like yogurt, kefir, sauerkraut, and kimchi are excellent sources of probiotics that can enhance your digestive function.


2. Nutrient-Dense Foods:
- Focus on Caloric Density: To gain weight, you need to consume more calories than you burn. Choose foods that are high in calories but low in volume. For example, nuts, seeds, avocados, and nut butters are excellent options. A handful of nuts can provide a significant calorie boost without making you feel overly full.

- Healthy Fats: Incorporate healthy fats into your meals. Olive oil, coconut oil, and fatty fish (like salmon) are great sources. You can drizzle olive oil on salads or cook with it to increase calorie intake without increasing portion sizes significantly.

- Smoothies: If solid food feels overwhelming, try smoothies. Blend fruits, vegetables, yogurt, and nut butter together for a nutrient-rich, calorie-dense drink that is easier to consume.


3. Regular Eating Schedule:
- Frequent Meals: Aim to eat small meals or snacks every 2-3 hours. This can help you consume more calories throughout the day without feeling overly stuffed at any one meal.

- Set Reminders: If you often forget to eat, set reminders on your phone or use a meal planning app to help you stay on track.


4. Incorporate Strength Training:
- Resistance Exercises: Engaging in strength training can help you build muscle mass, which is a healthy way to gain weight. Focus on compound movements like squats, deadlifts, and bench presses. If you're unsure where to start, consider working with a personal trainer who can guide you through proper techniques.

- Consistency is Key: Aim for at least 2-3 strength training sessions per week, gradually increasing the weights as you become stronger.


5. Hydration:
- Stay Hydrated: While it's essential to drink enough fluids, avoid filling up on water before meals. Instead, drink fluids between meals to prevent feeling too full to eat.


6. Mindful Eating:
- Create a Positive Eating Environment: Make mealtime enjoyable. Try to eat in a relaxed setting, free from distractions, which can help stimulate your appetite.

- Experiment with Flavors: If you find eating to be a chore, experiment with different spices and flavors to make meals more appealing. Sometimes, a change in preparation can make a significant difference in your desire to eat.


7. Seek Professional Guidance:
- Nutritionist Consultation: A registered dietitian can provide personalized meal plans and strategies tailored to your specific needs and preferences. They can help you navigate your dietary restrictions and preferences while ensuring you meet your caloric and nutritional needs.


Conclusion:
Gaining weight healthily requires a multifaceted approach, especially when dealing with digestive issues and a lack of appetite. By focusing on nutrient-dense foods, maintaining a regular eating schedule, incorporating strength training, and seeking professional guidance, you can work towards achieving your weight gain goals. Remember, patience is key, and gradual changes are more sustainable in the long run.

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