Is Your Weight Loss Causing Fatigue? Nutritional Deficiencies - Internal Medicine

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Feeling lightheaded after weight loss?


Three months ago, I was 165 cm tall and weighed 85 kg.
Due to elevated uric acid and blood sugar levels, I started a weight loss regimen, eliminating meat from my diet and consuming only vegetables, fruits, and milk.
Now, I weigh 65 kg, but I feel constantly fatigued and lack energy.
I am concerned about nutritional deficiencies, so I have started eating some meat again, but my condition remains the same.
Could this be due to malnutrition?

Xiao Yu, 40~49 year old female. Ask Date: 2000/11/15

Dr. Chen Shidian reply Internal Medicine


Hello: Rapid weight loss can have side effects, so it is advisable to visit a clinic to check for any other issues.
Nutritional concerns can be addressed by a dietitian who can provide a low-calorie but balanced meal plan for reference.
Wishing you safety and health.

Reply Date: 2000/11/15

More Info


Weight loss can indeed lead to fatigue, especially if it is achieved through restrictive diets that lack essential nutrients. In your case, the rapid weight loss from 85 kg to 65 kg over three months, combined with a significant dietary change to a vegetarian and fruit-based diet, raises concerns about potential nutritional deficiencies.

When you drastically reduce your caloric intake or eliminate entire food groups, you may not be getting enough of the essential nutrients your body needs to function optimally. This can lead to symptoms such as fatigue, weakness, and a general feeling of malaise. In your situation, the absence of meat in your diet could mean a lack of vital nutrients such as protein, iron, vitamin B12, and omega-3 fatty acids, all of which are crucial for maintaining energy levels and overall health.

1. Protein Deficiency: Protein is essential for muscle repair, immune function, and overall energy levels. A lack of protein can lead to muscle loss, which may contribute to feelings of weakness and fatigue. Incorporating plant-based protein sources such as legumes, nuts, seeds, and whole grains can help mitigate this issue.

2. Iron Deficiency: Iron is vital for the production of hemoglobin, which carries oxygen in the blood. A deficiency can lead to anemia, characterized by fatigue, weakness, and pale skin. Since meat is a primary source of heme iron, transitioning to a vegetarian diet without careful planning can increase the risk of iron deficiency. Plant-based sources of iron include lentils, chickpeas, quinoa, and fortified cereals, but they are less readily absorbed by the body compared to heme iron from animal sources. Pairing these foods with vitamin C-rich foods (like citrus fruits) can enhance iron absorption.

3. Vitamin B12 Deficiency: Vitamin B12 is primarily found in animal products and is crucial for nerve function and the production of DNA and red blood cells. A deficiency can lead to fatigue, weakness, and neurological issues. If you are not consuming meat or dairy, consider fortified foods or a B12 supplement.

4. Omega-3 Fatty Acids: These are important for brain health and reducing inflammation. They are primarily found in fatty fish, but can also be obtained from flaxseeds, chia seeds, and walnuts. If your diet lacks these sources, it may contribute to feelings of fatigue and cognitive fog.

5. Caloric Intake: Rapid weight loss often results from a significant caloric deficit. If your body is not receiving enough calories to meet its energy needs, it will conserve energy, leading to fatigue. It’s essential to ensure that your caloric intake is sufficient to support your activity level and metabolic needs.

Given your current symptoms of fatigue and weakness, it would be wise to consult with a healthcare professional or a registered dietitian. They can help assess your dietary intake, recommend appropriate supplements if necessary, and guide you in creating a balanced meal plan that meets your nutritional needs while supporting your weight loss goals.

In summary, while weight loss can be beneficial for health, especially in cases of obesity, it is crucial to approach it in a balanced manner that does not compromise your nutritional status. A well-rounded diet that includes a variety of food groups will help ensure that you receive the necessary nutrients to maintain energy levels and overall health.

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