Weight Loss and Tumor Concerns: Your Health Risks - Family Medicine

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Weight loss and reduction in body weight?


Hello, I am currently exercising to lose weight because most health check-ups indicate that I am overweight.
I am 161.3 cm tall and weigh 74 kg.
However, some information suggests that tumors can also cause weight loss, such as losing more than 5% of original body weight within six months.
If I continue to exercise and maintain a healthy diet, I might achieve a weight loss of 5% or more.
Should I consider the possibility of a tumor causing this? Thank you.

A Er, 40~49 year old female. Ask Date: 2013/01/28

Dr. Chen Bozhang reply Family Medicine


Dear user,
You mentioned experiencing rapid weight loss.
Is it possible that a tumor could be the cause? Rapid weight loss is defined as a decrease of more than 5% of body weight within one month, or more than 10% within six months.
There are many potential causes for this, and it is important to clarify whether there has been any intentional dieting (such as consuming less than 800 calories per day, or suffering from mental health issues like depression or anorexia) or gastrointestinal issues like indigestion or chronic diarrhea.

If there has been no excessive dieting, rapid weight loss must be considered in the context of (1) endocrine disorders, including thyroid disease and diabetes; (2) chronic inflammatory diseases, including infections like tuberculosis or autoimmune diseases; and (3) malignant tumors.
Essentially, tumors are just one possible cause.
Therefore, if you have not been excessively dieting and are experiencing rapid weight loss, it is advisable to consult a family medicine or general internal medicine clinic.
The physician will carefully inquire about your medical history and conduct relevant examinations to clarify the underlying cause.
Sincerely,
Dr.
Chen Po-Chang, Family Medicine Department, Keelung Hospital

Reply Date: 2013/01/28

More Info


Hello! It’s great to hear that you are actively working on your weight loss through exercise and dietary control. Your height of 161.3 cm and weight of 74 kg gives you a Body Mass Index (BMI) of approximately 28.5, which classifies you as overweight. It’s commendable that you are taking steps to improve your health, as maintaining a healthy weight can significantly reduce the risk of various health issues, including metabolic syndrome, cardiovascular diseases, and certain types of cancer.

Regarding your concern about weight loss and the potential link to tumors, it’s essential to understand that unintentional weight loss can indeed be a symptom of underlying health issues, including malignancies. The general guideline is that a weight loss of more than 5% of your body weight over six months without trying to lose weight should be evaluated by a healthcare professional. In your case, if you were to lose more than 3.7 kg (which is 5% of your current weight), it would be prudent to consult a doctor.

However, intentional weight loss through a structured program of diet and exercise is typically not a cause for concern. If you are losing weight as a result of your efforts to eat healthier and exercise regularly, this is generally a positive outcome. Weight loss can lead to improved metabolic health, better cardiovascular fitness, and enhanced overall well-being.

That said, if you notice any other concerning symptoms alongside your weight loss—such as persistent fatigue, unexplained pain, changes in appetite, or any unusual lumps or growths—it’s crucial to seek medical advice. These could be signs of something that requires further investigation.

In terms of your weight loss journey, here are some additional considerations:
1. Balanced Diet: Focus on a diet rich in whole foods, including fruits, vegetables, lean proteins, and whole grains. Aim to reduce processed foods, sugars, and saturated fats. A caloric deficit is essential for weight loss, but ensure you are still meeting your nutritional needs.

2. Regular Exercise: Incorporate both aerobic exercises (like walking, running, or cycling) and strength training into your routine. Aim for at least 150 minutes of moderate aerobic activity each week, along with muscle-strengthening activities on two or more days per week.

3. Monitor Your Progress: Keep track of your weight loss and any changes in your health. This can help you stay motivated and identify any potential issues early on.

4. Consult a Healthcare Professional: If you have concerns about your weight loss or any symptoms you may be experiencing, it’s always best to consult with a healthcare provider. They can perform necessary tests and provide personalized advice based on your health history.

5. Stay Hydrated and Rested: Ensure you are drinking enough water and getting adequate sleep, as both are vital for overall health and can impact weight loss.

In summary, while weight loss can sometimes be a symptom of underlying health issues, intentional weight loss through healthy lifestyle changes is generally beneficial. Keep monitoring your health, and don’t hesitate to reach out to a healthcare professional if you have any concerns. Best of luck on your journey to better health!

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