Q. Why am I not gaining weight?

Answered by
Dr. Sadaf Mustafa
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jun 01, 2016 and last reviewed on: Apr 03, 2020

Hi doctor,

I am a 60 year old male. My height is 5'9" and my weight 150 lbs. Diagnosed with type 2 diabetes three years ago at 140 lbs weight. I went on with Metformin 2 x 1000 mg per day. It worked well for a while, but not good enough. Then I opted Insulin and gained some weight of about 4 lbs, but stopped Insulin due to inconvenience of injections. Then, I had Jentadueto for a while. Now, I just started Invokana 100 mg and it is bringing down the numbers greatly. 20 years ago, I was diagnosed with hyperthyroidism. Now, it is in normal range with Synthroid. My blood pressure is also normal. I feel great, but I am now down to 125 lbs. I do not exercise with a fear of losing more weight. I also have attached some test result. Why am I not gaining weight?

Dr. Sadaf Mustafa

General Medicine Internal Medicine
#

Hello,

Welcome to icliniq.com.

  • The most important point to remember is that diabetes is a well known cause of weight loss.
  • I would also suggest to obtain age appropriate cancer screening, which would be a prostate exam plus PSA (prostate specific antigen) and colonoscopy in your case.
  • Progressive kidney disease with proteinuria can also cause albumin loss in the urine and less muscle mass.
  • I am not sure how your cardiac status is? Cardiomyopathy (weak heart) and excessive cigarette smoking can also be a culprit in weight loss.

For further information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist


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