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Why am I not gaining weight?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At June 1, 2016
Reviewed AtMay 29, 2023

Patient's Query

Hi doctor,

I am a 60 year old male. My height is 5.9 feet 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?

Answered by Dr. Sadaf Mustafa

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. I want to highlight that apart from diabetes, also hyperthyroidism, anxiety and depression can cause weight loss. So, I would recommend screening and treatment. 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.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sadaf Mustafa
Dr. Sadaf Mustafa

Internal Medicine

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