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About Weight loss

Weight loss occurs when your body burns more calories than it takes in. This can result from changes in your diet, exercise regimen, or lifestyle. In many cases, weight loss brought on by these factors is healthy and normal. Unexplained weight loss, however, is the loss of 10 or more pounds or 5 percent of your body fat, over a 6 to 12 month period without a clear cause. Commonly associated causes of unexplained weight loss include:

  • Gland-related issues such as overactive or underactive thyroid (hyperthyroidism, hypothyroidism), Addison’s disease, hypercalcemia, and diabetes.
  • Chronic conditions such as Crohn’s disease, celiac disease, and HIV/AIDS.
  • Gastrointestinal issues such as ulcerative colitis or peptic ulcers.
  • Heart-related diseases such as chronic obstructive pulmonary disease (COPD) and heart failure.
  • Undiagnosed eating disorders.
  • Substance abuse including alcohol and drugs.
  • Side effects of medication.
  • Dental problems.
  • Parkinson’s disease
  • Cancer.
  • Infection.
  • Pancreatic swelling.
  • Dementia.
  • Anxiety or depression.

Unexplained weight loss is most common in people 65 years or older, and may be a sign of mild to serious underlying health issues. If you are experiencing sudden or unexplained weight loss, speak with your physician or doctor at your next appointment.

Specific treatment for weight loss depends on your doctor’s diagnosis of the underlying issue. During your appointment, talk to your provider about which treatment plan is right for you.

Your doctor may use diagnostic testing such as a physical exam, imaging scan (i.e. x-ray, cat scan, etc), or blood panel test to first determine the underlying cause of your unexpected weight loss. Knowing what is causing the weight loss will help your doctor or physician establish a baseline for your specific treatment plan.

After a diagnosis, your doctor may suggest making changes to your diet or lifestyle. Changes may include:

- Dietary Adjustment. Your doctor may prescribe flavor-enhancers to entice your tastebuds to eat more, or nutrition shakes to boost your caloric intake to help you stabilize your weight loss. This treatment may be especially useful for those with taste or smell issues, and for those whose medication changes the way they taste food.

- Counseling. Your doctor may refer you to a counselor that specializes in talk therapy or cognitive-behavioral therapy (CBT). Changing the way you view food, tackling an addiction, or learning coping skills that encourage self-monitoring can help you moderate your weight. This is also an effective treatment for depression and anxiety.

- Prescription medication adjustment. If your unexpected weight loss is caused by prescribed medications, your doctor can help you adjust your current medication program to reduce or prevent further weight loss.

Medical treatment for unexplained weight loss may include medication to:

  • Normalize a hormonal imbalance.
  • Help you regain the weight lost by increasing hunger or desire to eat.
  • Address an undiagnosed disease.

Surgery is generally reserved for severe cases where weight loss might be associated with other underlying conditions. In these cases, surgery is intended as a treatment for that condition, not for the weight loss itself.