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Suggest Treatment For Recurren And Unexplained Weight Gain
Question: i am 53 years old and when i moved out here to az. about 6 years ago. i put on 20 lbs. but i have always remained 124 lbs my entire life until then. i didn't change anything about my eating habits and my work acatitivy remained the same also. my mother became ill so i returned home to care for her and i lost it in a months time . she went in remission so i came back to az. and within one month gained it all back. so i went to my doctor and had all tests run on me and they all came back perfect. what could be going on. I'm becoming depressed and i would love to no whats up.
Brief Answer:
Weight gain
Detailed Answer:
Sorry to learn about your bothersome symptoms.
I see your thyroid has been checked by your doctor and seems to be normal.
There are 2 uncommon causes of weight gain.
One is Cushing's syndrome. A late night saliva cortisol test is a good way to screen for it.
The other is Acromegaly. A blood test called IGF1 is a screening test for this condition. It does not require fasting and can be done at any time of the day.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
None of these tests require any fasting and can be done at any time of the day. Correct diagnosis and treatment requires the opportunity to examine the patient so you must see an endocrinologist in-person.
Weight gain
Detailed Answer:
Sorry to learn about your bothersome symptoms.
I see your thyroid has been checked by your doctor and seems to be normal.
There are 2 uncommon causes of weight gain.
One is Cushing's syndrome. A late night saliva cortisol test is a good way to screen for it.
The other is Acromegaly. A blood test called IGF1 is a screening test for this condition. It does not require fasting and can be done at any time of the day.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
None of these tests require any fasting and can be done at any time of the day. Correct diagnosis and treatment requires the opportunity to examine the patient so you must see an endocrinologist in-person.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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