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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Weight Loss?

My son is 23. He had high fever and weight loss 2 years ago. Admitted. Had colonoscopy. some nodules around the rectum. Stool tested Ocult blood is there. After 2years again colonoscopy done. Same conditon. He had gained the weight after the first colonoscopy. Now again he lost 15 kg
Mon, 23 Feb 2015
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Dietitian & Nutritionist 's  Response
Good afternoon,
I can understand your concern, but there is not much information in your question to give you a comprehensive answer. I have questions about appetite, food intake, likes/dislikes, energy expenditure. I would refer him to a nutritionist for a complete nutritional assessment that would include an analysis of his eating habits and how to follow a tailored meal plan to gain weight. He can put on weight by consuming healthy fats and eating more frequently. Virgin olive oil added to cooking,food,dips;increase consumption of nuts and nut butters; prepare a high calorie milkshake (lactose free if there is a problem with milk digestion) and mix nut butters, dark chocolate, a little vanilla, perhps some whole milk greek yogurt and give to him for breakfast along with a normal breakfast. Switch to whole milk, butter. It will take an extra 1,000 calories per day to gain just 2 lbs/wk. I suspect he might be malabsorbing nutrients so have him eat more frequently and take a professional multivitamin hypoallergenic with no fillers. Remember, fat has twice the calories of carbohydrate and protein. Larger portions. Hope some of this has helped. Respectfully, Kathryn Shattler, MS,RDN
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What Causes Weight Loss?

Good afternoon, I can understand your concern, but there is not much information in your question to give you a comprehensive answer. I have questions about appetite, food intake, likes/dislikes, energy expenditure. I would refer him to a nutritionist for a complete nutritional assessment that would include an analysis of his eating habits and how to follow a tailored meal plan to gain weight. He can put on weight by consuming healthy fats and eating more frequently. Virgin olive oil added to cooking,food,dips;increase consumption of nuts and nut butters; prepare a high calorie milkshake (lactose free if there is a problem with milk digestion) and mix nut butters, dark chocolate, a little vanilla, perhps some whole milk greek yogurt and give to him for breakfast along with a normal breakfast. Switch to whole milk, butter. It will take an extra 1,000 calories per day to gain just 2 lbs/wk. I suspect he might be malabsorbing nutrients so have him eat more frequently and take a professional multivitamin hypoallergenic with no fillers. Remember, fat has twice the calories of carbohydrate and protein. Larger portions. Hope some of this has helped. Respectfully, Kathryn Shattler, MS,RDN