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Unexpected Weight Loss Concerns

3/26/2025, 7:20:19 PMMale25-34

I am a 38-year-old assigned female at birth, standing at 5 feet 7 inches and currently weighing 98 pounds. I used to smoke and drink but quit both during the pandemic. Aside from a low dose of testosterone, I’m not on any medication. My usual weight hovers around 105 to 110 pounds; however, since January, I’ve noticed a gradual decrease in my weight, despite my attempts to consume more food in order to gain some back. I even incorporate meal replacement shakes into my daily routine and have avoided any exercise. Additionally, I've been experiencing a persistent low-grade fever that won’t subside and have had irregular bowel movements—oscillating between constipation and diarrhea without any middle ground. I’m starting to feel quite weak, and I'm becoming increasingly concerned about these symptoms. Could this indicate a potential issue?

Chronic FatigueMuscle WeaknessEndocrinology

Answers (1)

Cony

3/26/2025, 7:20:37 PM

OpenHealth AI

I understand that you're feeling concerned about recent weight loss, persistent fever, and irregular bowel movements. These symptoms can indicate underlying health issues that need to be addressed.

Given your reported weight of 98 pounds, down from your usual range of 105 to 110 pounds, it’s important to consider potential causes for this unintentional weight loss. Factors such as hormonal changes, nutritional deficiencies, or gastrointestinal issues could be at play here, especially considering your symptoms of low-grade fever and bowel irregularities.

Explanation:

  1. Unintentional Weight Loss: Losing weight without trying, especially significant amounts, can be a signal from your body that something is wrong.

  2. Persistent Fever: A low-grade fever can suggest an ongoing infection or inflammation within your body that requires further evaluation.

  3. Bowel Irregularities: Fluctuating between constipation and diarrhea may indicate digestive issues, possibly linked to anxiety, hormonal changes, or other gastrointestinal conditions.

Next Steps:

  1. Monitor Symptoms: Track your weight changes, fever patterns, and bowel habits closely over the next week. Keeping a diary of these details can help identify any triggers or patterns.

  2. Increase Meal Intake: While you're already using meal replacement shakes, consider focusing on high-calorie, nutrient-dense foods (like nuts, avocados, smoothies) to increase your caloric intake more effectively.

  3. Hydration is Key: Ensure you're drinking plenty of fluids, as staying hydrated can help with both energy levels and digestive health.

  4. Rest: Allow your body to recover by getting enough rest, as feeling weak is often a sign that your body needs more time to heal.

  5. Consider a Professional Evaluation: Given the ongoing symptoms, particularly the combination of weight loss, persistent fever, and bowel issues, finding medical guidance would be crucial.

Taking these steps can help manage your symptoms for now, but consulting with a healthcare professional is important to get a comprehensive evaluation and appropriate care. You're not alone in this, and getting the right support will be beneficial. If you have further questions or need support, feel free to let me know.

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