Dramatic Weight Loss Over a Short Period: Seeking Insights
I find it astonishing, hence why I'm sharing my situation here for further insights. - Age: 18, Assigned Female at Birth (AFAB) - Height: 5'6", Current Weight: 140 lbs - Mental Health: Diagnosed with OCD, combined-type ADHD, anxiety and depression, along with an unspecified mood disorder - Physical Health: Diagnosed with Polycystic Ovary Syndrome (PCOS) - Current Medications (prescribed post-weight loss): * 50 mg of Seroquel (for mood stabilization, sleep aid, and appetite stimulation) * 10 mg of Focalin * Previously, I was on various contraceptives for PCOS until I stopped in July 2024. Recently, I experienced a significant and rapid weight loss starting December 2024/January 2025 after a long period of gradual weight increase over five years. By late 2019, I began to notice my weight creeping up, and at my highest recorded weight I reached 230 lbs. Having been active in sports, particularly soccer and softball, I only stepped back after graduating in May 2024. Throughout my weight loss journey, I maintained an active lifestyle, yet my attempts to shed pounds typically led to further weight gain. It was during this time that I received my PCOS diagnosis after suspecting the condition—symptoms like excessive facial hair and painful menstrual cycles played a part in that. Despite the common queries about eating disorders in relation to my weight change, I and my psychologist feel confident that this isn't the case; I've always been at ease with my body and the way I look, indulging in foods I enjoy while trying to integrate healthier options without significant results. Eventually, the dieting effort fell by the wayside. Prior to this change, I had never needed to monitor my calories or weight. Even when I was heavier, I generally ate freely and maintained my weight, albeit with occasional gains, without any deliberate adjustments to my diet or lifestyle after graduation until now. Thus, I find myself struggling to consume at least 1,700 calories daily, with 2,000 being my recommended intake considering a sedentary lifestyle, yet my weight varies between 140 to 147 lbs on a daily basis. While it's plausible that I could be consuming insufficient calories, it baffles me that a decrease of 2 pounds can be observed merely by weighing myself the following morning. I have undergone numerous blood tests, and my health providers prefer to refer to previous results rather than conducting new ones as they are still considered up-to-date. All of my blood test outcomes have been labeled as "optimal." Furthermore, I’ve had several procedures, including a colonoscopy, endoscopy, and a sigmoidoscopy, due to concerns of cervical cancer, along with consultations with a thyroid expert for suspected hyperthyroidism. Each evaluation flagged no issues or confirmed any fears. Routine physical examinations and comprehensive chest X-rays have also returned normal results. My obstetrician-gynecologist shares the confusion felt by my other healthcare providers, though she mentioned the possibility of my PCOS symptoms may have diminished with my notable weight loss, and she has opted against retesting me. It’s worth noting that I ceased taking birth control due to circumstances in July 2024, well in advance of any weight loss signs, leaving me uncertain of its impact on my current situation. She plans to await clearer insights before prescribing new medication, so I am currently not on any birth control. I intend to consult with an oncologist, though that step feels like a last resort in my journey for answers—have I not felt anything unusual up to this point? This raises a significant question that remains unanswered. All my healthcare professionals suggest pursuing a full-body CT scan, and it's been nearly a month since they recommended that I see a specialist in oncology or blood ailments. Unfortunately, the oncologist I was referred to requires the CT scan to be completed before they will see me, which has led to further complications. This is the third time I've attempted to proceed with this, and navigating the process has been quite challenging. However, I remain hopeful it will happen soon. In light of everything I've shared, I have a few queries: 1. Are there additional tests or inquiries we can make to gain clearer insights? 2. What potential signs should I be vigilant about in my body that I might overlook or dismiss as normal? 3. Are there aspects that might have been neglected while focusing on more apparent explanations?
Answers (1)
7/9/2025, 12:10:57 PM
OpenHealth AI
You are raising important concerns about your recent significant weight loss and the complex interplay of your medical history. Given your age, prior weight fluctuations, and medical conditions, it's essential to take a structured and careful approach to this situation.
Key Points:
- Rapid Weight Loss Causes: Significant weight loss can stem from various factors even if an eating disorder is not present. It can involve hormonal changes, metabolic conditions, stress, or other underlying health issues.
- Monitoring Symptoms and Next Steps: It's crucial to be vigilant about any new symptoms and ensure you pursue the recommended CT scan to follow through on your healthcare provider's advice.
- Communication with Healthcare Providers: Clear communication with your healthcare team is essential to discuss any ongoing symptoms and the next steps.
Explanation:
Your drastic weight fluctuation is concerning, especially since it appears unintentional and follows your previous experience with PCOS. Although your blood tests and various examinations have ruled out considerable issues, persistent symptoms warrant ongoing investigation. The uncertainty around your health can be overwhelming, especially with the multiple systems involved, including hormonal imbalances, mental health, and physical manifestation.
Next Steps:
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Complete the CT Scan: Make this a priority as it is a critical step to rule out further complications and to satisfy the requirements of the oncologist. If scheduling is challenging, contact the imaging center to express the urgency based on your healthcare provider’s recommendation.
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Document Symptoms: Keep a detailed journal of any new symptoms, changes in mood, energy levels, and dietary habits. Note any other signs that could help document your health situation, such as menstrual cycle changes, skin conditions, or unusual pains.
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Evaluate Diet and Nutrition: Work on gradually increasing your caloric intake. Aim to include nutrient-dense foods that contribute to a balanced diet. Consider seeking guidance from a nutritionist who can craft a plan suited to your needs and preferences.
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Continue Engaging with Healthcare Providers: If your symptoms do not resolve, or new symptoms arise, communicate this with your healthcare team immediately. Additionally, prepare a list of your concerns for consultations to ensure that nothing feels overlooked.
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Mental Health Check: Given your history with mental health and its possible effects on physical well-being, continue to have open discussions with your psychologist about how you are feeling and any stressors that may be impacting you during this time.
Vigilance for Symptoms:
Keep an eye on the following:
- Persistent fatigue or severe mood swings.
- Changes in your menstrual cycle that seem unusual for you.
- Any new pains, particularly in the abdomen or pelvic area.
- Continued fluctuations in weight without a clear reason.
- Unexplained digestive changes, such as diarrhea or constipation.
If any of these symptoms worsen or new symptoms arise, it might require more immediate attention and should be reported to your healthcare provider.
It's understandable to feel frustrated when seeking answers, and it can be a long process. Remember, you’re taking proactive steps towards finding clarity and addressing your health concerns, and that’s commendable. Stay hopeful and resilient as you navigate this situation.
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