Approach to Unintentional Weight Loss - definition, differential diagnosis and treatment

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"Unintentional Weight loss is defined by a 5% reduction of usual body weight over 6-12 months. It is associated with increase mortality rates. The most common cause of unintentional weight are increased expenditure or reduced dietary intake.

Unintentional weight loss should away raise suspicion of malignancy. Other non malignant causes can be due to maldigestion or malabsoprtion, endocrinopathies, psychiatric conditions or medications."

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Awesome summary! I’m an Australian Dietitian, seeing patients for unintentional weight loss is what I do every day :)

Ashleigh_Jay
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I had sudden nausea, vomitting and loss of appetite in June 2021 and lost 30lbs in 10 months. I have Celiac Disease, PTSD, Diabetes type2, and Anxiety. Within this time to April 2022, my symptoms identified with Lupus and second round of testing showed higher ANA levels looking suspicious with changes, will be seeing my Rhumatologist again in December. I am finally going to have a colonoscopy in a few days that I had been asking for, long wait. I had weighed before weight loss 153lbs (June 2021) and now 117lbs (October 2022). I had chronic pain and Fibromyalgia for years. I have no solid leads for this weight loss and hope to know more very soon. Have not been tested for any Cancer as I just feel I'm just wasting away and doctors haven't been available for me since Covid. Now I'm finally having my appointments, I've been fighting for attention, but doctors not as available. Is it too late?

suzannesanchez
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Coming off psych meds caused 30lbs to just FALL OFF of me. No effort. No changes. I had no appetite and I was very sick for a few months. But in total I've lost 42lbs. Best decision of my life.

ameliaconaway
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Armando, you are one of my heroes. These differentials are really, really helpful.

Keep up the good work!

ThePathOfEudaimonia
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Always consider bipolar disorder under the psychiatric causes, due to the hypomanic or manic states.

danialezero
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Vietnamese Medical professionals taught students by their own ✍️ stretching like videos in the past (even in 2005 I started my university 🙂)

ThuLe-VN
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Hi doc, good pm
Very well explained
Well informed n really appreciate
It’s increased my knowledge
Thanks so, so much
From. Bahrain 🇧🇭
👍👍❤️❤️🙏🙏

fareedaahmed
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There are so many causes of unintentional weight loss. Unfortunately they straight away think it must be CANCER and CT- scans are ordered too often even before the lab results are there. Just because someone is old, doesn't mean unnecessary radiation can't hurt them... (what I see every day)
Nice video! Thanks 😊

hammerradiology
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I'm not understanding MY unintentional weight loss. I'm a 5'6 man and I was weighed at my doctors in March 2022 at 141lbs. I noticed weight loss and was weighed at my doctors in March 2023 at 119lbs and since then (It's now early November 2023) I am now down to 106lbs. But here's the thing...I don't exercise AT ALL and I've been eating 3000-3500 calories every single day during this weight loss.

markalexander
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Have found for me that taking B12 (with a B's) or eating liver/onions/greens seems to help for appetite. Ginger, garlic... helps. Working on digestion also. Am geri., may walk to much, trying to gain back more muscle (maybe malsorbtion, endo).

aliveandwell
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Hiii....make a video on approach to lymphadenopathy lecture....thank you

logeshravi
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Hi you mentioned that Mirtazapine is an alpha-1 blocker however I think it's alpha-2? Also says that in your diagram. Great video though!

albiecc
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My father last six months loss weight they have continue fevers around one month 102/103 in that they loss weight around 8kg.. Dear sir please help us what can i do for the best for my father

kusumakarlokhande
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Sir plzzz do a note on formation of ATP and role of ATP 🙏 student from india 🇮🇳

abhishekbonigala
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My lack of sleep during the past five years has been caused by a new, stressful work that I started five years ago. Another thing to notice is that my girlfriend and I moved in together about the same time she had a 10-year history of weight loss. I have undergone a complete physical examination, but they were unable to identify the reason for my 40-pound weight drop. Could you please tell me on what could be causing my weight loss all over my body?

citizenm
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My lack of sleep during the past five years has been caused by a new, stressful work that I started five years ago. Another thing to notice is that my girlfriend and I moved in together about the same time she had a 10-year history of weight loss. I have undergone a complete physical examination, but they were unable to identify the reason for my 40-pound weight drop. One of the symltom i get from time to time is i get lain in my stomach on my right upper side of my stomach. Could you please tell me on what could be causing my weight loss all over my body?

citizenm
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I was diagnosed with a hiatal hernia and I have lost 31lbs in 4 months

Alexis_
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Sorry for the random question but are you Armenian?

justsomerandomdude
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Lost weight during 2020 but i don't feel any different i still eat alot have energy and everything i never cut down on food nor did i work out i just lost around 30 kg

gastergiovanna
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Maina 1 Baid ji se Desi Dawa Li aur sirf 4 month woh Desi dawa Li aur mera weight 70kg se 50kg ho gaya, isliya unka Waasup n he de diya yaha maina apna nam ka sath

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