Even excessive calorie intake can’t help reader regain weight
DEAR DR. ROACH: I am 66 and have always been in good health. I walk four or five times a week and do mild weight training two or three times a week. I eat a very healthy diet.
I have low testosterone (339). My symptoms are insomnia, low sex drive, erectile dysfunction, anxiety and weight loss. I cannot maintain my weight. My normal weight is 175, and I weigh 154 after eating all day. Also, I have rashes on my face and legs. My doctor says my testosterone is normal, and says I should take trazodone for sleeping, but does not know why I have this rash and says it will go away in time. The doctor says I should eat more to gain weight. I eat 4,0005,000 calories a day, including weight-gain shakes, but cannot gain enough to reach my normal weight. What do you think? Can you help? -- D.L.
ANSWER: There are many issues here, but the one that jumps out at me is your inability to gain weight despite eating a truly enormous number of calories. It’s hard for me to believe, but if I take you at your word, then one of three things is going on. You could be unable to absorb the nutrients, due to a problem with the intestine or pancreas. You could have a revved-up metabolism, which usually comes from excess thyroid hormones.