Even ex­ces­sive calo­rie in­take can’t help reader re­gain weight

Manteca Bulletin - - Local - Keith Roach, M.D.

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.

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