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 How to gain weight
More weight-gaining tips

Do you tend to skip meals, or eat lots of fruit and vegetables, but consume little meat and dairy products? These factors might contribute to the fact that you struggle to gain weight.

In the first article we had a look at rapid metabolic turnover, very high stress levels, problems with absorption, hyperactivity, and excessive exercise, and suggestions on how you can handle these problems in order for you to gain weight.

 
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In this article we will concentrate on the following causes of underweight:

  • Eating disorders, such as anorexia and bulimia,
  • Hyperthyroidism,
  • Depression,
  • Wasting illnesses,
  • Inadequate dietary intake - eating too little per se, and
  • Unbalanced eating patterns - eating too much of only a few foods

Tips to counteract these factors

Eating disorders
Eating disorders such as anorexia and bulimia are more prevalent that one thinks. Many young people, especially teenage girls and young women, suffer from underweight because they have border-line eating disorders.

They usually think that they are eating sufficient food to meet their bodies’ needs for energy and nutrients, but this is not the case.

If you suspect that you may tend towards an eating disorder, then please get help fast. Consult a clinical psychologist and a dietitian to help you uncover what is driving you to starve your body and to work out a diet that will help you to gain weight without threat.

Lots of smaller, healthy meals and snacks will replace the energy that you have denied yourself and gradually solve the problem.

Hyperthyroidism
Some people who either battle to gain weight or suddenly lose a great deal of weight, may be suffering from an overactive thyroid.

Hyperthyroidism is usually also associated with dry skin, irritability, feeling hot and flushed, tremors, palpitations and restlessness.

To check if your thyroid is overactive and contributing to weight loss, you need to have a medical checkup and ask your doctor to do a thyroid function test. If the test indicates that your thyroid is overactive, the doctor will prescribe the necessary treatment.

To compensate for the very large amounts of energy that you use when you suffer from this condition, you should increase your intake of healthy foods at each meal and eat healthy snacks like fresh and dried fruit, fruit juice, wholewheat sandwiches, or crackers, cheese, yoghurt, and nuts.

Depression
Depression can cause both over- and underweight.

When some people get depressed they lose their appetite and eat less and less. If you suffer from chronic lack of appetite and suspect that you may be depressed, then you also need to consult a doctor and a clinical psychologist to help you cope with this problem.

You won’t gain weight if you don’t have an appetite and eat sufficient food to supply you daily energy needs. Vitamin and mineral supplements can help with depression and also stimulate your appetite. The B vitamins are particularly useful when it comes to getting your appetite back, so buy a good supplement and take it for at least three months.

Wasting illnesses
Patients suffering from serious, wasting illnesses often lose a great deal of weight and struggle to regain weight when they have recovered.

In such cases the patient should be treated by a clinical dietician who will work out a high-energy diet for the patient taking his/her special food requirements into consideration. Liquid food supplements and delicious milk shakes made with liquidised fruit, whole milk, ice cream, and honey can be used to supplement food intake in patients who are feeling weak and have lost a lot of weight.

Inadequate food intake
If you are underweight and don’t have any medical conditions which could contribute to weight loss, then you should take a good, hard look at how much you are actually eating.

Do you tend to skip meals, or just have a cup of coffee and one slice of toast at breakfast, a single sandwich at lunch and a tiny portion of food at supper?

If so, then you will not gain weight. It is a fact that most healthy people who struggle to gain weight are simply not eating enough food on a daily basis.

You need to make sure that you are eating at least three adequate meals every day and it is a good idea to increase the amount of food you eat at each meal. Remember to select healthy foods, not fat-laden stodge, otherwise you will harm your health.

Unbalanced eating patterns
Some people who are very thin and find it difficult to gain weight, tend to eat an unbalanced diet.

They only eat only grains, fruit and vegetables, avoiding foods derived from animals such as milk, meat, fish and eggs.

The ideal is to eat fruits and vegetables, grains and cereals, milk and dairy products, lean meat, fish and eggs, and some poly- or monounsaturated margarine or oil every day.

If you eat vegan or very strict vegetarian diets which exclude all animal foods, then you may find it difficult to gain weight.

The high fibre and water contents of plant foods reduce their energy content and you have to eat very large quantities before you obtain sufficient energy to provide fuel for your body.

Try modifying your diet to at least include some sources of animal protein like milk, yoghurt, cottage and other cheeses, and eggs, and add three to four tablespoons of sunflower, safflower or olive oil to your salads and grains. Eating nuts and dried fruit will also boost energy intake.

We will conclude this series of articles on ‘Underweight and How to Combat it’, next week with general guidelines for increasing food intake for those readers who need to gain weight and just don’t seem to succeed. - (Dr I.V. van Heerden, DietDoc)

Any questions? Ask DietDoc

 
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 OTHER ARTICLES
Causes of underweight
Tips on gaining weight
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