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But invariably the results were disappointing and lacking in uniformity. Patients who have uremia often have poor or absent appetite, vomiting and nausea. Eating restrictions may also be imposed as part of treatment or investigations. Fungal illnesses, endocarditis, many parasitic diseases, AIDS, and some other subacute or occult infections may cause weight loss. Weight loss occurs when the body is expending more energy in work and metabolism than it is absorbing from food or other nutrients. I felt that we were merely nibbling at the fringe of a great problem, as, indeed, do most serious students of overweight. Search the site and manuscript using the search menu above, or to answer some of the most common questions, view our FAQ. Other losses: Conditions such as burns can be associated with losses such as skin exudates. Every new theory, every new method, every promising lead was considered, experimentally screened and critically evaluated as soon as it became known. Yet the localization and the nature of this disorder remained a mystery. You can download a PDF version of the document here. We have grown pretty sure that the tendency to accumulate abnormal fat is a very definite metabolic disorder, much as is, for instance, diabetes. This book discusses a new interpretation of the nature of obesity, and while it does not advocate yet another fancy slimming diet it does describe a method of treatment which has grown out of theoretical considerations based on clinical observation. Cancer, a very common and sometimes fatal cause of unexplained ( idiopathic ) weight loss. A summary of the 500 calorie diet in this manuscript is available here. Cardiovascular disease, especially congestive heart failure, may cause unexplained weight loss. Losses from the gastrointestinal can occur because of symptoms such as vomiting or diarrhea, as well as fistulae and stomas.
There can also be losses from drains, including nasogastric tubes. Lack of food can result from: poverty, difficulty in shopping or cooking, and poor quality meals. This can result from conditions that affect the digestive system. Changes to metabolic demands can be caused by illness, surgery and organ dysfunction. In these many years of specialized work thousands of cases have passed through my hands and were carefully studied. Whether such a structure represents the truth is not important at this moment. Poor appetite can be a direct symptom of an illness, or an illness could make eating painful or induce nausea. Refusing to be side-tracked by an all too facile interpretation of obesity, I have always held that overeating is the result of the disorder, not its cause, and that we can make little. Intentional weight loss is commonly referred to as slimming. Weight loss issues related to specific diseases include. About one-third of unintentional weight loss cases are secondary to malignancy. This is a complete rendering of the original document, with slight formatting changes to make the paragraphs look nice. Inability to eat can result from: diminished consciousness or confusion, or physical problems affecting the arm or hands, swallowing or chewing. Intentional weight loss is the loss of total body mass as a result of efforts to improve fitness and health, or to change appearance through slimming. Every new approach seemed to lead into a blind alley, and though patients were told that they are fat because they eat too much, we believed that this is neither the whole truth nor the last word in the matter. Cancers to suspect in patients with unexplained weight loss include gastrointestinal, prostate, hepatobilary ( hepatocellular carcinoma, pancreatic cancer ), ovarian, hematologic or lung malignancies. What I have to say is an essence of views distilled out of forty years of grappling with the fundamental problems of obesity, its causes, its symptoms, and its very nature.
