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25M with weakness low weight low appetit
I’m a 25-year-old male (45 kg, 163 cm) from Delhi and have been facing several issues for a long time: constant weakness, low energy, headaches, eye strain, very low appetite, early fullness, poor digestion, and difficulty gaining weight. I also have hair fall and varicocele discomfort which prevents heavy exercise.
Mentally, I experience anxiety, overthinking, poor focus, confusion, and sometimes unclear or fast speech when stressed. These symptoms are affecting my work and daily life.
I want to know what tests I should get, which specialist to consult first, and how I can improve appetite, gain weight safely, and manage anxiety and varicocele. Please guide me on the right diagnosis and treatment approach.
Answers (11)
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a free detailed discussion
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Kindly consult me or call on watsapp 995618782three
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Kindly consult on nine nine three four eight three one six zero six
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A detailed answer by dr Nityanand follow him.
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Your symptoms point toward nutritional deficiencies, gut issues, chronic stress/anxiety, and possibly hormonal imbalance. Start with evaluation; don’t self-treat blindly.
✅ 1. Tests you should get
Basic health + nutritional panel
CBC
ESR/CRP
LFT, KFT
Fasting blood sugar, HbA1c
Thyroid profile (TSH, Free T3, Free T4)
Vitamin B12
Vitamin D
Ferritin + Iron profile
Serum calcium, magnesium
Lipid profile
Testosterone (Total + Free), LH, FSH
Cortisol (morning)
H. pylori breath/stool test (as you had gastritis)
For digestion & low appetite
Ultrasound abdomen
Stool routine test
For varicocele
Scrotal Doppler ultrasound
✅ 2. Specialist to consult first
Gastroenterologist – for early fullness, low appetite, digestion issues.
Endocrinologist – for weakness, low weight, hormonal issues.
Urologist – for varicocele.
(You can start with a gastroenterologist; they will coordinate further tests.)
✅ 3. How to improve appetite & gain weight
Eat 6 small meals, not 2–3 big ones.
Add easy calories: banana, peanut butter, paneer, ghee, curd, dates, eggs.
Take whey protein (better than mass gainer) after meals, not empty stomach.
For appetite:
Cyproheptadine 2 mg at night (doctor-advised)
Probiotic daily
PPI (if gastritis persists)
✅ 4. Anxiety, overthinking, low focus
Daily 20–30 min walking (safe even with varicocele).
Breathing: 4-7-8 technique.
Reduce caffeine.
If anxiety is strong:
SSRIs (Escitalopram/Sertraline) – psychiatrist-prescribed
Short-term clonazepam only if doctor says
Do sleep hygiene strictly.
✅ 5. Managing varicocele
Avoid heavy lifting/straining.
Wear scrotal support underwear.
Take NSAIDs only when pain is there.
If pain persists or semen issues → urologist may suggest surgery (varicocelectomy).⭐ Overall likely causes
Nutritional deficiencies (B12, D, iron, protein)
Gut issues (post H. pylori gastritis, dyspepsia)
Stress/anxiety
Possible mild hormonal imbalance
Chronic under-eating → low weight → low strength
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Dr. Vinod Kumar Verma
General Physician
9 yrs exp
Gurgaon
-According to your query and sign and symptom you want to know about the cause and Treatment of disease as you have mentioned as above as -
-Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history.
Please follow good life style as
• take plenty of fluid and
• take less spicy and fatty foods and
• take home made food only and
do exercise regularly with yoga and meditation and
• keep positive attitude to fight any disease and any problem of your life . ....
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Laxmi Koppishetty
General Practitioner
8 yrs exp
Rajahmundry
Kindly consult
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake..More
Do connect and consult
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