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Feeling Weak and Underweight with Social
Doctor, I have been feeling very weak for the past few years. I’ve lost weight and I feel very anxious going outside. I avoid people and feel embarrassed about my body.”
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You need to share detailed medical history, get investigations done for chronic weakness.
Get complete blood count, stool for ova and cysts, serum vit b12, d3, calcium,proteins, Haemoglobin, thyroid function tests and blood sugar done and share results. Then I can help you to become o.k. healthy.
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Your symptoms are concerning but treatable.
You mention:
• Weakness for years
• Weight loss
• Anxiety while going outside
• Avoiding people
• Feeling embarrassed about your body
This suggests two parallel components:
1️⃣ Possible physical cause
Chronic weakness + weight loss can be due to:
• Thyroid disorder
• Vitamin B12 deficiency
• Vitamin D deficiency
• Iron deficiency
• Chronic infection
• Malabsorption
• Poor nutrition
2️⃣ Psychological component (very important)
Avoiding people + body embarrassment + anxiety outside strongly suggests:
• Social anxiety disorder
• Body image disturbance
• Possible depression
Often, long-standing physical weakness worsens anxiety — and anxiety further worsens energy levels. It becomes a cycle.
This is not a small issue, but it is manageable with proper evaluation.
Next Steps
✔ Get baseline investigations:
• CBC
• Thyroid profile (TSH, Free T4)
• Vitamin B12
• Vitamin D
• Serum ferritin
• Fasting blood sugar
✔ Assess:
• Appetite pattern
• Sleep quality
• Any panic symptoms (palpitations, sweating, tremors)
✔ Start basic correction:
• Regular meals with adequate protein
• Fixed sleep schedule
• 20–30 min light exercise daily
If anxiety is significant, you may require:
• Structured counselling
• CBT-based therapy
• In some cases, short-term medication
Do not ignore the psychological part — it is as real as physical illness.
Health Tips
✔ Stop comparing your body with others
✔ Avoid isolating yourself completely — gradual exposure helps
✔ Reduce excessive social media
✔ Focus on strength-building exercises (improves confidence)
✔ Track your weight weekly
You are 23 — this is a very treatable stage. With proper medical and psychological assessment, recovery is highly achievable.
If you’re comfortable, I can help you with a structured evaluation plan and step-by-step recovery roadmap.
Consider booking an online consultation so we can properly assess both your physical and mental health together and break this cycle effectively.
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