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Consult endocrinologist for this .

Very suspicious of Addison's disease and not insulinoma with normal c-peptide levels or 'gastric dumping'. Assuming no eating disorder or taking medications like Glimperide etc . Do the following, 1: blood tests: TSH, Cortisol, Short Synacthen test, GH, IgA-TTG, LFT, KFT, INR 2. Regular and frequent small meals All the best. WWW.JGSR-HEALTH-EDUCATION.IN

40 lbs is very low , it's an life threatening condition , give high calorie and high sugar  think to eat and kindly take immediately to near by hospital

40rbs is very low.. its a emergency situation...you need to eat something or take sugar... Small meals every 2–3 hours High protein + complex carbohydrates Avoid fasting Take medicines for insulinoma Consult for better and further management

Yes low sugar is very dangerous

Kindly do connect and consult

Consult to Endocrinologist

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Need a few more details please consult for further evaluation and treatment