Blood tests : IgA-TTG, TSH, Cortisol and ESR See a dietitian See a Psychiatrist to have an assessment of your mood All the best. WWW.JGSR-HEALTH-EDUCATION.IN

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You have weight loss due to multiple factors. Get cbc, blood sugar,  thyroid profile,  serum vit b12, d3, calcium, tested and share results. Avoid oily, spicy, food, take small frequent meals with more of proteins and healthy carbohydrates. Take tab pantaprazole 40mg one daily before breakfast for 10 days. Tab domperidone 10mg one every 8hours for 3 days. Cap siderfol  twice daily for 2 weeks. Tab neurobion forte one daily for 2 weeks.

Hormone tab is responsible for gastric issues. After delivery  weight gain dependent on diet. U must be on normal routine diet. So weight decrease. Add protein sack made with  bhuna Chana  or sattu, banana, dates, n milk  consume it regularly.  Add paneer home made  in diet, u can go with  toffu soya paneer.

Weight problem is normal in your case because its happen during pregnancy and after pregnancy and after delivery. For gastric issue ,this is separate problem you faced.either may be drug related or acid reflux or gastritis.please consult me on practo for further management and evaluation.

You are 38 years old. Timeline summary: • Delivery: Sept 2023 • Weight stable ~51 kg for 1 year • Gradual drop to 49 → 48 → 47 • Pregnancy July 2025 → weight 50 kg • Abortion Sept • Since November (on hormone pills) → weight down to 46.5 kg • LFT, RFT, CBC normal • Vitamin D = 22 (insufficient) • Gastric issues + chest burning + panic episodes Important observations: Your weight loss is: • Gradual • Around 4–5 kg over ~1.5 years • Not rapid extreme loss Most likely causes based on your history: 1️⃣ Hormonal changes (postpartum + abortion + hormone pills) 2️⃣ Gastritis / acid reflux reducing appetite 3️⃣ Anxiety-induced appetite suppression 4️⃣ Stress-related metabolism changes 5️⃣ Possible thyroid fluctuation (very common postpartum) Since: • CBC normal • LFT/RFT normal • No mention of fever, chronic diarrhea, or severe weakness Serious disease is less likely. Your chest “gas coming up after sleeping” sounds like acid reflux (GERD), which can trigger panic-like symptoms. Vitamin D of 22 indicates deficiency → can worsen fatigue, mood changes, and anxiety.

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

Doctor Advice — Weight Loss After Delivery & Hormonal Changes Dear Patient, Your history shows gradual weight reduction after delivery in September 2023, followed by pregnancy, The most probable causes of your weight loss are: • Hormonal fluctuations after pregnancy and abortion • Effect of hormonal medications on metabolism and appetite • Gastritis / acid reflux leading to reduced food intake • Nutritional depletion after pregnancy events • Vitamin D insufficiency (level 22 is low) • Stress, anxiety, and panic symptoms affecting appetite • Possible thyroid imbalance (needs evaluation if not checked recently) The sensation of gastric contents coming into chest after sleep with panic feeling is commonly seen in acid reflux (GERD) and can also trigger anxiety symptoms. What you should do: • Check Thyroid profile (TSH, T3, T4) • Check Vitamin B12 level • Start Vitamin D supplementation as per doctor advice • Eat small frequent meals every 2–3 hours • Increase protein intake (milk, paneer, eggs, dal, nuts) • Avoid long gaps between meals • Take early dinner and avoid lying down immediately after food • Elevate head end while sleeping • Daily sunlight exposure Treatment that may help Antacid / proton pump inhibitor for reflux • Probiotic for gut symptoms • Vitamin D and B-complex supplements • Nutritional protein supplements if appetite is low For proper assessment and personalized treatment guidance, you can text me anytime.

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