I had delivery on 15th September 2023 ..after that my weight for one year was constant 51 kg..but after one year of delivery my weight getting reduced to 49 then after some months 48..then in 2025 july it came to 47..then I had pregnancy then weight increased to 50 for 1 month then had abortion in September after November my weight getting decreased to 46.5 today..my lft rft cbc reports are normal ..vit d3 is 22 ..I am worried a lot why I am loosing weight..I am in hormone pills from November ..strange kind of gastric issues from the. Happened ..like coming on chest after sleeping got panic attack due to gastric issues..
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Blood tests : IgA-TTG, TSH, Cortisol and ESR
See a dietitian
See a Psychiatrist to have an assessment of your mood
All the best.
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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.
Next Steps
✔ 1. Check Thyroid Profile (Very Important)
Do:
• TSH
• Free T4
• TPO antibodies
Post-pregnancy thyroiditis is common and can cause weight loss + anxiety.
⸻
✔ 2. Manage Gastric Symptoms
• Avoid late heavy meals
• Don’t lie down within 2 hours of eating
• Reduce spicy/oily foods
• Elevate head end while sleeping
• Consider short-term PPI (after doctor consultation)
Reflux can mimic heart symptoms and cause panic.
⸻
✔ 3. Correct Vitamin D
Vitamin D 22 → insufficient.
Supplement:
• 60,000 IU weekly for 6–8 weeks (if prescribed)
Then maintenance dose.
⸻
✔ 4. Monitor Red Flag Symptoms
Seek evaluation if:
• Night sweats
• Persistent diarrhea
• Palpitations
• Severe weakness
• Appetite loss
• Rapid further weight loss
Health Tips
✔ Eat small frequent meals
✔ Add protein (eggs, dal, nuts)
✔ Add calorie-dense healthy foods (peanut butter, seeds)
✔ Practice stress reduction
✔ Gentle strength training
✔ Improve sleep
Your pattern strongly suggests hormonal + gastric + stress-related weight loss rather than something dangerous.
However, because this has been ongoing and you are understandably anxious, a detailed hormonal and metabolic review would help identify the exact cause and prevent further weight loss.
I recommend booking an online consultation so we can systematically evaluate thyroid, hormones, nutrition, and anxiety triggers — and create a structured recovery plan instead of continuing to worry.
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.
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.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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