How do you know if your body is going into malnutrition ?

on 11/10/10 7:31 am
what would be the early signs or any signs?

I am at goal and i am hungry all the time and I can eat and eat and still lose weight not alot but body looks malnurished my shoulders are so thin.   I am 130 pounds and 4 11 inches tall ...Just wondering .......Thank you so much        Maricela">">>
(deactivated member)
on 11/10/10 7:34 am
DS on 10/19/09 with
 How are your labs? Your results (protein counts, calcium, potassium and other standard vitamin levels) would be markers of malnutrition. 
(deactivated member)
on 11/10/10 7:35 am
GMTA.  We were posting at the same time. lol
(deactivated member)
on 11/10/10 7:37 am
DS on 10/19/09 with
 We posted the same minute and everything! Glad to be in such good company. 
(deactivated member)
on 11/10/10 7:34 am
How are your labs?

Do you have symptoms that lead you to believe you are malnourished?

I was 130 and 5'6" and was not malnourished, I just looked too thin.

on 11/10/10 7:36 am
Thank you is time for lab work soon">">>
on 11/10/10 7:39 am

This may sound silly but when I eat I feel like I am straving for food and I get often....and of course protein first I focus on protein all the time... I really think is that the loose skins just doesnt help makes my body look weird  :)">">>
on 11/10/10 7:50 am - Milwaukee suburb, WI
Funny bc I just posted my thoughts on this for the first time a couple days ago.  I think that people who have lost a massive amount of weight tend to look thinner at natural bony protrusion points for the same height/ weight in comparison to others who were never overweight.  I think the thinner skin (from having been stretched) that we have lays differently over these points & that we look thinner based on these points, vs what we may feel our bodies look like on other typical fatty areas like our stomach, thighs, hips, &  butt.  I also think the fact that we tend to have denser bones & weight from excess skin means that we can be heavier & look thinner than someone else who was never overweight.

About eating & eating . . . that's exactly where I am now.  I have tracked my food plenty of times in recent months - having reached goal and 18 months post-op.  I typically eat around 3,000 - 3,500 calories per day.  But, once I do the "DS math", it's typically around 1,400 - 1,600 calories.  I also tend to feel like I'm hungry all the time - at least, in comparison to "normal" people.  Of course, I'm not literally hungry every minute of every day, but hungry often enough that it's noticeably moreso than most people . . . & I eat more than most people.  So long as I stay in my weight range that I feel comfortable in, I'm not going to stress about it.  I found that I had gone up to 140 - 141 & went back to the basics for 3 days & went down to 138.  I'm fine fluctuating b/w that & 140.  If I eat a lot, but stay at that range, even I'm getting my protein in & my vites, then logically speaking, I don't think I should worry about eating a lot - that's my take on it.

HW / SW / CW / GW      299 / 287160 / 140     Feb '09 / Mar '09 / Dec '13 /Aug '10          

Appendicitis/Bowel Obstruction Surgery 8/21/10
Beat Hodgkin's Lymphoma!  7/15/2011 - 1/26/2012 

Ran Half-Marathon 10/14/2012

First Pregnancy, Due 8/12/14                             I LOVE MY DS!!!

Kayla B.
on 11/10/10 7:52 am - Austin, TX
There is kind of a difference between "wasting away" physically vs viscerally, I guess.

In the visceral sense -- I'd say in order to be diagnosed with that type of malnutrition, you need lab values.  This would be protein values in the hole, including albumin, prealbumin, total protein.  Some people also experience edema...lower legs or tummy area.

You could be physically malnourished, which would be detected physically from loss of muscle tone.  The physically malnourishment would be caused from long-term calorie deficit.  Basically, you'd be skinny, and lacking muscle.  You can kinda see these places on the body - hands or temple area are pretty common places to look.  Having an indentation in the temple area is a pretty good sign...because there is typically a small muscle that should sorta "fill in" that area, but if your body is breaking down muscle, that muscle gets broken down and the skin starts to indent. 

So, you could have one, the other, or both (really bad!).

And then, each of those would be different than having low body fat.  When I think of malnutrition, I think of protein and muscle.

So, if you think your lab values are scary, the first place to start would be to check those.  That'll tell you whether you're getting enough protein and stuff.

Then, if you think you're getting too thin, it might be time to consider some digestive enzymes to get you by.

I'm thinking based on what you say, you might just be getting a little too thin...maybe losing too much fat or muscle mass for your liking.  How are you feeling otherwise?
5'9.5" | HW: 368 | SW: 353 | CW: 155 +/- 5 lbs | Angel to kkanne  
on 11/10/10 7:54 am - South Central, PA
DS on 06/07/10 with
Bony shoulders here!  5'8", 179.  What can you do, ya know?

I'd say to check your labs, and make sure you're up on protein, vitamins and hydration.  If those are all well, then you're not malnourished.

Other than that, remember that many people "go low" in their weight after DS, then have a bit of a rebound, so if you're at or past goal and your surgery was a while ago, you may gain a bit in the next several months and level out.

Nicole  Lab rata data link- One-half of a DS couple!  - I'M BELOW GOAL!  After a very rough start it's official--I my DS!  Romans 8:28 
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