Fist assess, whether the patient has grossly lost weight and is cachexic, OR whether it is a small weight loss which just needs some good diet ad exercise.

Gross weight loss or cachexia:

Examine and Investigate the patient thoroughly.

Hb%, WBC, ESR and Urine routine.

Blood sugar curve: if polyuria, thirst? Diabetes.

H.I.V. test as a routine.

X-ray chest: if cough , fever anorexia.

Gastroscopy if anorexia, vomiting.

Ultrasonography of abdomen: for malignancy.

Sigmoidoscopy or Colonoscopy: if bleeding P.R.

Serum T3 T4 TSH : If tachycardia, thyroid swelling.

History in details: Malabsorption syndromes, and Anorexia Nervosa.

Mild to Moderate Weight Loss:

Routine tests: Hb, WBC, ESR, Blood sugsry curve, H.I.V. Test, X-ray chest and other test if indicated by symptoms.

Good food, rich in proteins:- (Cereals, milk, eggs, meat etc.) Adivse heavy breakfast.

Proteinules 2tsp in milk x 2 times/ day.

Regular gradually increased exercise.

Inj. Decadurabolin 50mg. IM x every week x 3-4 injections.

Bayer’s Tonic 2 tsp x bd x ½ hr before meals (Appetisers and General Tonics). Or

Syp. CIPLACTIN 1-2 tsp x bd x ½ hr before meals.

Cap. Autrin 1 OD x 3 months if pale (Iron)

Tab. Combatrin 3 stat (Antehelminthic)

In a recently emaciated young patient. Think of tuberculosis. AIDS, Diabetes and Hyperthyroidism. In a Old patient think of malignancy first.

Always be aware, that loss of weight may be presenting feature of some serious damage.

A good practioner, should always stress in the minds of the patients that Tonics and Injections alone are not going to help to build the body mass. Good food and exercise must accompany the medicines for a substansial gain in weight.

Inj. Decadurabolin

Bayer’s Tonic

Cap. Autrin