INTRODUCTION:
Whether it’s weight loss or weight gain, whether it’s five pounds or fifty, almost everyone in our society – irrespective of gender or age – has dealt with some form of weight issue. Often excess weight and weight loss issues revolve around slow metabolism and lack of energy. So, detoxification and system cleansing are frequently needed to boost both metabolic rates and energy levels. The term underweight refers to a human who is considered to be under a healthy weight. The definition is usually made with reference to the body mass index (BMI).

SYMPTOMS:
The common symptoms are
•Fatigue
•Poor physical stamina
•Low resistance to infection

CAUSES:
There are hundreds of possible medical causes for excessive weight loss or a person being underweight. Some of the more prevalent include:
•Malnutrition
•Mental or physical disease
•Poverty
•Famine
•Torture
•Anorexia nervosa and bulimia
•Cancer
•Tuberculosis
•Hyperthyroidism
•Diabetes (especially type 1)
•Anxiety and depressive disorders
•Drug abuse
•Diseases of digestive organs
•Feebleness, especially in the untended elderly
•Dental pain
•Obsessive overtraining
•HIV/AIDS
•High metabolism
•Hormone Disorders:
•Decreased fat forming tendency of the body:
•Infections
•Malabsorption syndromes
•Various Neoplasms of the body organs
•Metabolic defect
•Chronic Naturopathic Cachexia
•Chronic Caloric deprivation syndrome
•Deficiency of various neurotransmitters
•Disorders of appetite centers
•Increased Energy Loss
•Obstructive gastrointestinal disease
•Pernicious anemia
•Inflammatory bowel disease

DIAGNOSIS:
These tests include:
Thyroid test, Cortisol, ACTH, Metabolic tests, CBC, erythrocyte sedimentation rate, Multiple chemical screen, Mammography, Serum protein electro-phoresis, Parathyroid hormone, human PTH-related peptide,
Angiotensin-converting enzyme, and 1, 25-dihydroxyvitamin D Colonoscopy, Upper endoscopy, Short ACTH, test 72-h stool for fat,
Vitamin B.

HOME REMEDIES:
Musk Melon
Musk melons are taken three times during the day for forty days or more. In the beginning, only three kilograms of melons are taken daily for three days. Then the quantity is increased by one kilogram daily till it is sufficient to appease the hunger. Only the sweet and fresh fruits of the best variety are used in the treatment.

Mango-Milk Cure
Ripe and sweet mangoes should be taken thrice a day-morning, afternoon, and evening. Two medium sized mangoes should be taken first and then followed by a glass of milk. Mango is rich in sugar but deficient in protein. On the other hand, milk is rich in protein but deficient in sugar. The deficiency of one is made up by the other. Mango thus combines very well with milk and an exclusive mango-milk diet taken for at least one month, will lead to improvement in health and vigor and gain in weight.

Milk Cure
An exclusive milk diet for rapid gain of weight has been advocated by some nature cure practitioners. At the beginning of this mode of treatment, the patient should fast for three days on warm water and lime juice so as to cleanse the system. Thereafter, he should have a glass of milk every two hours from 8 a.m. to 8 p.m. on the first day, a glass every hour and half the next day, and a glass every hour the third day. Then the quantity of milk should be gradually increased so as to take a glass every half an hour from 8 a.m. to 8 p.m., if such a quantity can be tolerated fairly comfortably.

Figs
Three dried figs soaked in water should be taken twice daily.

Raisins
Raisins are a good food for those who wish to gain weight. Thirty grams a day may be taken for this purpose.

Nutrients
Although all vitamins and minerals are required for relaxation, the most important ones are vitamin D and B6, calcium, and magnesium. The richest sources of vitamin D are milk, cod-liver oil, and rays of the sun. Calcium is supplied by milk and yoghurt. Magnesium can be obtained from green leafy vegetables such as spinach, parsley, turnip, radish, and beet tops. These vegetables should, preferably, be taken in salad form or should be lightly cooked.

DIET:
Drink 6-8 glasses of distilled water a day.
Eat frequent but small meals.
Eat lots of raw fruits and vegetables (green leafy vegetables are great).
Do not drink coffee, alcohol, soda pop.
Do not eat processed foods; white sugar, white flower.
Avoid red meat and animal fats.
Reduce intake of dairy products.
Do not smoke and avoid second hand smoke.
Avoid refined food.

TREATMENT:
Treatment of underweight thinness & less body muscles includes
1)Cure of primary cause of underweight:
2)Hormone therapy:
3)Fat & protein formation increasing drugs
4)Anabolic steroid drugs
5)Macronutrient Therapy
6)Micronutrient Therapy
7)Essential Vitamin Therapy
8)Growth Hormone therapy
9) IGF-1 therapy
10) Growth hormone stimulating Tablets
Some of the different medications used in the treatment of Underweight include:
•Oxandrolone
•Oxandrin
Exercises and Yoga
Regular exercises like walking, dancing, yoga, meditation, and massage are also important as they serve as relaxants, reduce stress, and induce good sleep. Yogasanas which are especially helpful are sarvangasana, halasana, and matsyasana.

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