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Hi Doctor, I eat out most of the time or

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Posted on Sat, 2 Mar 2019
Question: Hi Doctor,

I eat out most of the time or I eat in hostel. I try to take fruits once in a week atleast and vegetables only when I go home that is monthly once! I have a lot of gastric issues, like acidity while going to bed, gas, bloating and weight gain over 3 years. I have gained about 15 kgs in three years. I am not indulged in any physical activity. at time I try to but my work nature is such a way that it doesn't let me continue. can really a healthy person who was at home until college with weight of 60 kgs when left college can gain 15 kgs due to desk job and staying in hostel? I don't have thyroid also. I have checked about 3 times in 3 years. what could be the reason?
doctor
Answered by Dr. Bhagyesh V. Patel (45 minutes later)
Brief Answer:
sedentary life style is major concern.

Detailed Answer:
Hello and welcome to Ask A Doctor service.
I have read your query and here is my advise.

* The sedentary life style is major cause of weight gain with lesser chances of hormone
imbalance apart from thyroid issue at your age.

Kindly provide me further details so that I can answer your query completely.

1. The issue of weight gain is slowly progressive over 3 years or noted particularly more
in last months ?
2. Desk job means continuous sitting for how many hours ?
3. Do you perform any exercise in possible free period or not ?
4. Does the diet in hostel include high calories, dairy fat ?
5. Any noticeable alteration in sleep or menstrual pattern recently ?

Awaiting for your response.
Regards.

Dr Bhagyesh
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Bhagyesh V. Patel (30 minutes later)
First of all thank you for your reply.

1. The issue of weight gain is slowly progressive over 3 years or noted particularly more
in last months ?- Yes, it is progressive. and i have seen weight loss (not in kgs though by looking at me in mirror or by hearing people say it!) in this course of time. So a friend mine asks me if i have any hormonal issue 'cos he say i look fatter at times and i look like i have lost weight at times. he asks why do u change so much?! I have no reply! i want you to answer this too! Am thinking atleast it will stop after some days but it have been increasing only so far. when i reached 70 i thought i will not gain more weight (naturally!) but now am 75!!!!!

2. Desk job means continuous sitting for how many hours ?- 9 hours everyday

3. Do you perform any exercise in possible free period or not ? - Yes i try to!

4. Does the diet in hostel include high calories, dairy fat ? - Its basically rice, daal, roti. so they are all high calorie food.

5. Any noticeable alteration in sleep or menstrual pattern recently ? all of a sudden i got very low flow literally 1/3rd of what i used to get. but from the next time its normal. this has happened recently 3 months ago. and there is no delay or early period. its comes in +/- 5 days from due. Sleep wise am fine. i get enough sleep. (8 hours avg.)



My request,
please suggest a diet plan suitable for a person living in hostel having microwave oven only to cook! also, please suggest me any test that i should take to make sure my hormones are fine! also please suggest me a workout plan.
is this due to any deficiency in my diet? then please suggest me tablet supplements.

Thanks again!
doctor
Answered by Dr. Bhagyesh V. Patel (14 minutes later)
Brief Answer:
follow up .

Detailed Answer:
Hi XXXXXXX
Thanks for the details.

* The most likely issue is due to hormone imbalance with lack of physical exercises and
diet issues.

Kindly find my detailed answer below.

* Life style management

- You must make strategy to do regular walking either in early morning or before sleep
for 20 minutes a day.
- YOGA and simple stretching exercises at room of hostel for a combined period of
20 - 25 minutes.
- Avoid stress, anxiety ( major provoking agents for weight gain ).
- Intermittent change of posture from sitting is mandatory during work time also.

* Diet factors

- Actually requires balanced nutritious diet including all elements of protein,
carbohydrate, fat, vitamins, minerals but which is not possible at hostel.
- In a curtailed fashion, I can emphasize to go for regular chapati, vegetables, dal
organic fruits on daily basis.
- Addition of legumes, cereals, pulses help much for overall nutrition and health.
- Microwave products are not much advisable for long term health issues.
- Avoid excess ghee, butter, spices, junk foods, aerated drinks till possible.

* Dietary deficiency of vitamins do play some role, but addition of multi vitamin at this
point may provoke further weight gain which is not acceptable.

* In my opinion, no blood tests are recommended at present but at least a hemoglobin
level to be checked in laboratory at convenient time of yours.

* In a nut shell, you require root changes in your casual to figure out the best of your
health for today and always.
Remember, these points will give results over a period of time, but surely you will get
results ( which should be kept in chart formulation depicting weight of body measured
on same scale every 10 days ).

Would like to assist further in this regard anytime.
Wish you best health always.

Take care.


Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Bhagyesh V. Patel

General Surgeon

Practicing since :1999

Answered : 16295 Questions

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Hi Doctor, I eat out most of the time or

Brief Answer: sedentary life style is major concern. Detailed Answer: Hello and welcome to Ask A Doctor service. I have read your query and here is my advise. * The sedentary life style is major cause of weight gain with lesser chances of hormone imbalance apart from thyroid issue at your age. Kindly provide me further details so that I can answer your query completely. 1. The issue of weight gain is slowly progressive over 3 years or noted particularly more in last months ? 2. Desk job means continuous sitting for how many hours ? 3. Do you perform any exercise in possible free period or not ? 4. Does the diet in hostel include high calories, dairy fat ? 5. Any noticeable alteration in sleep or menstrual pattern recently ? Awaiting for your response. Regards. Dr Bhagyesh