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Weight Gain



    • Causes of Weight Gain

    • Lifestyle change - increased dietary intake, reduced physical exercise
    • Endocrine - hypothyroidism, Cushing’s, PCOS
    • Medications - steroids, insulin, antidepressants, antipsychotics, antiepileptics, OCP
    • Fluid overload - excessive IV fluids, renal disease, heart failure
    • Pregnancy
    • Genetic cause (rare)

History of Presenting Complaint

    • Intent

    • Whether the weight gain has been intentional or unintentional.
    • Severity

    • How much weight gain over how long.
    • Associated Symptoms

    • Leg swellingSuggestive of fluid overload or Cushing’s
    • Menstrual abnormalitiesSuggestive of hypothyroidism, Cushing’s, PCOS or pregnancy
    • Cold intoleranceSuggestive of hypothyroidism
    • Hirsutism: male-pattern hair growth on a femaleSuggestive of PCOS or Cushing’s
    • ConstipationPotentially poor diet and physical inactivity, though also a sign of hypothyroidism
    • Abdominal stretch marksA sign of Cushing’s (and also pregnancy!)
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