Deficiency & weight loss

When weight falls by itself

Being underweight & unintended weight loss are raised less often than the opposite & deserve at least as much attention.

Our first task is to identify the cause.

When should you come?

✓With marked, unintended weight loss
✓When your own efforts to stabilise weight & nutrients are not working sufficiently
✓With a declining appetite, early fullness or difficulty swallowing
✓With increasing weakness, falls or muscle loss
✓During & after cancer treatment
✓When relatives notice a change that you hardly see yourself
Diagnostics & rebuilding
✓Structured history of weight course & nutrition
✓Physical examination & measurement of body composition
✓Laboratory panel to look for causes
✓Ultrasound of the abdomen
✓Coordination with the specialists treating you
✓A plan for rebuilding & follow-up checks

Where further investigation is needed, we refer you specifically & stay involved in your care.

Vier Kernpunkte

Too little arrives

Appetite, chewing & swallowing, side effects of medication, mood (psychological strain).

Too little is absorbed

Diseases of the gastrointestinal tract, coeliac disease, chronic inflammatory bowel disease, condition after surgery, disorders of the pancreas.

Too much is used up

An overactive thyroid, chronic inflammation, infections & tumour disease. We investigate this group first because it is time-critical.

Unnoticed malnutrition

Explaining the actual need for macro- & micronutrients as well as nutrient ratios in everyday life.

Our plan

01

Taking stock

first appointment

Weight course, eating habits, complaints, previous illnesses & all medication. We also examine you & measure body composition.

02

Investigation

same day where needed

Laboratory panel, if useful with inflammation, thyroid, liver & kidney values, ultrasound of the abdomen, further diagnostics where needed.

03

Making sense of it

after the findings

We go through the results together & discuss what follows from them. From that we build a concrete plan with goals that suit your daily life.

04

Rebuilding & follow-up

over several months

We meet at regular appointments & adjust the plan where needed. What matters to us is that the steps fit your circumstances.

Frequently asked questions

From when is weight loss significant?▾

As a guide: more than five per cent of body weight within six months, without you doing anything to cause it. In older people & with existing illnesses we look more closely even earlier.

My relative hardly eats any more. What can we do?▾

Do come together. We first clarify whether a treatable cause lies behind it & then discuss what is practical in everyday life, including preparation, meal structure & nutritional drinks.

I am undergoing cancer treatment. Does this fit together?▾

Yes. With your consent we coordinate with your treating oncology team so that nutritional therapy & cancer treatment fit together. The aim is to preserve muscle mass & resilience during treatment.

I am not sure whether I am already underweight.▾

That question is best answered together. Do arrange an appointment, then we can look calmly at your weight course, body composition & complaints.

hey dr. schaaf!

I am happy to advise you & answer your questions. Arrange a no-obligation consultation now.

Yours, Dr Lucas Schaaf

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Praxis für Allgemein- & Ernährungsmedizin
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