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How do I gain weight back after being sick?

5 min read

According to a 2023 Healthline report, unintended weight loss, particularly muscle loss, is a common symptom following illnesses like COVID-19. Regaining weight after being sick is a vital step toward a complete recovery, replenishing lost nutrients, and restoring strength.

Quick Summary

This guide provides practical strategies for safely and healthily regaining weight after an illness. Learn how to increase calorie and protein intake, choose nutrient-dense foods, and incorporate gentle exercise to restore strength and muscle mass.

Key Points

  • Start Slow: Begin with small, frequent meals to avoid overwhelming a sensitive digestive system.

  • Prioritize Protein: Focus on lean meats, eggs, and dairy to help rebuild lost muscle mass.

  • Boost Calories with Healthy Fats: Add nuts, seeds, and avocados to increase caloric intake without resorting to junk food.

  • Choose Nutrient-Dense Foods: Opt for foods that offer a lot of nutrition per bite, like full-fat dairy and whole grains.

  • Incorporate Gentle Exercise: Light resistance training can stimulate appetite and promote healthy muscle gain.

  • Stay Hydrated: Focus on nutrient-rich drinks like fortified milk and smoothies between meals, not just water with meals.

  • Consult a Professional: If weight loss was significant or you struggle to make progress, seek advice from a doctor or dietitian.

In This Article

Understanding Weight Loss After Sickness

During an illness, your body's energy demands increase dramatically as your immune system fights off infection, a state known as hypermetabolism. Simultaneously, symptoms like loss of appetite, nausea, and taste changes can significantly reduce your caloric intake. This imbalance forces your body to tap into its energy reserves. While some initial weight loss is due to fluid loss (dehydration), the prolonged state of low intake and high demand leads to the breakdown of muscle tissue for energy, not just fat stores. This muscle wasting, also known as cachexia, impairs your recovery, weakens your immune system, and can leave you feeling fatigued long after the initial illness has passed.

Challenges You Might Face

Regaining weight after an illness isn't as simple as eating more junk food. Your body needs proper nutrition to repair itself, and your digestive system may still be sensitive. Common challenges include:

  • Persistent appetite changes: Taste and smell may not have returned to normal, making food unappealing.
  • Digestive discomfort: Bloating, constipation, or other gastrointestinal issues can occur as your body adjusts to increased food intake.
  • Reduced energy: Fatigue can make cooking and preparing meals feel overwhelming.
  • Fear of weight gain: For some, especially those with a history of disordered eating, intentionally gaining weight can be emotionally difficult.

Strategic Nutritional Steps for Healthy Weight Gain

Healthy weight gain focuses on building muscle and restoring healthy fat stores, not just piling on empty calories.

Increase Calorie and Protein Intake Gradually

  • Eat frequently: Instead of three large meals, opt for 5-6 smaller, more frequent meals and snacks throughout the day. This is easier on a sensitive stomach and ensures a steady calorie supply.
  • Boost with healthy fats: Add extra calories to your food with healthy fats. Drizzle olive oil on vegetables, add avocado to sandwiches, or sprinkle nuts and seeds on yogurt.
  • Choose nutrient-dense foods: Focus on foods that pack a nutritional punch in a smaller serving. Examples include nut butters, whole grains, avocados, and full-fat dairy products.
  • Fortify meals: Increase the calorie and protein content of everyday foods. Add powdered milk to soups, blend protein powder into smoothies, or stir cheese into scrambled eggs.

Prioritize Protein for Muscle Repair

Protein is the building block of muscle and is critical for repairing the tissue lost during illness.

  • Lean meats and poultry: Incorporate chicken, fish, and lean beef into your diet.
  • Eggs and dairy: Eggs are a versatile protein source, while full-fat milk, yogurt, and cheese provide both protein and calories.
  • Plant-based proteins: For those who prefer plant-based options, include beans, lentils, tofu, quinoa, and nut butters.

Sample Meal Plan for a Day

Here is a simple example of a nutrient-dense eating plan designed for post-illness recovery:

  • Breakfast: Oatmeal made with whole milk and topped with nut butter, sliced banana, and a handful of almonds.
  • Mid-Morning Snack: Greek yogurt mixed with granola and dried fruit.
  • Lunch: Chicken and avocado wrap on whole-grain bread with a side of mixed vegetables.
  • Afternoon Snack: A smoothie blended with whole milk, protein powder, spinach, and a scoop of peanut butter.
  • Dinner: Baked salmon with a side of brown rice and roasted sweet potatoes drizzled with olive oil.
  • Evening Snack: Handful of mixed nuts and a few dates.

Incorporating Gentle Exercise

While rest is crucial, gentle physical activity can stimulate appetite and promote muscle growth once you have the energy. Resistance training, like lifting light weights, can help rebuild lost muscle mass more effectively than cardio alone. Start with short walks and gradually incorporate simple strength exercises to regain strength and stamina.

The Role of Medical Professionals

If you are struggling to regain weight, or if the weight loss was significant, it is important to consult a healthcare provider or a registered dietitian. They can help assess your nutritional status, rule out underlying issues, and create a personalized plan to ensure you are gaining weight safely and healthily. A dietitian can also provide more specialized strategies for those with ongoing appetite issues or digestive problems.

The Importance of Long-Term Health

Regaining weight after an illness is a marathon, not a sprint. The goal is to build long-term health and strength, not just restore numbers on a scale. Focusing on a balanced, nutrient-rich diet and listening to your body's signals is key. Healthy weight gain leads to a stronger immune system, better energy levels, and a smoother, more complete recovery.

Conclusion

Losing weight after being sick is a common but manageable hurdle in the recovery process. The key is to approach weight gain strategically, prioritizing nutrient-dense calories and high-quality protein to rebuild lost muscle mass and restore energy reserves. By eating small, frequent meals, boosting your food with healthy fats and protein, and incorporating gentle exercise, you can set yourself on a safe and effective path to regaining your health. For persistent issues, remember that a healthcare professional can provide personalized guidance to help you cross the finish line of your recovery journey.

This information is for educational purposes only and is not a substitute for professional medical advice. Always consult with a healthcare provider before making significant changes to your diet or exercise routine.

Comparison Table: Healthy vs. Unhealthy Weight Gain After Illness

Feature Healthy Weight Gain Unhealthy Weight Gain
Focus Nutrient-dense foods, muscle mass, overall health Empty calories, junk food, excess body fat
Pace Gradual and steady (e.g., 0.5-1 kg/week) Rapid and uncontrolled (e.g., >2 kg/week)
Primary Goal Restoring strength, immune function, and energy Reaching a number on the scale, often quickly
Diet Composition Balanced intake of protein, complex carbs, and healthy fats High intake of refined sugars and unhealthy saturated fats
Exercise Gentle resistance training and light activity Little to no physical activity
Long-Term Effect Stronger body, improved metabolism, sustainable health Risk of metabolic issues, high body fat percentage

Healthy Recipe Ideas for Weight Gain

  • Breakfast Smoothie: Blend 1 cup of whole milk or Greek yogurt with a scoop of protein powder, 1/2 a banana, 1 tbsp of peanut butter, and a handful of spinach. This is easy to digest and packed with nutrients.
  • Salmon and Avocado Toast: Toast a slice of whole-grain bread, top with mashed avocado, and add a piece of baked or smoked salmon for a protein and healthy fat boost.
  • Creamy Chicken Soup: Use a canned soup base and add shredded chicken, a scoop of powdered milk, and a dollop of sour cream or heavy cream to increase the calorie content.
  • Nut Butter Energy Balls: Mix nut butter, oats, honey, and dried fruit. Roll into small balls for an easy, calorie-dense snack.
  • Fortified Mashed Potatoes: Prepare mashed potatoes and mix in additional butter, whole milk, and a handful of grated cheese for a rich side dish.

Frequently Asked Questions

A healthy goal for adults is to add about 300 to 500 extra calories per day to your normal intake for gradual, steady weight gain. A healthcare provider can help determine the right target for you based on your needs.

Healthy weight gain focuses on building a balanced amount of muscle mass and healthy fat. Gaining too much unhealthy belly fat can lead to other health issues. Resistance training is key to promoting muscle gain.

Eating smaller, more frequent meals can help. Gentle exercise, such as a short walk, can also stimulate your appetite. Making food more palatable by experimenting with different flavors, herbs, and spices can help.

Changes in taste and smell are common after some illnesses. Experiment with different flavors, textures, and temperatures. If things taste metallic, try using plastic cutlery.

The timeline varies depending on the severity of the illness and individual factors. Focus on a gradual and sustainable pace of weight gain, and be patient with your body as it recovers.

While protein shakes and supplements can help, a balanced diet of whole foods should be the primary focus. Consult with a doctor or dietitian before using supplements to ensure they are appropriate for your specific needs.

You should see a healthcare provider if your weight loss is rapid and significant, persists after recovery, or is accompanied by other concerning symptoms like fever or severe fatigue. A doctor can help rule out underlying issues.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.