Fatigue with an unexplained weight gain or weight loss

Unexplained weight change (gain or loss) with fatigue may occur with any of the following diseases:

  • A decrease in the amount of oxygen-carrying substance (hemoglobin) found in red blood cells (anemia)
  • Problems with the thyroid gland, which regulates the way the body uses energy.
    • A low thyroid level (hypothyroidism) can cause fatigue, weakness, lethargy, weight gain, depression, memory problems, constipation, dry skin, intolerance to cold, coarse and thinning hair, brittle nails, or a yellowish tint to the skin.
    • A high thyroid level (hyperthyroidism) can cause fatigue, weight loss, increased heart rate, intolerance to heat, sweating, irritability, anxiety, muscle weakness, and thyroid enlargement.
  • Metabolic disorders, such as diabetes, in which sugar (glucose) remains in the blood rather than entering the body’s cells to be used for energy
  • Cancer, such as lung cancer, leukemia, or lymphoma
  • Infection, such as tuberculosis or HIV
  • Problems with the heart, such as coronary artery disease or heart failure, which limit the supply of oxygen-rich blood to the heart muscle or the rest of the body
  • Kidney disease and liver disease, which cause fatigue when the concentration of certain chemicals in the blood builds up to toxic levels
  • Mental health problems, such as anxiety or depression
  • Lung diseases, such as asthma or COPD
  • Adrenal gland problems, such as Addison's disease or Cushing's disease
  • Malnutrition
  • Alcohol or drug abuse or withdrawal

Visit your health professional if your fatigue does not go away and you have an unexplained weight change.



Author: Jan Nissl, RN, BSLast Updated: April 17, 2007
Medical Review: William M. Green, MD - Emergency Medicine
Colin Chalk, MD, CM, FRCPC - Neurology

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