My sister is 28 years old, 4'11" and 88 lbs. That's the lowest weight she's ever been and her doctors say she has lost weight. She's normally been around 95-99 lbs. She does not have an eating disorder, she's not on a diet, she doesn't even exercise regularly. However, what she eats is horrible: tons of junk food, microwavable dinners, she only eats conventional meat/SPAM/etc, lots of baked goods/sweets, etc. She has high cholesterol, she's on birth control but still gets her period regularly, she told me her TSH is fine, and that her doctors say that her MCV is low and she needs to eat more protein. But I don't know what could have caused this unintentional weight loss. I'm very concerned about her and I'll take into consideration anything you guys have to say.
April, My only suggestion is to ensure that she is working WITH her doctors. If they are not providing her with the type of care she deserves, then she needs to find a new ones. However, it would be extremely inappropriate to provide any type of advice for you and/or your sister in this situation. There are far to many unknowns. I am really sorry to hear about her situation, and I hope she gets this sorted out quickly!
Microcytic anemia and unintentional weight loss- she's young, but has she had a colonoscopy?
Disclaimer: without examining someone or knowing their complete medical history it would be impossible to figure out what's really going on. If you're unhappy with her physicians, getting a second opinion is always reasonable.
Feed the girl a liver, fruit and yogurt smoothie every day and see if that helps. Easier to add healthy things than take crap away....and if she is underweight anyway, why not? See if that helps. Otherwise I'll defer to the fact that we know way too little about the case nor do we have the access to physically examine your sister to make any more specific recommendation.
In my teens, I weighed 86 pounds and was 5'1". I was skinny for sure but not ill.
If your sister is willing, and she very well may not be, I'd suggest real food that she really, really likes. You eat more when it tastes good, plain and simple. Without knowing her tastes, I can't suggest specifics. It's just that she has to love it or it doesn't work. Keep it natural, keep it real food, and don't skimp on fat or flavor.
I'd also add that she should get tested for infection. Unintentional weight loss is a symptom of some viral infections (I'm thinking HIV in particular, which may or may not be a job hazard depending on what kind of nurse she is) and of many parasitic infections. Probably not the case, but worth looking at, I think.