Eating 3500 kcal a day, still can't gain weight

BearWithMe

I'm super sedentary, going from living room to bathroom or kitchen is usually the only movement I do. How on earth is this possible. I should be gaining at least 2 pounds per week

Corngold

@BearWithMe
weight
height
pulse rate
activity level
etc?

LucH

color of your tongue.
How long between 2 takes / meals.
transit.

BearWithMe

34M
Weight: 65kg / 144lbs (has been stuck on this weight for months)
Height: 192cm / 6'3"
Pulse: 73 BPM this morning
Activity: Very sedentary, almost no activity

I'm eating every 2 hours. I never been able to measure my transit time but I'm pooping 1x a day
Tongue is pale and coated I guess?

CrumblingCookie

@BearWithMe
Urgh. Beside the coating and the split at the tip (or sideways swelling) and the seemingly overall mucosal weakness, villous changes and inflammation:

This tongue picture reveals that you're also not adapted to exercising a correct tongue resting posture and swallowing movement sequence. There's no muscular strength in the middle but rather a very strong indentation. The burdensome overall and long-term implications really are not be envied. Once you get the more urgent overall cause in order you may also want to procure logopedics lessons.

ThinPicking

@BearWithMe said:
Eating 3500 kcal a day, still can't gain weight

I'm super sedentary

How on earth is this possible.

Isn't this is very peaty. You're cooking, are you not. Asking how its possible is for the impaired.

Is 'super sedentary' a choice you're making, could you decide to hike a mountain for the novelty? Are you getting a kick out of your joys and interests? Could you not gain weight with a resistance routine?

Are you sure you want to tip yourself out of this mode?

LucH

homocysteine level from last blood test?
Hb1Ac (glycated hemoglobine) to see how you manage glycemia. Not just insulin levels.
If you can't remain between 2.5 and 4 hours without eating, you've probably got a problem when craving. And if not, supposition, it's going to come with lazzy interprandial contractions (MMC).

BearWithMe

@CrumblingCookie Wow!!!!

I think there might be something in my throat, around Adam's apple, that causes general discomfort in that area, trouble swallowing, a little bit of choking, and sometimes pain. I think it restrict my head movement, especially upwards.

My tongue absolutelly is swollen on the sides, it feels too big for my mouth and cause choking when sleeping.

You are also absolutely right that I struggle to make the swallowing movement with my tongue. It feels like the middle part is numb and stiff, I can't control it by will? So the whole swallowing movement is kind of forced and awkward, and it makes pronunciation hard.

But I suspect that the main problem might be the thing in my Adams apple that blocks / restricts movement of the upper part? The base of my tongue is even more swollen than the upper part? Is that possible?

How are you the first person that noticed this?? I was checked by so many logopedists, throat / neck surgeons, and ENT doctors I can't even count

I don't think any doctor in my country is trained to diagnose this problem, let alone treat it

I received soooo much shit for pronouncing incorrectly as a kid, and I was always telling them that I just can't do it any better even with the greatest effort, and the teachers, parents and even doctors were looking at me like I'm crazy

Btw could this mucosal weakness extend to the whole digetsive system? Could there be no mucosal layer in my esophagus and stomach? Because it feels a lot like there isn't? I have really hard time to push dry or sticky foods through my throat and it sits in my stomach forever, and I absolutely cannot handle spicy or acidic foods

@thinpicking I'm not getting any kick of anything, mostly because I'm too exhausted to do stuff like hiking a mountain. I could do it if necessary, but it would take 2-4 weeks to recover from that effort. Also, I don't have money to travel or keep a hobby, because I'm too exhausted to keep any job. Why should that cause not gaining weight with huge energetic surplus?

@luch Homocysteine: 14.7 µmol/L or 0.1987 mg/dL
That was in 2018, so the results are 8 years old. Don't have any more recent.
I'm sure my Hb1Ac was normal last time it was checked, but I just can't find the exact number

CrumblingCookie

@BearWithMe Sad to read you've been gaslighted by the "professional" purported authorities since childhood. The tongue muscle tonus and movements can be trained after strenghtening. It's possible to do it alone with the right instructions but working with a licenced logopeadic should give more confidence and assuring feedback. It's a simple bread-and-butter work for them. I'd reckon at least 10 sessons, 20 tops, and you're there and will automatically keep the correct pattern forever after. Depending on how it works in your economic monopoly zone you may need to firmly demand a logopaedics prescription for swallowing dysfunction from your ENT office.
Chances are high that the maxilla and mandible haven't fully developed size-wise because of the wrong tongue-posture and that there's retroclination of the incisors or a crooked bite even beyond that. In any case, the tongue training should precede and outlast any orthodontist avenues.
The one-airway theorem strongly suggests disease on one of the respiratory or digestive mucosa will affect all the other ones further up or down. E.g. that's why mentioning chronic digestive afflictions will make ENT docs immediately and gladly blame those as cause of any chronic sinusitis they are being visited for. Or why looking at the tongue is such a popular marker for intestinal conditions. What it mostly means is that none of such will ever sustainably go away unless also the other area or the whole system is being treated.

ThinPicking

@BearWithMe said:
Why should that cause not gaining weight with huge energetic surplus?

In that case I wouldn't call it a surplus. Something's wrong if you can't redirect it. Most consumers of any psychoactive pharma or supp could tell you swallowing it doesn't necessarily mean it's going to work. The same thing could be true of an organic complex otherwise known as food. 3500 kcal and not gaining at rest just seems like a pillar of a peaty meme if almost everything else is ok.

Does the consistency of the daily defecation seem ok? And what would happen if you took off 1000 kcal? Would you feel worse and want it back? Most people would go down in calories if they had some weight gain as water retention and lipid deposition, but whether that was a good idea would depend in peatspace.