When weight loss is a red flag of cancer

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Losing weight without trying might sound like a welcome surprise, but in some cases, it can be a sign of something more serious. Unexplained weight loss is one of the early warning signs of several types of cancer.

When the body sheds weight without changes in diet, exercise, or lifestyle, especially if the loss is more than 5% of body weight over six to twelve months, doctors consider it a potential red flag. Researchers have found that this kind of weight loss often appears before other noticeable cancer symptoms, making it a warning sign that should not be ignored.

The link between cancer and weight loss has been studied for decades. In many cases, cancer causes changes in the body’s metabolism, leading to what is called “cancer cachexia.” This is a condition where the body starts to break down fat and muscle rapidly, often due to the release of certain substances by the tumor or the body’s immune response.

This process leads to a noticeable loss of weight and strength, even if the person is eating normally. A study in the journal The Oncologist found that unexplained weight loss was a presenting symptom in up to 40% of people eventually diagnosed with cancer, especially cancers of the pancreas, stomach, lung, and esophagus.

Some cancers affect how the body processes food. For example, gastrointestinal cancers can interfere with the absorption of nutrients. Tumors in the stomach, pancreas, liver, or intestines may cause pain, bloating, or make eating uncomfortable, leading people to unintentionally eat less.

Over time, this results in weight loss that the person may not even notice at first. In lung cancer, tumors can release chemicals that change how the body uses energy, leading to weight loss before other symptoms like coughing or chest pain appear.

Hormone-related cancers, such as some types of leukemia or lymphoma, can also cause widespread inflammation in the body. This inflammation can speed up metabolism and suppress appetite.

A review in The British Journal of General Practice noted that unintentional weight loss is often the first symptom noticed by patients who later receive a diagnosis of blood cancers. These cancers may not cause pain or visible signs early on, so weight loss becomes one of the few early clues.

Doctors take unexplained weight loss seriously because it’s often not caused by cancer alone. Other conditions like thyroid disorders, chronic infections, digestive diseases, and depression can also lead to sudden weight loss.

But in many studies, especially when weight loss occurs with other subtle signs like fatigue, low appetite, or ongoing discomfort, the risk of an underlying cancer is higher. Research from The Annals of Internal Medicine found that unexplained weight loss in adults over 60 was associated with a significantly increased risk of being diagnosed with cancer within the following year.

The key message is that while not all weight loss means cancer, it should never be ignored—especially if it happens without a clear reason. Doctors will typically begin with blood tests, imaging (like CT scans), and a thorough review of symptoms and medical history to look for a cause. The sooner a problem is found, the better the chances of effective treatment.

In summary, unexplained weight loss can be the body’s way of signaling that something is wrong. When it happens without a change in habits or lifestyle, it deserves medical attention.

Cancer is just one possible cause, but because early detection saves lives, it’s important to take these signals seriously. Noticing and acting on early signs like weight loss can lead to faster diagnosis, more treatment options, and better outcomes for those affected.

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