Q: I am 23 years old suffering from Gilbert's Syndrome from the last 4 years. I am not putting on weight and I weigh only 43 kg. My bilirubin level in the blood is around 5 mg/dl. I can't digest fatty food properly. I almost accustomed to the other symptoms of Gilbert's Syndrome. I usually have digestion problems. I am planning to join a gym. Can you suggest me how to put on weight?

A:As per my understanding of your condition, these foods are likely to cause a problem: Alcohol, fatty foods, sugary foods and refined carbohydrates can cause stress to your liver. Refined carbohydrates like bread, biscuits, Maida products etc mess with the bodies energy levels, and if you’re suffering with fatigue, then these won’t help balance your energy. Plus sugar can impair your liver’s ability to detoxify. Fluoride, peppermint, vanilla, menthol and the B vitamin niacin (on its own, but ok with other B vitamins) are knowknown to be other irritants. As far as your food goes keep in mind the following: Increase the protein proportion of your diet, which may help to raise your energy levels and gain weight. Protein is present in meat, fish, milk, cheese, paneer, dahi, egg, and dals, and (pulses). Oily fish like bangada ( mackerel) may be particularly effective as it could also enhance the removal of the fat-soluble bilirubin from the body. Broccoli, walnuts, cabbage, cauliflower, and eggs – contain a combination of natural sulphur compounds and those containing glutathione (the most powerful internal antioxidant and liver protector) will aid the breakdown of toxins and chemicals. Have 2 walnuts every morning and an egg at least thrice a week. Turmeric has been known to help in detoxification. A glass of haldi milk ( use just ½ tsp haldi ) at night would be a good idea. Carrots and beetroot are fantastic detox aids. Sudden exertion can cause fatigue. Gently increase your fitness levels over time to gain an all round improvement in energy. Exercise for 20-30 minutes every day only to begin with.