Dr. Sir, my brother, 64 years old, is suffering from endocrine carcinoid and is at the 4th stage. Since August 2010, he is receicving 30 mg LAR injection from Forties.  His weight is losing day by day.  He is very weak.  He is insisting to get him checked from AIIMS.  Please advise.  Regards.
Thanks for your question on Chat Doctor. Stage for carcinoid tumor is having very poor prognosis.  Life expectancy is less than 7-8 months. The hormones produced by tumor causes high metabolic rate and excessive every loss. So weight loss is more pronounced. Rapidly dividing cancer cells also release chemokines which causes decreased appetite and low oral intake. So weight loss is inevitable. In my opinion she is having terminal stage illness and life expectancy is less than 4 months.