<s>[INST] Patient is cronic case of AF. Is regular on anti coagulant and is taking acitrom from past more than 8 yrs . Due to recent gal bladder surgery/thereon internal bleeding etc and then fever for about more than week in last 3 months. Had 3 hospitalizations recently. lost more than 12 kg. All her recent test reports are normal. Feeling very weak and fatigued . can any health supplement /Tonic be given so that she gains strength, keeping in mind that she is on acitrom. [/INST] Hello. I have gone through your clinical details, you mentioned Tab Action for AF. But did not mention regarding doses and other medicines for AF and also did not mention etiology behind AF. Whatever You mentioned, It seems like your patient is suffering from some sepsis. Significant weight loss is a sign of some catabolism in the body related to infection or some other pathology. So first, you focus on to find out exact pathology behind weight loss. Because if we do not treat that pathology we can not stop weight loss whether you supplement some caloric foods or some tonics or not. So my advice for you to find out etiology behind significant weight loss and meanwhile you can supplement with high caloric diets like some Protein powders along with Iron supplements and some Multivitamins with Zinc. You also give some Diastase enzymes for proper digestion. </s>