Hi J (not using your full name because you have not chosen to post it here),
Sorry to hear that you are still not making progress getting your energy back. Have you tried increasing the amount of food that you are eating. I know that for me, also skinny type, I need to seriously eat a ton of calories or I start to lose energy. Like Anthony I need to eat huge amounts of carbohydrates in order to keep my energy levels high. I have also realized recently that taking small amounts of dairy products are helpful for me as well, I eat maybe one or two servings of any combination of yogurt or milk a day. After overcoming malaria, I am now back to farming, working 40-50 hours a week of farming and feel great as long as I eat enough. I have a good appetite and am usually hungry but sometimes I need to eat even more than I am hungry for.
I am wondering in your experience with ayurveda did they identify you as pitta type. I am pitta type and that means I am constantly burning calories, if your body runs out of things to burn (lack of earth in the body), you get run down and have no energy. Best way to add earth, eat loads of carbohydrates and some dairy (dairy is the quickest way to add earth into the body). When you increase earth, the fire has something to burn, you have more energy, can be active again. Many people who are too skinny are also air type and will have completely different problems than people who are fire type, they will also need to add earth but may also need to add fire.
This may sound strange but I have noticed a correlation between the lunula on the fingernails and the elements of the body. The lunula is the white circular looking thing at the bottom of the fingernail. If you have proper lunulas, they should be visible on all fingernails. A lot of people can only see them on the thumb. From my experience and experimentation (I have always paid attention to my lunulas even before I knew what they were) the more amount of earth in the body the larger the lunula. If you can only see the lunula on the thumb you have low amount of earth, the smaller the lunula on the thumb the less earth. People who are overweight can also have low earth and probably the reason they are overweight is that they are trying to compensate for the lack of earth. When I was young and healthy I had nice lunulas on all fingers even though I was very skinny. When I was doing a good amount of fasting and juice fasting, eating raw foods my lunula became very, very small and stayed that way for a long time. When I was in the hospital with malaria my lunulas basically disappeared and I was almost like a skeleton when I got out. Now that I am healthy and eating proper the lunulas on my thumbs are a good size but still do not appear on the other fingers.
Something else that is interesting about ayurveda, some ayurvedic doctors will press on the fingernail and if it has a yellowish tint, this means you are fire type. This is not anything bad and will never change, people that are fire type are always fire type and will be healthy as long as everything else in the body is in balance.