Hey group! My friend has a 7year old leopard gecko who had started eating less,

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Hey group!
My friend has a 7year old leopard gecko who had started eating less, shedding, losing color and not seeming himself. He has lost a lot of weight. The first three pictures are pictures recently as of today and the other pictures are previous pictures from the couple months they have went to a doctor they have been told that nothing is wrong with their gecko and gecko has shown no improvement. She says that he does not longer take his worms (meal worms), but he does take water and his calcium and vitamins. I suggested her to mix her worms in with the calcium and vitamins to see if he’ll take it that way , but she is still concerned and I wanted to know if anyone had any possible answers what she should do for the meantime, in where should she go for treatment.
I also suggested her to check his heating lamp temperatures and also try different bug to see if he’ll eat them but to try crushing to vitamins and having him eat it with the vitamins and calcium since he is taking that. Has not made any bowel movements.
Im also concerned that it could have parasites she said that it wasnt checked which is weird. Or a internal disease going on maybe