I had this exact concern when I started my thru this year. I was 5'9", ~145lbs. I've always been scrawny, definitely the "ectomorph" body type. Keeping weight on was a constant struggle on the trail. At my worst, I dropped to ~124 lbs and was definitely feeling the effects. I was sluggish, out of energy even on easier terrain. The heat of a Virginia summer (I did a flip flop) didn't help either. I went through a couple cycles of getting onto a scale at a hostel (no telling of course how accurate they were), seeing a terrifyingly low weight, panicking, drastically upping my food intake on trail (my trail family was great at nagging my to eat constantly). Over time, I'd slip back to my usual eating habits, losing weight until I reached the next bathroom scale. You do get sick of eating constantly - it becomes a real chore. I did try to "bulk up" before the hike, but honestly I think that just made me work harder in the beginning. I got thru by being obsessive about the caloric intake. I was very much nutrition-clueless when I started (and still am not that savvy). For a long time, I was eating the wrong things (not enough calories or no fat etc etc) and not frequently enough (e.g., 2 packs of instant oatmeal is not enough to get you through to lunch). By the end, I was eating "by the numbers", shopping based on the nutrition information more than anything else. No real revelations on food choices -- the usual thru hiker staples are well-established (honey buns, fruit pies, oreos, rice sides, olive oil, gatorade). But I had to force myself to eat way more frequently than I wanted to. I did start hitting towns more frequently when my weight started getting dangerously low which is a pricey approach but helped. I even changed my diet in town (e.g., I'm not an ice cream lover, but forced myself to eat at least a pint a day in town). I ended up stabilizing my weight in the mid 120's and completing my thru, but by the end it had turned into a race against time. So all of that is to say: It can be done, but keeping your weight up is a real task you'll have above and beyond what most people deal with on trail. It's a full-time job. Read up on nutrition, start looking at common backpacking foods (remember, there's more to life than the number of calories -- look at fat & carbs too, e.g.) Learn to love olive oil on everything. Save up some extra money since you'll be buying more food than most.