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Hmm...have you had everything checked out medically? That's a little troubling. Being thin/petite is one thing, but if you are having trouble opening milk cartons it seems like something may be wrong. Certain diseases can affect your absorption of nutrients... believe me I know. I have celiac disease and was very thin and weak my whole life growing up. I always thought I had a "fast metabolism" too. A fast metabolism will not make you too weak to open a milk carton. I'm not trying to freak you out or anything, I just hate when people think certain things may be normal when they aren't. If you have a doctor, maybe try talking to him or her about this and seeing if there might be another reason?