All the things you mentioned are signs of an eating disorder.... As someone with experience with children with EDs, (not as a doctor) I have to say--make sure he's not developed one, and FAST. For every day one goes without help, it'll take a week of recovery/therapy, if not more, depending on how long it passes unnoticed without rehabilitation.
Please listen to your gut and be concerned. The stats you listed put him at an avg BMI of 16.9...less than 18.5 is underweight. The fact that he's cold all the time is a dangerous sign that his body is is undernourished and can no longer compensate for his habits.
If he does have an ED, it's likely that he will do everything he possibly can to convince you he's okay. Don't believe him. It could be life or death.
A doctor can help you plan some sort of intervention or get some stats/advice for you to give to him, if you're worried about his reaction or he resists gentle probing.
I couldddd be overreacting.... but honestly, I doubt it, and this makes me very sad for him and your family :[
ED's often go unnoticed in guys because it's less common, but it's not that rare for guys to have them.
Sorry about the disorganized rant--I just really hope you understand that you need to confront him about this and see if you can get him to gain weight, and if he won't, then get him to a doc, or if that fails, even put him into an in-treatment recovery center. But an ED is a terrible thing to lose a child to.