Thyroid Cancer / Nodules & Hyperthyroidism Expert Forum
tired all the time and can't lose weight
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Questions in the Thyroid forum are answered by Mark Lupo, MD. Topics covered include Goiter, Graves Disease, Hyperthyroid, Parathyroid/Calcium Problems, Thyroid Cancer, Thyroid Nodules/Cysts, Thyroiditis, Thyroid & Pregnancy, Thyroid Stimulating Hormone (TSH), Thyroid Tests, and Thyroid Surgery.

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tired all the time and can't lose weight

I have always had a problem with a lack of energy. I wake up like I didn't even go to bed. For years I just lived with it but it's just getting too bad. Every year I have a physical and the doctor doesn't say that anything is wrong. But I am 5' tall and  176 lbs. I go to the gym 4-5 days a week for the last 8 months but I can't seem to lose any weight and I am not getting the increased energy that everyone seems to tell me comes from exercise. I ordered a copy of my latest test results. Can you tell me if something is off (BP 122/70  - Wt. 176  -Triglycerides 65  - total cholesterol 171  - LDL 88 - HDL 70 - T4 free 1.2 - T4 thyroxine total 8.1 - T3 uptake 32 - free T4 index (T7) 2.6 - TSH .51 - cortisol 9.6 - DHEA 539) Because of my weight, my doctor doesn't believe what I say about my diet and amount of exercise. I also don't drink or smoke. Thank for your time.
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Labs look pretty good - it's not likely the thyroid.  Would consider sleep apnea as a cause of fatigue (esp if you snore) and would strictly count calories (800-1000/day in and exercise 45min/day).
5 Comments
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It may not be how much you are eating but what you are eating. And also remember exercise build muscle which is heavier than fat. I am no health expert by far but you should maybe try weight watchers and getting the help of a physical trainer at your gym. Also if your insurance permits, get a 2nd opinion from another doctor. Talk to people, and find someone who has a good doctor and go. Some docs have to bedside manner and no patience for their patients
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Look into Adrenal Fatigue.  Can you get to sleep but then wake up at 2am, 4am etc? and get up feeling like you havn't been to bed?
I use 25mg Phennegan (sp?) its a sedating anti histamine at night and this helps a lot as has deciding to start sorting out out my adrenals and thyroid.
check out http://www.adrenalfatigue.org/ has a lot of info, I have the book too!
Berlioz
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I was diagnosed with graves disease about 8 months ago. I am taking 20mgs of tapazol a day. I was starting to feel better after 3 months of treatment, now i feel completely exhausted, lethargic, and depressed. I can't seem to get a good nights sleep. My weight has been stable for 4 months, and I see my endo the end of this month. Is it possible that I am becoming Hypo? I just feel really foggy. Are there any vitamins I should be taking? Also any advice?

Thanks so much!

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Your symptoms sound like my daughter's--only she is only 18.  After a sleep study, she was told she had sleep apnea/hypopnea.  A cpap has greatly improved her energy, alertness and ability to not sleep 18+ hours a day.  Amazing!!!
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what is a cpap?!?
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Mark Lupo, M.D.Blank
Thyroid & Endocrine Center of Florida
Sarasota, FL
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