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The puffiness pretty much went out of my face once my thyroid levels started leveling off. The flabby belly is another story - I'm afraid that's going to take lots "correct eating" and maybe a few 1000 crunches over a period of time!! lol
Lack of energy should start getting better too once your levels start getting in range.
Even the Nuclear Doc asked if I was pregnant when I had RAI and I was 48 !
I smiled at her and replied...No Honey, its all thyroid belly ! lol
Mine is starting to go down now as my levels stabalise but I also went through menopause whilst going through Hyperthyroidism and Graves Disease and being nearly 50, I have an excuse for a belly lol.
Good luck :)
The puffiness will eave once thing get swinging right hormonally again.
The belly has to be worked on though.