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Weight Loss & Healthy Lifestyle (Expert Forum)
Endocrine imbalances
Answered by
Columbia Cardiology Associates
Portland - OR
Questions in the Weight Loss & Healthy Lifestyle forum are being answered by James Beckerman, MD, Cardiologist. This forum is for questions and discussions relating to: cooking tricks, diet books, exercise tips, fad diets, fitness, health and hype, healthy role modeling for children, living a "green" lifestyle, medical treatments for obesity, metabolic syndrome, obesity, restaurants, smoking cessation, supplements, surgical treatments for obesity, trends in dieting, weight-related medical conditions
Endocrine imbalances
by MsPEB, Jun 12, 2009 01:36PM
I have an extremely difficult time losing weight. I am obese. How can I tell my body to burn fat instead of saving it through what I eat. I live in the mountains and can't exercise much at all during the winter snow with asthma. My metabolic / endocrine imbalances include: hypothyroidism, hypoglycemia / impaired glucose tolerance (roller coaster blood sugar), PCOS perimenopausal, and I had my gall bladder removed 25 years ago. I am on progesterone 10 days a month, metformin, levoxyl, an antidepressant, and a blood pressure prescription.
What advice do you have? The hypoglycemia makes it difficult because I need to eat more frequent, smaller meals that don't roller coaster my blood sugar. Thank you for any advice you have.
What advice do you have? The hypoglycemia makes it difficult because I need to eat more frequent, smaller meals that don't roller coaster my blood sugar. Thank you for any advice you have.
Doctor's Answer
by James G Beckerman, M.D., Jun 12, 2009 02:48PM
, Jun 12, 2009 02:48PM
If you get a chance, take a quick look at my blog entry from earlier today - my philosophy is that small, manageable changes are the way to go. Generally, your body will store as fat those calories that you don't expend. So you have a few choices. Eat Less. Do More. I know it's easy to say, but it really does come down to that. Despite where you might live, I imagine that spring/summer weather is upon you, and that gives great opportunities to be outside, take walks/hikes, and be active. Think about the little decisions you make every day - creamer in your coffee, whole milk in your cereal, mayo on your sandwich - these are the places to start making a difference and starting finding your own solutions. Also, it's important to make sure that your medical conditions are being addressed appropriately too - this is a discussion to have with your doctor prior to embarking on any weight loss program. Take care.
