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Why am I not loosing weight?

I'm a 56 year old woman. July of2015 I was diagnosed with Hypothyroid, Thyroiditis & Thyroid Nodule. The nodule is close to my parathyroid. I had a total hysterectomy last April. I also have IBS with Chronic Gastritis as of May this year.

Feb of 2016 I embarked a life style change. I am 5'3" and weighed 290 lbs. I use the app "My Diet Diary" to log my exercise, calories, and nutrition. By the first week in May I had lost 24 lbs. I eat between 1300 to 1500 calories a day and watch my intake of processed and fried foods. I started bicycling in May and have worked my way up to 16 miles in one trip. I bicycle 3 to 4 times a week anywhere from 2 miles (when I run my dog) and 8 miles. I track my steps as well walking only 700 steps a day.

I'm no longer just sitting in front of the tv or computer. I'm getting out and I feel more energized & positive. So I'm really at a loss of why I am now hovering around 260 lbs and can't seem to loose any more weight. My doctor says that I am loosing, just at a slower pace. He also said my stomach is not processing my food fully and has been running tests.

I am currently taking Levothyroxine.100mg, Bupropion XL 300mg (at night) and Linzess 145 mcg when needed. I take 10,000 of Vitamin D3 daily.  Also, I'm not sure if the following has any impact on weight loss:
Creatinine  1.31 (norm=.50 to .95)
CRP C Reactive Protein 17.21 (norm= 1 to 5.00)

Anyone else struggling with a similar situation?

Thank you.
7 Responses
649848 tn?1534633700
COMMUNITY LEADER
Weight issues are very common with hypothyroidism, because thyroid hormones control metabolism.  The first thing I'd have to ask is whether or not your actual thyroid hormone levels are where you need them.  Many times, doctors only test TSH and try to balance thyroid hormones, based only on that.  That doesn't work, because TSH is a pituitary gland, not a thyroid hormone.  If you haven't had Free T3 and Free T4 tested to make sure they are optimal, you need to insist that they be tested.  Feel free to check out the Thyroid Disorders Community for more information about balancing thyroid hormones.  You can access it via the following link:  
http://www.medhelp.org/forums/Thyroid-Disorders/show/73

Other problems could be insulin resistance or pre-diabetes, which happens when our body doesn't use insulin properly.  Insulin is often referred to as the "fat storage hormone" because whatever blood glucose that isn't used for immediate energy is stored, by insulin, as fat.  If the cells in your body are resistant to insulin, they won't accept the glucose properly.  

Yet a third issue could be Metabolic Syndrome, which is a set of conditions, including high blood pressure, high blood glucose, overweight, especially around the middle, high cholesterol and high triglycerides.  Having just one of these conditions doesn't qualify as Metabolic Syndrome, but having the cluster does.  

Both insulin resistance and Metabolic Syndrome, are often present with hypothyroidism.

To answer your question... I've had this problem for the past 8 yrs.  Last yr, I managed to drop 26 lbs by adding more healthful fats, in the form of coconut and olive oils, butter, avocados, etc to my diet.  I went back to full fat dairy, instead of low/no fat, because when they take out the fat, they often add extra sugar to put some taste back in.  The fat helps satisfy hunger, without increasing blood glucose, so I ate less overall.  I felt less hungry and didn't have the cravings I, typically, had.  At the same time, I added lots of fresh or frozen veggies, cut back on fruit (because of the sugar content) and eliminated almost all processed food and breads, crackers, etc.  I switched from regular pasta and white rice to whole grain pasta and brown rice.  I also baked quite a bit with gluten free flours, though those do not tend to be lower calorie - some are higher fiber...

After losing the 26 lbs, I stalled for some reason and over the course of a year, have gained back 6 lbs that I can't seem to lose again... That could be because I'm not exercising enough - or it could be because I'm craving potato chips... !!

So - first to check is the thyroid hormones, then insulin/blood glucose, then Metabolic Syndrome...
Avatar universal
Thank you Barb135! I have a Dr. appointment scheduled so I will be sure to bring your points up. Sorry to hear about your stall. It's very frustrating isn't it!
649848 tn?1534633700
COMMUNITY LEADER
Hi there... When you see your doctor, ask him to check your hemoglobin A1c to test for insulin resistance. If you haven't had a lipid panel, that should be done.  

A lipid panel will tell you what your cholesterol and triglyceride levels are...

Also, the Linzess just struck me - constipation is one of the prime symptoms of hypothyroidism...so I really have to question your thyroid hormone levels.  If you can tell me what your Free T3 and Free T4 levels are, I can help give you some guidance with that.  

Additionally, CRP measures inflammation in the body - yours is out of sight!!  Do you know if you have Hashimoto's Thyroiditis, which is an autoimmune thyroid condition?  Often when we have Hashimoto's, we have a lot of inflammation...

Do you know what your actual vitamin D level is?
1 Comments
Sorry, didn't mean to repeat myself about the lipid panel... I really don't stutter; I got interrupted mid-post...LOL
Avatar universal
My Dr. will need to order the T3 free & T4 Free. He only did T3 Free in spring of 2015.
Avatar universal
I really appreciate your responses to my question. They have helped a great deal!
649848 tn?1534633700
COMMUNITY LEADER
Sorry I haven't been on for a couple of days... Yes, do get your doctor to order the Free T3 and Free T4...  make sure he orders them EVERY time he does TSH.  

I'm glad I was able to help you... I hope you'll keep us posted on your progress.
Avatar universal
I will!
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