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Avatar universal

How do you lose weight with Hypothyroidism

I was recently diagnosed with Hypothyroid and high triglycerides,   The doc said both my weigh 162 lbs at 5'4" and the high triglycerides would improve with the synthroid.  
I work out constantly  6 days a week,  hike,  weight lift,  cardio.  yoga, Zumba,  and eat primarily chicken and vegetables,  lots of fruit,  NO fried foods,  no white bread  and cannot drop an ounce.  What to do?  
Do I need a nutritionist?  A personal trainer?  a specialist?  The doctor says I have "bad genes" and yes I do,  but surely that does not doom be to being overweight does it?
8 Responses
Avatar universal
Genes can certainly play a role in your body type.  There is also a heredity aspect to hypothyroidism; however that does not mean that nothing can be done about it.  Why don't we start by getting you to post whatever thyroid test results and reference ranges you have available, so that we can see if you have been adequately tested and see where your test results fall within the reference ranges.  Then we can assess your status and recommend further action.  
Avatar universal
TSH was initiallly 17.5  and Triglycerides  315  LDH??  ( Good Cholesterhol) 24
After 2 months on synthroide
TSH  is 2.89   Triglycerides  294  and good cholesterhol  is 22.  Weight it still 162.  Oh,  and I am still losing a ton of hair,  
Avatar universal
If TSH is the only thyroid test that your doctor is using to medicate you, that doesn't work.  TSH is a pituitary hormone that is totally inadequate as a diagnostic.  At best it should be considered as an indicator, to be considered along with more important indicators such as symptoms, and also the levels of the actual biologically active thyroid hormones, which are free T3 and free T4.  FT3 is the most important test because studies have shown that it correlates best with hypo symptoms, while FT4 and TSH did not correlate.  Unfortunately many doctors have the "Immaculate TSH Belief" and don't go further in their testing.  

You really need to go back and request testing for FT3 and FT4, along with TSH.  If the doctor resists, then you should insist on it and not take no for an answer.  Remember that you are the customer.  If you will get that done and then get a copy of the lab report and post results and reference ranges shown on the report, members will be glad to help interpret and advise further.  

In my opinion the best way to treat a thyroid patient is to test and adjust Ft3 and FT4 with meds as necessary to relieve symptoms, without being constrained by resultant TSH levels.  Symptom relief should be all important, not TSH level.  Many of our members report that symptom relief for them required that FT3 was adjusted into the upper part of its range and FT4 adjusted to at least midpoint of its range.  

If you want to read more about all this, here is a link to a good article written by a doctor.

649848 tn?1534637300
If your thyroid hormones are right for you, you should be able to lose weight.  Your TSH is still on the high side; I can't help but wonder what your actual thyroid hormone levels (FT3 and FT4) are.  

Totally agree with gimel that you need those tested.  Any doctor who bases thyroid med dosage solely on TSH is not doing you any favors.  He will keep you sick for a long time.

If you request the testing that gimel mentioned and your doctor refuses to do it, I strongly recommend that you find a different doctor as soon as possible.
219241 tn?1413541365
As someone who weighed 130lbs and shot up to over 225 lbs in a very short time, then managed to lose about 70+lbs in only a few years, and was hypothyroid, I can tell you, you CAN lose weight being hypo.
I have gone back to hypo recently, saw that the weight was starting to come back on and so got back into what I do when I see the pounds creeping up.
First of all, your expenditure may not be equal to your calorific intake. You hike, etc, but your daily calorie intake may not be low enough than your calorie expenditure.
  There are lots of websites that can show you how may calories to height ratio of say to lose a half pound a week.
  Eating lots of fruit is good, but also depending on the fruit, they can have a high sugar content and this adds to calorific intake.
My friend who is a vegetarian was bemoaning the fact he was putting on weight whilst being super exerciser, swimming laps 2 hours a day, hiking etc. Till I read each and every label of his 'health bars' and organic juices. He was mortified to see that he was eating 3 times his daily allowance in calories! The fruit juices are VERY high in sugar!

I found that by changing the type of exercise I was doing, and by doing small things at home, the weight did and still does come off. My family tend to run to fat very quickly, so I have 'bad genes' too. For example, I take my freshly dried washing and fold one towel then walk to the linen cupboard, then come back do another one, maybe a pair of knickers to my bedroom, etc. I often do the vacuuming to fast music and double up the speed of the strokes of the vacuum. I think you get the idea. I have lost nearly 5 lbs recently from just doing that.
I spent 15 years trying to prove I had a thyroid disorder in the first place.

Being aware is the trick I found.
Avatar universal
They did a TSH with reflex free T4  and it was 2.89  That is all besides the cholestrol serum
179, hdl 22 ldl 97  Triglyc 294  
Avatar universal
Thanks for the feedback,  I have alot to consider/research.
Avatar universal
Please read my comments above again and ask yourself if you are really satisfied with your diagnosis and treatment.  My answer would be absolutely not.  If the doctor persists in only checking TSH and won't treat you clinically, by testing and adjusting FT3 and FT4 as necessary to relieve symptoms, then it is time for you to locate a good thyroid doctor that will do so.
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