Once again trying to lose weight, told my GP I needed help he tried to get me on a trial for a gastric band, but was refused and told to go on a diet. So my GP gave me Orislat but as I have a low fat diet they did not work. So booked another appointment with him, in the meantime I have spent money on books on what to eat and what not to eat with an underactive thyroid. Very confused as some books say I can't eat certain items and others say I can but not often and cook them well. Such as Broccoli, spinach, anyway have lost about 10Lbs anyone else would have lost a couple of stones by now. I just don't know why we aren't told again that we need to follow a high protein diet for us to lose weight. My GP obviously doesn't know this so I am going see him and ask him why.
The weight Issue: Once again trying to lose... - Thyroid UK
The weight Issue
Presumably you have Hashimoto's?
Have you had thyroid antibodies tested?
What about vitamin D, folate, ferritin and B12 levels. When were these last tested
They need to be optimal for good thyroid function
What supplements do you take?
Are you on strictly gluten free diet?
For full Thyroid evaluation you need TSH, FT4 and FT3 plus both TPO and TG thyroid antibodies tested. Also extremely important to test vitamin D, folate, ferritin and B12
Low vitamin levels are extremely common, especially if Thyroid antibodies are raised
Recommended on here that all thyroid blood tests should ideally be done as early as possible in morning and fasting. Last Levothyroxine dose should be 24 hours prior to test, (taking delayed dose immediately after blood draw). This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip, best not mentioned to GP or phlebotomist)
If/when also on T3, or NDT make sure to take last dose 8-12 hours prior to test
Is this how you do your tests?
Private tests are available. Thousands on here forced to do this as NHS often refuses to test FT3 or antibodies or all vitamins
thyroiduk.org.uk/tuk/testin...
Medichecks Thyroid plus ultra vitamin or Blue Horizon Thyroid plus eleven are the most popular choice. DIY finger prick test or option to pay extra for private blood draw. Both companies often have special offers, Medichecks usually have offers on Thursdays, Blue Horizon its more random
When correctly treated, vitamins OPTIMAL, and for many Hashimoto's patients strictly gluten free, then weight loss should be possible
Low carb, high protein and good fats
See Michael Moseley Low Blood Sugar diet
I have only ever been told I have an underactive thyroid. I just get the NHS blood test, I can't afford private, but my GP gives me Armour. X
Oh and for years and years I have been fasting and get the earliest appointment, but my GP said I don't need to fast. I'm so confused as to what to do, I'm on a high protein, low fat, no carb diet.
Doesn't low fat no carb make you feel dreadful? When I did that as a bodybuilder my brain just went into meltdown, my temper flared and I was tired all the time (and that was just for 10-2 weeks at a time)
No, I have more energy now as lost a bit of weight. Got to keep going need to lose lots of weight. I also don't need to use my puffers so much for asthma.
Do you get regular increases of Armour? I hope your GP doesn't dose according to the TSH.
It may be that you need increases regularly, i.e. to bring your TSH to 1 or lower?
Armour is good and you're getting all the hormones your gland would have done if healthy. With NDT (Armour etc) blood tests aren't that necessary unless you develop symptoms.
Due to being hypo(slow)thyroid we can gain weight because our metabolism is very slow. Do you feel well and symtom-free as you would do if on a sufficient dos?.
I will give you a link from one of our Advisers (deceased) and he only took one blood test for the initital diagnosis and thereafter it was all about relief of patients symptoms. Doctor shouldn't adjust your dose according to your TSH as many of us need it to be low and some need it suppressed to feel well. TSH is not a thyroid hormone .
naturalthyroidsolutions.com...
And when I try and tell him about info I have got from this site either from yourself or grey goose, he just scoffs and said and how qualified are these people to tell you. And don't look on the web site for answers, well he's not giving any only totally different to what you say. X
What do people prefer:-
1. A doctor who scoffs and doesn't listen to cover up his inability to understand about hypothyroidism.
2. They dislike it if we search the internet for information and don't tell him anything about what you are learning (why should you as he is the one who has the certificate but keeps patients unwell) as proven by you searching the internet for information.
3. We are not medically qualified on this forum but we have certainly learned the 'hard and difficult' way to finally get diagnosed and treated to optimum and the reason many source their own thyroid hormones too. This forum is a lifeline due to the attitude of your doctor. Attitudes mean they do NOT learn and accept that their way of treating someone with hypo is disgraceful. They also don't understand we can develop other more serious illnesses.
4. Doctors and endocrinologists (very sadly) are so poorly trained nowadays that many patients are suffering unnecessarily.
I think they treat us as 'machines' and that we're all identical in our symptoms but this is a very serious autoimmune disease if we're not cared for optimally.
For goodness sakes! How qualified is he to put you on a diet? How many hours did he spend on nutrition in med school? Zero, that's how many. Low fat and no carbs is the worst diet a hypo could be on.
No greygoose, the going on a diet was my choice as when I had the trial for a gastric band turned down they told my GP to tell me to lose weight by going on a diet, he only passed the message on. I'm struggling to know which diet I have been doing high protein, low carbs, diet, but there is the AIP diet which is totally different and would be extremely hard. I don't know if I have hasimotos. 😩🤔
OK, but even him considering the gastric band is outrageous when what you need is the right dose of thyroid hormone replacement. Has it not occurred to the stupid man that if your weight-gain is not due to over-eating, then under-eating will not get rid of it. Starving one's patients is never a good idea!
I bought two books, one was the thyroid diet, also the thyroid diet plan. They say to follow this high protein, low carb, low fat diet.
First thing is, do you have all your previous blood test results?
if not will need to get hold of copies.
You are legally entitled to printed copies of your blood test results and ranges.
UK GP practices are supposed to offer online access for blood test results. Ring and ask if this is available and apply to do so if possible, if it is you may need "enhanced access" to see blood results.
In reality many GP surgeries do not have blood test results online yet
Alternatively ring receptionist and request printed copies of results. Allow couple of days and then go and pick up.
Very important to see EXACTLY what has been tested over the years, and especially what hasn't been tested
Assuming that thyroid antibodies haven't ever been tested, then this should be dond
Politely request that your GP tests vitamin D, folate, B12 and ferritin if not been tested in last 2 years, as per UK guidelines here
New NHS England Liothyronine guidelines November 2018
Note that it says test should be in morning BEFORE taking Levothyroxine
Also says to test vitamin D, folate, B12 and ferritin
sps.nhs.uk/wp-content/uploa...
Or if he refuses then you need to ask for referral to an endocrinologist
Alternatively get vitamin D tested £29 NHS postal kit
Vitamin D is Very likely to be low. If it is then push to get folate, ferritin and B12 tested by GP
Local CCG guidelines of vitamin D levels
clinox.info/clinical-suppor...
Government recommends everyone supplement October to April
I have just gone onto my medical records online and last time they were there now they have been removed and I cannot get access to them online, so will be ringing up tomorrow to see why I can no longer access them.
I have looked for Medichecks Thyroid plus ultra vitamins can't even find one that says that. Would you be able to forward photo please of the one I need.
Ok I've found it there are 10 things tested for £99 well that's more than I have to spend in a month so it will be a saving up for.
Medichecks have Thyroid Thursday, one day offers (on Thursdays!). Thyroid Check Ultra usually comes up on offer every so often. I think around £79 instead of £99 so a good saving. medichecks.com/offers
Sounds like a saving up plan then. Thanks for everyones help. X
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