Hypo and weight issues: Hi everyone, I'm sure... - Thyroid UK

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Hypo and weight issues

Tigerlily2 profile image
30 Replies

Hi everyone, I'm sure that many of you who have hypothyroidism like me have struggled with weight issues. I wanted to open up a post where people can share what has worked for them in this area.

I personally have gained about 8-10 pounds this past year. What I have noticed is that it's like pure fat! I feel like I have put on a layer of fat around my body. I have always been very health conscious and body conscious, so this is horrifying to me.

So I am wondering, what has helped other people? Supplements, diets, etc.

Thanks! :)

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Tigerlily2 profile image
Tigerlily2
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30 Replies
greygoose profile image
greygoose

Can you pinch up your skin all over your body? If not, it's not fat.

Tigerlily2 profile image
Tigerlily2 in reply to greygoose

Yeah, it's pretty pinch-able, unfortunately. When I take a step, my whole body jiggles. It's bad...

greygoose profile image
greygoose in reply to Tigerlily2

OK. Well, perhaps you're under-medicated for your hypo.

Tigerlily2 profile image
Tigerlily2 in reply to greygoose

Yes, I am in some way or another. On 60mg of Armour, doc tried to increase to 90,but I started having hyper symptoms. So now I am back on 60.

Last labs, 2 weeks ago, showed low-normal TSH, low ft3, and low ft4.

greygoose profile image
greygoose in reply to Tigerlily2

Do you have the exact numbers: results and ranges, please? Just telling me 'high' or 'low' tells me nothing. :)

Have you had your nutrients tested: vit D, vit B12, folate, ferritin?

Tigerlily2 profile image
Tigerlily2 in reply to greygoose

My TSH was 0.15 (range: 0.49-4.67). Free T3 was 2.51 (range: 2.50-3.90). Free T4 was 0.61 (range: 0.61-1.60).

Ferritin was last tested in December. It was 12 (low). Vit D was also tested then. Normal, 44.

B12 was 1027 (range: 200-1100).

Bearfam profile image
Bearfam in reply to Tigerlily2

I've just posted about my weight and always being hungry. I'm newish here and didn't see this post. In the past before I was diagnosed as underactive. I didn't have a huge amount of trouble losing weight. But now I'm so hungry I have to be really committed. I'm probably the worst person to offer any insight as I feel like I'm still getting this gs in balance. (or not) however I am on the pathway for bariatric surgery. For me I think this is a viable option because I'm really not making much difference to my weight despite efforts. I feel like things are stacked against me. I also have a lot to lose. This is obviously not right for everyone. Sorry my comment isn't very helpful! But just wanted to say I'm in the same boat re weight.

greygoose profile image
greygoose in reply to Bearfam

I doubt bariatric surgery is the right thing for anyone. How is your FT3?

Bearfam profile image
Bearfam in reply to greygoose

Why do you say that?

greygoose profile image
greygoose in reply to Bearfam

Because it can be dangerous. People can become severely deficient in certain nutrients. And doctors don't know enough about nutrition.

greygoose profile image
greygoose in reply to Tigerlily2

What was the range for vit D. There's no such thing as 'normal'.

What are you doing about your low ferritin?

Anyway, now you know why you can't lose weight. Your FT3 is rock-bottom. Your FT4 also. You are very under-medicated, and I bet your ignorant doctor is only looking at the TSH. Get a new doctor. You'll never get well with this one.

Tigerlily2 profile image
Tigerlily2 in reply to greygoose

Vit D range is 30-100.

I agree with you that something needs to change with my meds. But if I felt hyper when I was increased to 90mg of Armour, I wonder what the solution would be. T3 meds?

Tigerlily2 profile image
Tigerlily2 in reply to Tigerlily2

I am taking a multi (Prenatal SAP) for iron, folate, vitamins.

greygoose profile image
greygoose in reply to Tigerlily2

That's a bit low for vit D, then. Needs to come up a bit.

It could be your low nutrients that are causing the problems when trying to increase your Armour. They need to be absolutely optimal for any sort of NDT to work properly.

But, taking T3 probably wouldn't help because your FT4 is also low. So it's not a conversion problem.

Why are you taking a multi? That's not going to help anything. You shouldn't be taking a multivitamin for all sorts of reasons.

* If your multi contains iron, it will block the absorption of all the vitamins - you won't absorb a single one! Iron should be taken at least two hours away from any other supplement except vit C, which is necessary to aid absorption of iron, and protect the stomach.

* If your multi also contains calcium, the iron and calcium will bind together and you won't be able to absorb either of them.

* Multi's often contain things you shouldn't take or don't need : calcium, iodine, copper. These things should be tested before supplementing.

* Multi's often contain the cheapest, least absorbable form of the supplement : magnesium oxide, instead of magnesium citrate or one of the other good forms; cyanocobalamin instead of methylcobalamin; folic acid instead of methylfolate; etc. etc. etc.

* Multi's do not contain enough of anything to help a true deficiency, even if you could absorb them.

* When taking several supplements, you should start them individually at two weekly intervals, not all at once as you would with a multi. Because, if you start them all at once, and something doesn't agree with you, you won't know which one it is and you'll be back to square one.

With a multivitamin, you are just throwing your money down the drain, at best, and doing actual harm at worst. Far better to get tested for vit D, vit B12, folate and ferritin, and build up your supplementation program based on the results. :)

Tigerlily2 profile image
Tigerlily2 in reply to greygoose

I am taking a multi (Prenatal) because I am trying to get pregnant. This particular one was recommended by my naturopath.

What confuses me is that my TSH is actually low, but FT3 and FT4 are low. That makes no sense to me.

greygoose profile image
greygoose in reply to Tigerlily2

But that multi is not going to help you. Did you read what I said about them? You should never, ever take nutritional advice from any sort of doctor because they know nothing about it. They don't 'do' it in med school. That's why they recommend multis. They just have no idea.

What was your TSH when you were diagnosed? It's low now because you're taking NDT. It's the T3 that lowers it.

Tigerlily2 profile image
Tigerlily2 in reply to greygoose

Yes, I read what you said. I will definitely consider all the points and do some of my own research/reading on the subject.

When I was diagnosed (Nov. 2018), my TSH was 5.

greygoose profile image
greygoose in reply to Tigerlily2

OK, do you remember your FT4/3?

Tigerlily2 profile image
Tigerlily2 in reply to greygoose

FT3 was 2.3 and FT4 was 1.0.

So now they are both lower... :/

greygoose profile image
greygoose in reply to Tigerlily2

OK, so your FT3 was below range (you said it's now 2.51, so just in-range) and your TSH was only 5. That would suggest a pituitary problem rather than a thyroid problem. Has no-one ever suggested Central hypo?

Tigerlily2 profile image
Tigerlily2 in reply to greygoose

No, no one has ever mentioned that to me. Never even heard of it...

Can that make you feel most of the same symptoms as hypothyroidism? Because my symptoms always matched up with hypo (very low energy, hair thinning/falling out, weight gain/fat gain, brain fog, always cold).

greygoose profile image
greygoose in reply to Tigerlily2

It is hypothyroidism, just that the cause is not a sick thyroid, but a problem with either the pituitary (Secondary Hypo) or the hypothalamus (Tertiary hypo). The symptoms will be just the same, the symptoms of low thyroid hormone, because there isn't enough TSH to stimulate the thyroid.

I'm not surprised you've never heard of it, most doctors have never heard of it. Or, if they have, they think it's rare, so they never test for it. But the indication is low/in-range TSH, but low FT4 and FT3. Your TSH was 5 but with an FT3 below range, one would expect it to be much higher.

Have you ever had your cortisol/adrenals tested?

Tigerlily2 profile image
Tigerlily2 in reply to greygoose

No, never had that tested.

I have an appointment coming up in 2 weeks. Maybe I should just ask about it? Or demand it :)

Although, would the treatment plan be any different?

greygoose profile image
greygoose in reply to Tigerlily2

Treatment for hypo wouldn't be any different, no. But, that's not the point. The point is, the pituitary makes lots of different hormones, and they too could be low, exacerbating your symptoms. They would also need testing. But, you would have to see an endo for that. It's doubtful your GP would know anything about it.

Demanding a cortisol test from your GP wouldn't get you very far. All he can do, under the NHS, is an early morning cortisol blood test. And, the question is: would he even understand the result, even if he agreed to do it - which is doubtful. What you need is a 24 hour saliva cortisol test, but you would have to do that privately.

Tigerlily2 profile image
Tigerlily2 in reply to greygoose

Okay, yeah, that makes sense.

I actually have an appointment with an endo in mid-August. I will ask about this. Hope they don't just blow it off.

greygoose profile image
greygoose in reply to Tigerlily2

Who knows what they will do. Is he a diabetes specialist? Anyway, let us know how you get on? :)

Tigerlily2 profile image
Tigerlily2 in reply to greygoose

No, not a diabetes specialist (I don't have diabetes).

Thank you so much for all your help and insight. I really appreciate the time you took to help me. :)

Wetsuiter profile image
Wetsuiter in reply to Tigerlily2

I think GreyGoose meant, have you checked whether the Endo is a thyroid specialist, and not a diabetes specialist? Apparently most of them know less about one than t other

Tigerlily2 profile image
Tigerlily2 in reply to Wetsuiter

Okay, thanks! :)

greygoose profile image
greygoose in reply to Tigerlily2

Yes, that's exactly what I meant. Most endos are diabetes specialists and know next to nothing about thyroid. Yet, they still think they can treat thyroid patients, and really mess some of them up, I'm afraid.

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