It is known those with hypothyroid have a slow metabolism,but I'd so like to shed a few pounds.I've been doing NHS calorie counting (app) for almost 7wks, it aint making a lot of difference.Sometimes i even skip lunch thinking will be helpful (like fasting?) then have an early tea (some might call it dinner or supper) around 1630-1730 then nothing til morning apart from fluids.I am not a snacker or hugh portion person nor have take-aways,i cook all my meals. I just don't understand it & feel discouraged. Any comments/similarites?
Weight: It is known those with hypothyroid have... - Thyroid UK
Weight
We need carbs and calories to convert t4 to t3. Eating too few daily calories can affect conversion thereby lowering ft3 and making you more hypo. And more hypo means fluid retention and weight gain.It is a difficult tightrope to walk!
Oh dear!! So not doing myself any favours?! The NHS app only goes as low as 1400 cals; a friend thought this quite high & said wouldnt loose anything on this amount 🤔 I do include bread,maybe 1 slice + sometimes a meal with potatoes
Hi , I think 1400 calories is a useful weight loss amount for men . Are you male ? For women it’s usually recommended to consume 1200 calories to loose weight .
I recently read that an Intermittent Fasting diet suits Thyroid sufferers as the fasting element helps the Thyroid rather than the other way round. I will look for a link to this .
As per last 2 previous posts ….if you’re still only on 75mcg levothyroxine you need to get yourself organised and get FULL thyroid and vitamin levels tested
healthunlocked.com/thyroidu...
If thyroid levels are inadequate you won’t loose weight
previous post also showed poor kidney function (low GFR) directly linked to being on inadequate dose levothyroxine
Approximately how much do you weigh in kilo
And exactly what vitamin supplements are you currently taking
Ty for your reply
I am taking B12 supplement,as showed slightly low. I am 65kg (10st.2lbs) though was 10st 6" also 5'4" height & have whats considered a large middle was 37" but now 35" which is still considered too large for a female according NHS.
Yep still only on 75 mcg - i had to beg to be put on that years ago frm being kept on 50mcg
GP said could affect heart if increased too much? I thgt was also other way round?
I eats lots of fish,veg, some red meat & chicken.
I use butter - as read better for us than marg- grill foods if i can - otherwise will vary oils ie coconut,avocado,olive oil,rice bran oil. I have some fruit; drinks vary - tea,coffee,water,green tea,herbal teas,no soft drinks (sodas) though i do drink red wine.
If we were thinking about dosing levo by weight - and some do - you would be on at least 100 mcg levo. I weigh around 9st and would be on 100 if I was levo only if dosing by weight, to give you some indication of why I am saying that. Strongly suspect you need a dose increase, but impossible to say for sure without bloods really! Even adequately medicated, I think weight loss is quite fascinating, in as much as what works for me might not work for you - personalised nutrition is a big area at the moment and rightly; we are all so different!
Yes i think i prob do need dose increase as still have symptoms,but i cant get gp to listen to me. I have very high cholesterol too ( which can be due to thyroidism) maybe i need go private endo?
That or change GP - depending on the cost v time equation!
Also agree that the high cholesterol could be a side effect of under medication
Re "fasting" - about 10 years ago I "accidentally" slipped in to my version of intermittent fasting. My new daily food nourishment routine meant I had an empty stomach for at least 14 hours a day. For me is worked as a kind of re-set button and I remembered that in my early 20's it was how I used to eat until I got married and could no longer please myself only! I find I can eat pretty much exactly what I fancy on a day to day basis (always home made and fresh ingredients because I mostly grow my own) and my weight stays constant.
Re cholesterol - as has already been said, it is not a disease it is a symptom. A handful (your size handful) of walnuts everyday will increase HDL and lower LDL. However it is particle size that is most important. Do you have high triglycerides?
Keep eating quality butter and enjoy your red wine - I wouldn't willingly be without either of those
You could also check out Pantethine (activated vit B5/pantothenic acid)
What are your most recent TSH, Ft4, Ft3 and all four vitamin results and ranges
If not tested recently get tested
guidelines say 1.6mcg per kilo of your weight per day
Suggest you use these guidelines to get dose increase
65kg x 1.6mcg = 104mcg per day
That’s equivalent of 100mcg 5 days per week and 112.5mcg 2 days per week
Get full thyroid and vitamin testing done
Push for TRIAL dose increase to 87.5mcg daily as first step
Retest in 8-12 weeks
Then push hard for next increase to 100mcg daily …..assuming results show you can tolerate
NICE guidelines on full replacement dose
nice.org.uk/guidance/ng145/...
1.3.6
Consider starting levothyroxine at a dosage of 1.6 micrograms per kilogram of body weight per day (rounded to the nearest 25 micrograms) for adults under 65 with primary hypothyroidism and no history of cardiovascular disease.
Also here
cks.nice.org.uk/topics/hypo...
pathlabs.rlbuht.nhs.uk/tft_...
Guiding Treatment with Thyroxine:
In the majority of patients 50-100 μg thyroxine can be used as the starting dose. Alterations in dose are achieved by using 25-50 μg increments and adequacy of the new dose can be confirmed by repeat measurement of TSH after 2-3 months.
The majority of patients will be clinically euthyroid with a ‘normal’ TSH and having thyroxine replacement in the range 75-150 μg/day (1.6ug/Kg on average).
The recommended approach is to titrate thyroxine therapy against the TSH concentration whilst assessing clinical well-being. The target is a serum TSH within the reference range.
……The primary target of thyroxine replacement therapy is to make the patient feel well and to achieve a serum TSH that is within the reference range. The corresponding FT4 will be within or slightly above its reference range.
The minimum period to achieve stable concentrations after a change in dose of thyroxine is two months and thyroid function tests should not normally be requested before this period has elapsed.
your high cholesterol confirms you are not on high enough dose levothyroxine
If GP won’t increase
Make an appointment with recommended thyroid specialist endocrinologist
Yes I think this approach works - asking for a trial increase- it appeals to the scientist in The doc. Then say you’ll come back for a retest in 8 weeks toensure not over medicated and report on changes in symptoms.
Get full thyroid including antibodies and vitamins test done
ALWAYS do thyroid blood tests early morning, ideally just before 9am, only drink water between waking and test and last dose levothyroxine 24 hours before test
This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)
List of private testing options and money off codes
thyroiduk.org/getting-a-dia...
Medichecks Thyroid plus antibodies and vitamins
medichecks.com/products/adv...
Blue Horizon Thyroid Premium Gold includes antibodies, cortisol and vitamins
bluehorizonbloodtests.co.uk...
Only do private testing early Monday or Tuesday morning.
Link about thyroid blood tests
thyroiduk.org/getting-a-dia...
Link about Hashimoto’s
thyroiduk.org/hypothyroid-b...
Symptoms of hypothyroidism
thyroiduk.org/wp-content/up...
Tips on how to do DIY finger prick test
healthunlocked.com/thyroidu...
Medichecks and BH also offer private blood draw at clinic near you, or private nurse to your own home…..for an extra fee
Come back with new post once you get results
TSH should be under 2 as an absolute maximum when on levothyroxine
gponline.com/endocrinology-...
Graph showing median TSH in healthy population is 1-1.5
web.archive.org/web/2004060...
Comprehensive list of references for needing LOW TSH on levothyroxine
healthunlocked.com/thyroidu....
onlinelibrary.wiley.com/doi...
If symptoms of hypothyroidism persist despite normalisation of TSH, the dose of levothyroxine can be titrated further to place the TSH in the lower part of the reference range or even slightly below (i.e., TSH: 0.1–2.0 mU/L), but avoiding TSH < 0.1 mU/L. Use of alternate day dosing of different levothyroxine strengths may be needed to achieve this (e.g., 100 mcg for 4 days; 125 mcg for 3 days weekly).
GP said could affect heart if increased too much?
You might find this thread of interest :
healthunlocked.com/thyroidu...
...
If you are low in iron / ferritin (iron stores) this can make it difficult or impossible to lose weight.
This video is worth watching :
youtube.com/watch?v=PtczW43...
Title : Dr. Paul Mason - 'How iron deficiency and inflammation can make you fat - a female perspective'
I just don’t think calorie counting works for you. It may a case of looking at what you eat and opting for the most healthier options for you? Maybe? As I have no idea what your diet is like.
Seem people I know just cut out alcohol and that seems to work.
Ty for your reply,see my reply to Slowdragon re what i consume. Confess i like/drink Red Wine 🍷
Depending on how much you drink, cut it out for a month to 6 weeks, and see if weight drops at all. Perhaps drop the butter, and stick with extra virgin olive oil if not already. Fruit… lots of sugars so maybe reassess which you could swap out for fruits with less sugars.
Swap to complex carbs as far as possible, and opt for the fresh types as far as possible. And to be honest, I don’t think any type of bread helps.
Personally, I’d just drop the red wine for starters and take it from there.
Hard to know if it’ll make any difference as everyone is different, until you give it a try. Also hard to know without really understanding your diet and consumption. And, as others have mentioned, there’s your dose to think of too, though I can’t say a dose increase made an iota of difference to my weight. If anything, I’ve put it on!
As you have a lot of fat around the middle which is visceral fat, it indicates lack of exercise and only exercise will reduce visceral fat. Dieting won't touch it. If you cannot do regular exercise at a gym or swim, walking is very good for losing weight. My niece is 10st and 5ft 6in and she is really really slim. Since she got a dog a few years ago she has to walk her an hour in the morning and an hour in the evening and she also does copies some exercise from videos - cheaper than a gym.
I put a lot of weight on in lockdown but also courtesy of a sudden deterioration in hypothyroidism. I lost quite a bit when I started on levo but have a long way to go. I work from home and have moved and there isn't a decent gym with a pool nearby. I started going out at lunchtime and walking about 2-3 miles plus as much else as I could and it makes a big difference to the waist/belly area. Also, exercise increases metabolism even if you are hypothyroid. If you do go to a gym, they will measure your metabolic rate - mine was 1700 cals/day (with gym and swimming twice per week plus dancing). Therefore, 1400 cals is not really very low unless you do a lot of exercise and it would take a long time to lose the weight. Sometimes, after a long time dieting and no results, people find they suddenly drop half a stone.
Dieting is quite an art. I would suggest you cut out the meat and do not grill or fry anything. Even good oils cause inflammation in the body if heated in cooking and this in turn causes weight gain. Steam fish or bake it in the oven in lemon juice/tomatoes and add herbs. Eggs are excellent for weight loss as they contain lecithin and stop you feeling hungry, and are also very versatile. (A particular crash diet I have gone on consists of just eating eggs and plain yoghurt for one or two days - I always lose two or three kilos but it is hard and do not do rigorous exercise like the gym.)
..i did join the gym & went 2-3 x's weekly combining weights & treadmill,rowing & bike..also i have a daily walk of around 30 mins...i put weight on after going gym but understand can be frm increased muscle - not that i could see any!! However I havent been for a few months now, though intend to restart when a bit cooler weather, as otherwise makes me fatigued more. Appreciate your reply,ty.
Until lockdown, I used to go twice a week (an hour in the gym followed by half an hour's swimming). That stopped me putting on weight but I had to go three times per week to actually lose it. Also, for decades, I walked around ten miles per day - going to work, lunch time, out for appts, coming home and going out again. My weight was around 8 stone. Now it is over ten (5ft 3in) but I do notice the walking helps. I've started water aerobics and swimming - though can't find a decent gym with a pool. I think perhaps you were not doing enough to actually lose weight and 30 mins walking really is nothing. You could try the yoghurt and egg diet. I did it recently before I was going on holiday and I lost 4 kilo though I did it on a gym day (not in my area) and felt very lightheaded. It seems to get rid of the fat on the belly. Even my 18st friend liked it because it stopped her feeling hungry and was easy, and she always swore she could not lose weight - she has the Continental style figure with a heavy waist and upper body but thin arms and legs. Anything diuretic helps. I took lecithin for decades (can't remember these days). Asparagus is very diuretic and an asparagus omelette guarantees losing a pound - but I use a 1 cal spray and water to cook it, no frying. It really is as much a science as an art/skill. I find wine blows the belly up and makes me put weight on, even a small amount. Anyway, good luck.
Your weight doesn’t seem very high (to me).
Do you think doing some kind of exercise might help cut back some of the waist size?
Or do you think you might be bloated - due to some other factor - ie. Carry weight around the waist for some other reason?
Like others have said, I’d look to the thyroid levels and results first.
I’m the same… I feel like I’ve been on a diet my whole adult life. I recently did the Zoe experiment. I hadn’t weighed myself in months but out of curiosity I did and was horrified, I was back to the heaviest weight I’ve known myself to be. Since that day I’ve gone gluten free, dairy free and follow the Zoe recommendations but no weight loss to shout out about. I drink lots of water, I eat mainly vegetarian foods, I avoid caffeine, sugar and ultra processed foods. Yesterday I had a bit of a cheat and after a salad I had a bit of cake, this morning I’m 1lb heavier 😭 it’s so depressing. I’m averaging 8000 steps a day which is down on the 10,000 steps but that’s mainly due to the heat and not being able to take my dog out in the extreme temperatures. If it’s any comfort to you you’re not alone. The weight seriously effects my mental health
I so understand. And that glass of wine is such a comfort and relaxes you. And bread is so delicious. What is life all about if it's reduced to consuming so little of what you enjoy and then not getting any weight benefits? As fo exercise, I am in a worse place as my knees are shot and exercise is limited. But at 73, I have changed my attitude not so much my diet, although apart from the wine I eat healthily and not a great deal.
PS I have kidney disease stage 3a, and it's been stable for years (so far) but the dietary requirements for that are impossible to live with. And here in the UK you just try seeing your GP about asking to see an endocrinologist, or even see your GP. No chance. So I just try to be reasonably healthy in diet. One slice of bread a day, never eat cake or chocolate as I am not fond of them anyway. Nor crisps etc. I should be on 120mcg levothyroxine according to your formula but am on 75 but have no symptoms. I try to be kind to myself and not be miserable about food and alcohol at my time of life. But still in overweight category so am still trying re portion size.
Poor kidney function and low GFR directly linked to being hypothyroid and will improve as dose levothyroxine is increased
ncbi.nlm.nih.gov/pmc/articl...
The GFR is reversibly reduced (by about 40%) in more than 55% of adults with hypothyroidism[40] d
Similarly to you I’m on 75mg of Levo but if the calculation for Levo vs my weight is applied I should also be on 125mg. I’ve just had bloods done and awaiting results. I’m not so confident I can get my GP to agree to a dose increase. If I can’t I will try to source more Levo myself
Hi, As I said above, fat round the waist and belly is visceral fat and only exercise will shift it. It gathers round the heart and in the arteries, plus other organs, and is dangerous. You can get it measured at the gym usually or during a health screening. The normal range is 1 to 11. Dieting will not reduce it. I know really thin people who recount everything they eat, which is a lot and includes a lot of meat - and their visceral fat and cholesterol are sky high. They don't do any exercise and drive everywhere.
hi I put on 10kg when going up from 25 to 100mcg Levo in 25mcg titrations, same diet same exercise.
When I got up past 100mcg it just fell off at a rate of 1kg a month.
I then had symptoms of over medication and dropped down my Levo again and my weight has remained steady.
At the same time I got my ferritin, B12, Folate, D all up too.
I’ve just started the Zoe programme to lean about blood glucose, my first impressions are my body is very reactive to sugars, a bowl of crisps causes a spike and rapid drop in blood sugar. However if I have good fats before the crisps (nuts avocado hempseed oil) and a walk afterwards it flattens the curve. Highly recommend for understanding your personal responses to foods.
My advice is sort your thyroid hormones out first, then vits then consider dietary lifestyle improvements (eg more veg and food fats, less sugar, less refined carbs, think about alcohol as a sugar) see how that goes.
🌱
I had struggled for years to control my weight despite eating healthily and exercising and really couldn’t understand why it was so difficult. Now I know! Since my last levo dose increase to 100mcg I have lost my excess weight despite no changes to my diet and I now have a waistline! As an added bonus my blood pressure has reduced too.
Hi Me2U,
I put on 2 stone and could not shift it ,until I got my meds right . The weight gain is a big problem for me. I then joined slimming world (not wanting to advertise,) but works for me . It allows carbs ie, potatoes, rice pasta. I do gluten free most of the time. I personally like the support network. It is a slow process. You can get recipes from the Internet if you don't want to join. Good luck
I struggle with weight loss. Tried keto, high protein and many more. Problem with me they all make me feel ill. My weight is all on belly. A mate from work suggested regular eating . Small meals regular. Been having oats first thing. Then take boiled eggs , banana, nuts and a small dinner to work and try eating them evenly apart then small tea and cottage cheese before bed. It's working (slowly may I add). Plus my doctor said fasting and going too long without food disrupts hormone conversion which can then cause weight gain. 🙁Complicated isn't it?
Hi, I've been lurking on this forum for a while and this is a first comment, so apologies if I get it wrong. I assume that you're male and I totally sympathise with your weight issues. I was diagnosed hypo over 17 years ago with a TSH of 168. I remember I'd been feeling rotten (understatement) for a while. Fortunately my GP was on the ball and realised what was wrong and I quickly got an Endo appointment. A combined T3 /T4 regime , until the NHS stopped the T3 bit, got me back on some sort of even keel. Personally, no science here, I don't think things ever get back to "normal". Fast forward to early 2022, and all sorts of things started to go wrong for no apparent reason. difficulty walking due to a bad ankle, Carpal tunnel syndrome in one hand, whole body arthritic joint symptoms, you name it. Back to the Endo, a good guy, and, after an MRI scan on my Pituitary gland, a appointment with a rheumatologist, and back on a T4/T3 regime. I'm starting to feel better,--almost. Some persistent problems just won't go away, hence my earlier comment that normal is somewhat of an illusion, for me anyway. Hair loss, - eyebrows and lashes, and bodily hair in general. By far the worst though is weight gain. I don't think there's anything in my genetic make up that would suggest latent overweight issues. I've also been athletic ( runner), and worked at a physical, ( construction ) job. I eat a balanced vegetarian diet but still I'm fighting belly fat, that only fasting will shift. The food contradiction for me is that I love cooking, especially for friends.
Like I said BlueKeith, I'm in complete sympathy with you, chin up and keep taking the pills, this may be as good as it gets..
A long suffering male 77 year old, sorry for sounding cynical.
mike7183
Essential to maintain GOOD Vitamin Levels
As vegetarian and hypothyroid that’s particularly tricky
What vitamin supplements are you taking
Test folate, B12 and ferritin annually and vitamin D twice a year
When hypothyroid it’s not how good (or bad) our diet is….but low stomach acid levels lead to poor nutrient absorption
Thank you Slow Dragon for your reply. As for supplements; 2x 2000mg Omega 3 fish oil daily, 1x D3&K2 daily. I only use Olive oil and butter and probably more cheese than is good for me plus a good intake of seeds, nuts, and pulses, and home made wholemeal bread. I also eat oily fish two or three times a week and plenty of fresh veg and fruit. I'm waiting for a test slip from my Endo any time soon, everything seems to take an age though.
Not taking any B12 or vitamin B complex?
As vegetarian you likely need B12 daily plus vitamin B complex
Also lower B12 is much more likely as we get older
Get full iron panel test and B12 and folate levels tested BEFORE starting any B vitamins and then test at least annually
all thyroid blood tests early morning, ideally just before 9am, only drink water between waking and test and last dose levothyroxine 24 hours before test
This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)
On T3 - day before test split T3 as 2 or 3 smaller doses spread through the day with last dose 8-12 hours before test
List of private testing options and money off codes
thyroiduk.org/getting-a-dia...
Medichecks Thyroid plus antibodies and vitamins
medichecks.com/products/adv...
Blue Horizon Thyroid Premium Gold includes antibodies, cortisol and vitamins
bluehorizonbloodtests.co.uk...
Only do private testing early Monday or Tuesday morning.
Link about thyroid blood tests
thyroiduk.org/getting-a-dia...
Tips on how to do DIY finger prick test
healthunlocked.com/thyroidu...
Medichecks and BH also offer private blood draw at clinic near you, or private nurse to your own home…..for an extra fee
Monitor My Health also now offer thyroid and vitamin testing, plus cholesterol and HBA1C for £65
(Doesn’t include thyroid antibodies)
monitormyhealth.org.uk/full...
10% off code here
thyroiduk.org/getting-a-dia...
Never supplement iron without doing full iron panel test for anaemia first and retest 3-4 times a year if self supplementing. It’s possible to have low ferritin but high iron
Medichecks iron panel test
Test early morning and fasting.
Yep I'm male. Got to keep trying haven't we. I'm starting to get hair loss especially on legs. Not good .
BlueKeith
important as a chap to also test testosterone when hypothyroid
Yes the hair loss thing is weird. My beard growth has become patchy with totally bald spots in places. Not a problem though as I normally shave, but odd.
Hair loss
Could be low iron/ferritin
Could be low zinc
Could be alopecia
Thanks for your many tips I'll apply them at my next blood test session.
Overall, the hardest thing is trying to differentiate, in all the strange body behaviour, what could be due to a natural ageing process and what has it's roots in Thyroid disorder. It's all the odd stuff like inability to regulate my body temperature, sometimes I feel like I'm cooking from the inside. Embarrassing at times when soaked in sweat at the merest sign of either physical exertion or warm weather generally. I often wondered why I like Norway so much,( joke ).
In Dr Peatfields book on Living with Your Thyroid he recommends reducing your carbs (not cutting out). I found this very useful. You can get a good level of carbs through vegetables. With a top up of small portion of rice, pasta or bread or potatoes a few time per week. I didn't count calories just did this. Portion control isn't an issue for me. However you do need to get your thyroid hormones and the associated vitamin optimal and personally I wouldn't be trying until you've achieved this.
I agree with this, for example I don’t eat pasta anymore but I don’t worry about carrots and beetroot, pears and so on. Bananas I’m undecided depends on ripeness for me. 🌱
Me2U,
There is no question that diet is massive, eg finding what works for you in terms of the right amount of calories, nutrients and not too much inflammation, etc but it is the thyroid hormones that regulate metabolism and are therefore as equally important.
Being very overweight can also slow the weight loss as can adrenal issues and hypo-commonly-induced insulin resistance and leptin resistance even if these aren't full blown recognised conditions.
Medicating an adequate replacement dose of thyroid hormones that are supported to work well with optimised iron and nutrients, combined with attention to diet allows better weight control. I find it more of a struggle to lose weight as I get older, and have to be more disciplined regarding chocolate, crisps and alcohol that are my treats.
Do take a look at Zoe:Tim Spector, Dale Pinnock re diet and nutrition there’s a few good nutritionists out there with evidence based information …calories in calories out don’t always work, or do for short time … our needs are all very individual and we respond differently to food.
Merely cutting out junk food can improve well-being, weight wise there’s obviously so much more to diet than food really, other hormones out of whack, circadian rhythm/sleep and the effects it has on hormones… exercise some people are good at High impact others it will raise cortisol and you won’t shift anything… find an exercise you like and do that if possible.
You might do well to look up a nutritionist Pippa Campbell free 5 day challenge it starts Monday if you have Instagram check her out … find what metabolic type you are, until you know that lots of diets may not work… and could have opposite effects.
pippacampbellhealth.com/sep...
*edit
Just to add many people with low thyroid shouldn’t do Low calorie, fasting, over exercise, skip meals and run on coffee… according to Pippa Campbell… there will be some caveats in that I’m sure but probably worth looking at these.
Weight loss or lack there of has been my constant companion for a good 35 or so so years . I have to hit 800 calories and 50grams of carbs to see any loss. It’s NOT the way to live. Reading your post I wonder I& you have checked your BMI? If so you will see that it’s currently 24.2, the maximum weight NHS recommends for your height is 10 st 6. Your starting weight. I am inclined to think you are already a healthy weight, and have no need for substantial weight loss. If you are aiming for a narrower waist then perhaps try sone excercise, yoga can be very effective at helping to sculpt the body without being too hot and sweaty in the gym. Otherwise try 1200 cal a day. That’s a reasonable intake fir adult females. I am sure any medical professional could reassure you that at present your body weight doesn’t pose any health concerns.
The only time in my whole life that I put on weight was after my thyroid was removed back in 2015. I was put on Levo for the first time 100 it was much too low and after a few months I gained over 10 lbs. On the correct dose you shouldn't gain weight at all. Diets are never good for you anyway, I eat around 2000 a day and stay the same weight.
I forgot to mention I am 10st and 5ft 8.5 inches tall. I am 77 years old but when I was younger I was about 9st 10ish. You are not very heavy for your height.
I've lost a stone with slimming world but it took a time
I have Graves disease and had RAI so hay basically no thyroid now. If I want to loose weight I do a modified 5:2 diet. I'll have 4 or 5 large mugs of milky coffee for the day. I will sit down at the table to have them at my usual eating times.
The body doesn't''t understand calories it understands nutrients and what it needs to be healthy. If you reduce calories especially over a long period you just reduce the nutrients and the body thinks it's starving so will store as much energy as it can. On top of that if your diet is poor quality low density food you have no chance of getting the nutrients the body needs to be healthy and for healthy hormone production.
Focus on the quality of the diet rather than calories as you can eat 2000 calories and get no nutrients at all.
I lost 65 pounds between my hypo diagnosis in 2022 to now. I changed a lot on my diet. Gluten, sugar and dairy free. Water only drinks. Low FODMAP. My body went into ketosis through my diet as well as metabolic acidosis. I'm not sure if or how metabolic acidosis plays a part in my weight loss. Non diabetic.
I managed to lose weight doing a fat free diet. Lost 3 st in about 18 months, brought my cholestrol down too from 5.5 to 4.5. No frying, skimmed milk, was quite easy when u get used to it 🙂
I am Exactly the same way I will lose 5 to 10 pounds then gain it right back I fast a lot but trying to lose 40 pounds is so hard with Underactive Thyroid