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How to loose weight? - Online Doctor Chats

Date : 08-Apr-2014
User rating for this question
Very Good Posted in: Weight & Lifestyle
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
User:Hi,
I am 24, female with 65 kg of weight. It used to be 53. I have consulted 2 nutritionists with various diet plans and cardio exercise but my weight is not reducing, in fact gaining at the rate of 1 pound per 2 weeks, especially especially around my belly area. there's no difference between my belly and hip measurement. My fasting insulin and thyroid are normal. Please help
Doctor:Hello
User:Hi
User:This is XXXXXXX
Doctor:Hello Ms XXXXXXX
Doctor:Have you checked your hormone levels
User:only fasting insulin
Doctor:that is your estrogen, progesterone, LH and FSH levels?
Doctor:Okay
User:which was at the level 5
Doctor:I would like you to check these as well
User:and thyroid which was bw 3-4
Doctor:and also Prolactin levels
Doctor:Okay
Doctor:Since you have normal thyroid and insulin levels, you will have to look for other causes of weight gain
User:what about cortisol?
Doctor:particularly PCOS
Doctor:Cortisol is not that much of a necessity
Doctor:You will also need to get an abdominal ultrasound done
User:ahan
Doctor:and you will need to consult an endocrinologist
Doctor:You have mentioned that you are diagnosed with bipolar disorder
User:yes
Doctor:are you taking any medicines for that?
User:no i left them because i was gaining weight due to epival
User:left them cold XXXXXXX
Doctor:When did you stop these medicines?
User:an year ago
Doctor:okay
User:why is abdominal ultrasound necessary, if i may know
Doctor:I would like you to get the tests I suggested and see an endocrinologist
Doctor:If you have PCOS(Poly cystic ovarian syndrome), ultrssound will show cysts in the ivaries
Doctor:ovaries
Doctor:that will help make a diagnosis
Doctor:that is why it is necessary
User:ahan
Doctor:is there anything else I can help you with XXXX?
User:so i need to get estrogen, progesterone, LH, FSH levels and PCOS right?
User:and abdominal scan
Doctor:Estrogen, progesterone, LH, FSH, Prolactin and an Abdominal ultrasound scan
Doctor:PCOS is a diagnosis, it is not a test
User:ok
User:Thank you for your time
Doctor:Anything else you would like to ask me?
User:can i ask one more thing
Doctor:Sure, please go ahead
User:since what ever i am doing right now, i am gaining weight. can you suggest what to do till i undergo these results
Doctor:You need to exercise more
Doctor:that is around 30 to 45 minutes daily
Doctor:and cut down on fat/oil content in the foods
Doctor:swimming is very good
User:ok
User:thank you for your help on this..
Doctor:You are most welcome
Doctor:bye
User:you too.. good bye
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