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Started gaining weight and have swelling on face with normal TSH level. Worrisome

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General & Family Physician
Practicing since : 1980
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My mother has been experiencing 8-9 Kgwt. increase in her body weight in last 10 months however her diet is constant for last few years and she remains quite active, does 20 min.s brisk walk daily. She has swelling on her face whereas her TSH is within normal limits (3.1).
Posted Mon, 11 Mar 2013 in Thyroid Problem and Hormonal Problems
 
 
Answered by Dr. Rahul Tawde 34 hours later
Dear XXXXXXX,
Thanks for writing in. Its quite common for postmenopausal women of this agegroup to put on weight without any obvious reasons. Its because of hormonal changes and reduction in body metabolism. Some obvious causes nonetheless have to be ruled out. These include Cushing' s, hypothyroidism, nephrotic syndrome etc. These can be ruled by simple tests done by your physician. Thyroid is obviously normal in her. If everything turns out to be normal then you have to try and lifestyle modification to reduce weight. This msy mean brisk walk or exercise good enough to burn 300 kcal a day and dietary modification both quantitatively and qualitatively to achieve negative caloroe balance of around 500 kcal. By this she can lose around 100 gm per day. She needs to drink atleast 3 lt of water and take lots of salad. Citrus fruits and lemon can aid in fat burning. She needs to be persistant in her efforts and see a good dietician to plan a diet chart
Hope this helps
Shivaprasad
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