Brief Answer:
Hello and Welcome to HCM

Detailed Answer:
Well, I think you have done a great job already. You ask if you should struggle to lose that last 6 pounds. Let me try to help you answer that question yourself.

First, what is your usual weight ? Are you striving for a weight that you think is not only Achievable, but Maintainable ? Remember you were at 205 for ten years. Also, the older one gets the more protective a little extra weight can be (as in over 60).

Next, The Bmi cutoff for overweight is greater than 24.9. You are currently at about 26 BMI.

The last few pounds are always the hardest to lose. If you think your goal of 155 is achievable and maintainable, go for it. At this time I would not recommend any aides for weight loss due to your medications.

You might also try assuring you are taking your synthroid correctly. Take early in am on a fasting stomach and then do not eat for 20 minutes. Limit or avoid soy products and cruciferous vegetables (broccoli, cauliflower). Do not take any vitamins with minerals in them or high fiber foods for four hours after synthroid administration.

I agree with the consult by Dr. Xhardo and will not repeat those recommendations.

Taking polyphenols has shown in many human research trials to help people lose weight. Those foods include: fruit and vegetables, green tea, black tea, red wine, coffee, olive oil. . .Green tea, decaffeinated might help boost your compromised metabolism from losing all that weight. Drink 6 oz. clear green tea before meals.Mechanism: it slows down the formation of new fat cells.

Have a source of lean protein at every meal. To break down calories, the Mifflin formula states that you should be maintaining current weight on approximately 2052 calories and to lose one lb per week eat no more than 1500 cal/day.

I actually congratulate on making the progress you have made in your lifestyle and if you were my patient, I would strive to maintain the weight you are at, which already represents a huge weight loss and you have quit smoking as well!

The end decision is yours, but I have laid on the table everything to think about as you decide whether to try to keep losing weight or not.

Kind Regards Dear, XXXXXXX Shattler, MS,RDN

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Brief Answer:
Hi

Detailed Answer:
Lean meats include the white meat of chicken and turkey and make certain you take the skin off;flank steak, sirloin tip, eye of round, top round, tenderloin, top loin, rump roast, extra lean ground beef; ham-center loin, tenderloin, Canadian bacon; wild game-venison, bison, elk, squab, wild duck (without skin), pheasant, rabbit.

Tips:

Choose lean meat containing less than 3gm of fat per 1 oz
Generally, the leanest cuts of meat contain “round” or “loin” in their name
Look for poultry with USDA Select grading of A and B
Look for beef with USDA “Select” or “Choice” grading rather than “Prime,” which usually has more fat

To lower the fat content of poultry and other meat, cut off skin and fat before cooking and/or eating
While many grocery stores carry both ground chicken and ground turkey, they may contain as much fat as ground beef because they often include dark meat and skin. For lower fat, choose ground breast meat or look for low-fat ground chicken or turkey.

Grilling is better than frying and baking is also a good choice.

Look on labels to see if products contain sugar. The closer an ingredient is to the beginning of the list, the more that product has of that ingredient by weight.

Blueberries are fantastic antioxidants, snacks.

Green tea has ECGC in it and that is the chemical that stimulates the metabolism. I must be careful because you are on Klonopin and I don't want to "speed you up" when you are on that medication.

Also, remember when the doctor made that comment, you were much younger and more active weren't you???

Be kind to yourself. Take care of yourself. You may find some inspiring words on my Pinterest Board which you can find by searching for Pinterest, Virtual Nutritional Synergy.

Kindly, Kathy Shattler, MS,RDN

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