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PCOD, hypothyroid, difficulty in weight loss - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Thyroid Problem and Hormonal Problems
Answered by

General & Family Physician
Practicing since : 2009
Answered : 675 Questions
Doctor :   Hi
User :   Hi,
Doctor :   please proceed with your query
User :   Hi Doctor
User :   27yrs old
Doctor :   ok
User :   past 15yrs having a period problem
User :   5yrs back diagonised has im having thyriod problem
User :   started havg thronome 50mg tablets
Doctor :   ok
User :   I had few symptoms like, weight gain,contipation etc
Doctor :   ok
User :   again year back started PCO
Doctor :   ok
User :   for this from 2009 dec had 6month on tablets
Doctor :   ok
User :   im on the regular exercise, diet
User :   still last jan had same symtoms like continues bleeding for 2+weeks,
User :   had to take tablets to "pause 500mg" tablets , injection
Doctor :   ok
User :   still not able to reduce my weight even after the good diet,excerise
Doctor :   ok
User :   can you suggest me for the same
Doctor :   may i know what is your primary concern now ?
Doctor :   is it the weight gain ?
User :   im 5.2feet,
Doctor :   ok
User :   it is 63-64-66kg not able to reduce
User :   how can I cure PCO's and my MC problems
Doctor :   OK
Doctor :   may I know if you are married ?
User :   Im not married
Doctor :   ok
Doctor :   at present can you sum up all the medicines you are on ?
User :   dronis tablets for 6months
Doctor :   ok
User :   and some iron tables, ITEN etc
User :   from Dec 2009 to may2010
User :   after then also period was irregular, Dr. used to give tablets to get the period
Doctor :   ok
Doctor :   at present , what are you taking ?
User :   nothing
Doctor :   ok
User :   Dr. said Dronis is enough
Doctor :   when were your ast cycles ?
Doctor :   last*
User :   22nd ---5days
User :   22nd march
Doctor :   ok
Doctor :   thank yo for the patience
Doctor :   let me explain it to you
User :   march cycle was normal
User :   ok
Doctor :   since you have had a history of thyroid dysfunction , most probably hypothyroidism
User :   yes
Doctor :   i would want to tell you that thyroid also contributes to weight gain and menstrual disturbances
Doctor :   along with this you also have been diagnosed with PCOD which is also a cause for the above
Doctor :   so there are two significant reasons to explain your weight gain and irregular cycles
Doctor :   thyroid needs continuos medicines and regular thyroid hormone assessments and dose modifications
Doctor :   if the hormones are under control the doctor will slowly taper the dose and stop medicines
Doctor :   so , I would suggest you keep testing the levels as suggested
Doctor :   and get it under control
Doctor :   this will solve the first reason for weight gain
Doctor :   coming to pcod
Doctor :   this is a very common problem seen in young women of your age
Doctor :   i presume the doctor has done some hormone tests and ultrasound as well
User :   yes
Doctor :   the treatment for this includes lifestyle modifications , in diet , exercise and stress reduction
Doctor :   along with this you may need hormones and medicines like METFORMIN if the doctor advises on
Doctor :   with medicines and life style modifications , the cycles improve
User :   metformin?
Doctor :   once the hormones level come under control , the weight loss also will happen quickly
Doctor :   that is a drug generally given in pcod , if the doctor feels there is a significant imbalance
Doctor :   if not recommended , do not owrry about it
Doctor :   worry*
User :   ok.
Doctor :   may i know waht exercise you do presently ?
User :   jan2010- 6months did gym.
Doctor :   ok
User :   after that for 6month did only walk and joking
User :   and now 1month aerobics
Doctor :   ok
Doctor :   aerobics is very good for pcod
Doctor :   we aim at good cardio exercises for weight loss
Doctor :   and aerobics has a lot of cardio in it
User :   what about swimming?
Doctor :   yes , swimming also is good
Doctor :   you ca do that too
Doctor :   may be alternate aerobics one day with swimming the other
User :   what about the chlorine added in the water? will nt affect again?
Doctor :   no , it has not much to do with weight and menses
User :   ok
Doctor :   so i would suggest you give it time
Doctor :   aerobics will need 2 to 3 months for good results
User :   ok
User :   what about the diet?
User :   can you suggest some good diet/
Doctor :   yes
Doctor :   i will
Doctor :   you must have a diet which is colorful
Doctor :   by colorful i mean salads
Doctor :   include vegetables of all colors
Doctor :   they are rich in antioxidants
User :   ok
Doctor :   and you may munch them when you feel hungry
Doctor :   try and go in for less oil and more of vegetables
Doctor :   green leafy vegetables
Doctor :   and lots of fruits in moderation
User :   ok
Doctor :   and make sure you have little in more frequent meals
Doctor :   eat small amounts more frequently
Doctor :   this will help in burning calories easily and prevent the accumalation and hence converting into fat will be less
User :   ok
User :   can i have rice?
Doctor :   yes , you can have rice
Doctor :   avoid it at night time
User :   ok
Doctor :   you could have it at break fast and lunch
Doctor :   you may try ragi at night
Doctor :   or chapatis as well
User :   ok
Doctor :   at lunch yo can have little rice with chapati
Doctor :   try and experiment with your food and see what your body listens to
Doctor :   also make sure you drink lots of water daily
Doctor :   it aids in digestion and weight loss
User :   I have, past 2yrs
User :   atleast 2-3ltrs
Doctor :   ok ,that is good
User :   i have constipation still
Doctor :   avoid cofee , tea and aerated drinks
Doctor :   ok if you have constipation , avoid ragi
User :   ok
Doctor :   drink a glass of warm water when you wake up
Doctor :   it willhelp in easy stools increasing gut motility
User :   ok
Doctor :   constipation is generally seen with hypothyroidism
User :   ok.
Doctor :   physical activity , good fibre which is more in the green vegetables will help in constipation as well as weight loss
Doctor :   saying so , i would also suggest you to reduce on stress
User :   ok
Doctor :   try meditation
Doctor :   you could do deep breathing exercises at work as well
Doctor :   it burns some amount of calories
User :   ok
Doctor :   your aerobic instructor would be able to demonstrate them to you
User :   ok, i will check today
Doctor :   never skip meals
User :   ok
Doctor :   or be on empty stomach
Doctor :   there is no need to completely avoid fried food
Doctor :   you could consume everything in moderation
Doctor :   you are not responding , i may have to close the chat window
Doctor :   kindly log in again to chat with us
Doctor :   thanks for consulting me
Doctor :   Bye for now
Doctor :   Hi
User :   im in office
Doctor :   that is fine , we will continue our conversation
User :   ok
Doctor :   do you have any more questions for me ?
User :   s
User :   yes
Doctor :   please proceed
User :   can I have cabbage or cauriflower
User :   ?
Doctor :   avoid them
User :   ok
Doctor :   you may consume the other green leafy vegetables
User :   ok
Doctor :   i will give you a brief list
User :   ok
Doctor :   on what to consume
User :   ok
Doctor :   please give me a minute
User :   ok
Doctor :   thanks
Doctor :   Avoid foods that interfere with thyroid function, including broccoli, cabbage, brussels sprouts, cauliflower, spinach, turnips, soybeans, peanuts, linseed, pine nuts, millet, cassava, and mustard greens.
User :   ok
Doctor :   avoid soy products whenever you are on thyroid medicines
User :   spinach also?
Doctor :   they will interfere with the absorption of those medicines
Doctor :   you may take in moderation once in a while
Doctor :   this is the list we generally make patients aware of
User :   ok.
User :   but spinach also. this is rich in iron?
Doctor :   you can have other vegetables instead which have good iron
Doctor :   drumstick
User :   ok
Doctor :   whole grains are also rich in iron
User :   ok
Doctor :   you could consume carrots and radish to
Doctor :   include them in your salad
User :   ok
Doctor :   legumes, sprouts,are helpful
User :   linseed is nothing but the sesame seeds(til)
Doctor :   may i know if you consume egg and non veg ?
User :   only egg
User :   i dnt have non-veg
User :   I used to have more linseed(sesame) for iron.
Doctor :   for hypothyroidism follow this proportion for diet
Proportions of foods in the daily diet: 45% grains, 35% vegetables, 10% fruit, 5% beans and other legumes, 5 % other recommended can also include egg yolks, parsley, apricots, dates
User :   ok
Doctor :   may i know which place sre you from ?
User :   bangalore
Doctor :   linseed is different from sesame
User :   ok.
Doctor :   are you there
User :   yes
User :   last one more query.
User :   can this thyroid be cured permanently
User :   ?
Doctor :   thyroid dysfunction is hormonal
User :   ok.
Doctor :   generally it is controlled
Doctor :   with medicines it will be brought back to normal values
Doctor :   we do not say it is cured , but we say it will be controlled as the aim is to bring the hormones to normal levels
Doctor :   hence i recommend you to check the values often
User :   ok, bez last time when for PCOS, I did thyriod tested my TSH was 2.5
Doctor :   o
Doctor :   ok
User :   ok. I see lot of married women saying this problem
Doctor :   do not worry ,i hope the medicines were stopped only after physician review
Doctor :   which problem you mean to talk about ? pcod or thyroid dysfucntion ?
User :   i want to completly come out of this period problem
Doctor :   you can come out of it
Doctor :   do not worry
Doctor :   if you follow the right steps whch i mentioned you will see your periods getting regular
Doctor :   since this month cycles came on time , it is a positive sign
User :   bez of this I feel often very much tired, droise,
User :   ok
User :   cannt concentrate on the work,
Doctor :   i understand
Doctor :   pcod and hypothyroid itself will cause tiredness and feeling fatigued usually
Doctor :   but with time and exercise you will feel better
User :   ok
User :   ok
Doctor :   since you are on medicines , i do not feel it will remain the same , it will improve
User :   ok.
Doctor :   just go for regular visits and also keep a watch on the thyroid
User :   from 1week im feeling tired, sleepy
User :   ok
Doctor :   this must be because of the recent exercise schedule
Doctor :   give it time for the body to adjust
User :   I will flow the diet plan you gave.
User :   ok.
Doctor :   a morning exercise is better than evening , if you find time
User :   ok.
Doctor :   yes , please do so and you will be fine
Doctor :   when we exercise , the body releases cortisol and endorphins
User :   i go at evening times may be this is problem
Doctor :   endorphin is a happy hormone and will help in keeping you positive and charged up through out the day
User :   ok
Doctor :   if you cannot do it mornings , thats fine , can do it evenings as well
Doctor :   i hope you followed my suggestions
Doctor :   did i answer your questions ?
User :   yes doctor , thank you for the good suggestions.
Doctor :   thank you for consulting me ,pleasure here
User :   i will get the thyroid and hormones test done this week, and for suggestion
User :   will get back to you,
Doctor :   you could chat with us again 24/7, for further queries
Doctor :   sure
User :   ok.
Doctor :   pleasure here
Doctor :   take care
Doctor :   good day
User :   you too
Doctor :   Bye for now .
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