What causes weight gain when suffering from hypothyroidism?
Thank you very much for writing to me again.
Noted your history.
If your current TSH is normal, i strongly suspect that hypothyroidism alone is not the only reason for the weight gain. How is your diet and exercise?
I would strongly recommend against increasing the dose of thyroid medications just for weight loss. If your TSH is low, that means that you are over replaced.
There are few risks associated with lowering your TSH ( which means over replacement) especially at your age.
1. Risk of irregular heart beat and palpitations.
2. Risk of precipitating a heart disease or angina
3. Bone loss ( osteoporosis).
These are few of the side effects of over replacement.
If you strongly beleive that your diet is good ( if you are not taking excess sugars and carbohydrates and fatty food) and if exercise well, and unable to lose weight, we need to look at other causes of weight gain including hormonal causes. Cushing's syndrome is one of the hormonal causes of weight gain. But it is rare.
Do you have swelling around ankles? How is your urine out put ? Any breathing trouble when you lie down flat ? Any intake of medicines like Pioglitazone ? I would appreciate a reply.
I walk 15-20 miles a week, and I am careful about everything I eat. I am only retaining water in my abdominal area, not in my feet, or ankles. My urine output is very low compared to the amount of water and unsweetened herbal teas, I drink, about 8 cups per day. I had blood work done, on XXXXXXX 3rd, by my Cardiologist/Internist on XXXXXXX 3rd, but I won't have the results until next Thursday, July 10th. I'm having an echocardiogram done, tomorrow, so the Dr. wanted to discuss all my test results at once. I have an appointment with a new Endocrinologist, but he is supposed to be so good, and he is so booked, that I had to wait until October 6th, for an appointment with him. As I mentioned, I saw another Endocrinologist in February and March of this year, but she is the one that insisted I take Synthroid. I'm just so frustrated, regarding my weight. I am tired of walking around like this, and I can't stand looking at myself in the mirror, because as I mentioned previously, I have never looked like this my whole life. I know I'm beginning to sound like a broken record, but I need to start feeling better about myself, and that is not going to happen until I start losing a significant amount of weight.lso, I am only taking Armour Thyroid and Microzide, no other medications, at this time.
I am sorry to hear about your feeling. I hope the blood tests will throw some light in to this situation. It may be a good idea to do an ultrasound of abdomen just to look at your kidneys and liver.
As i mentioned earlier, cushing's syndrome is another hormonal condition which can cause weight gain.
Please do not feel sad. There is help available always. The most important thing is not to get depressed and take things positively.
I understand that most endocrinologists prefer synthroid over Armour thyroid. But if you feel good on armour thyroid and if TSH is okay, then you might as well continue it.
Tomorrow, when you meet the doctor, if the echo test is normal, you may discuss about possibility of cushing's syndrome. They may have to arrange blood and urine tests to screen for Cushing's syndrome
Please be strong
Oh dear,i truely understand your feeling. Please do not lose any hope. You are always welcome to ask me more. Please do write back as soon as you have the results of blood tets.
Stay positive. I strongly believe in God and in the power of prayer. Remain strong. God will listen to you.
Wish you good health
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