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Thyroid and dieting

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Alison L Miles - 18 Mar 2004 18:15 GMT
A question for those of you (Chris, Ig, anyone else?) taking thyroid...

I realize that the thyroid regulates metabolism; did you notice any
difference in weight or calorie need when you started treatment, or was it
every bit as difficult to lose/not gain as when you weren't taking it?

PCP said my thyroid was normal, but I felt very, very out of whack and
went to an endocrinologist for a final opinion.  Lab results aren't in yet
but since I had tons of symptoms of hypothyroidism and my thyroid was
slightly enlarged on one side, he decided to start me on Synthroid to see
if it helps (I start tomorrow with no idea what to expect).  Weight loss
isn't my main goal (feeling better is!) and I don't expect pounds to
miraculously melt off with no work, but I was wondering my metabolism
might eventually speed up a bit and make maintenance slightly easier.

Thanks for any insight,
Alison
Ignoramus21235 - 18 Mar 2004 20:16 GMT
> A question for those of you (Chris, Ig, anyone else?) taking thyroid...
>
> I realize that the thyroid regulates metabolism; did you notice any
> difference in weight or calorie need when you started treatment, or was it
> every bit as difficult to lose/not gain as when you weren't taking it?

I have been on thyroid meds for 11 years, since my thyroid surgery
that removed 2/3 of thyroid. I have always been overweight, before and
after the surgery. The purpose of supplementation is mainly to
suppress thyroid function. So I have no comparison data. That said,
when you have more thyroid hormone in your blood, you do spend more
energy due to being warmer, fidgeting more, being more energetic etc.

Ihave not increased my thyroid medicine to lose weight, and decreased
it recently as I lost a bunch of weight and did not need as much hormone.

> PCP said my thyroid was normal, but I felt very, very out of whack and
> went to an endocrinologist for a final opinion.  Lab results aren't in yet
> but since I had tons of symptoms of hypothyroidism and my thyroid was
> slightly enlarged on one side, he decided to start me on Synthroid to see
> if it helps (I start tomorrow with no idea what to expect).

synthroid does not work for me, it feels like I am not taking
anything. I take Armour instead. I used to take smuggled Russian
thyroid hormone, derived from cows, which worked well. Armour is just
as good for me. Synthroid feels like I am taking a placebo.

> Weight loss isn't my main goal (feeling better is!) and I don't
> expect pounds to miraculously melt off with no work, but I was
> wondering my metabolism might eventually speed up a bit and make
> maintenance slightly easier.

Well, you know, appetite is also part of the equation. If you have
"high metabolism" but are hungrier, high metabolism is not as helpful.

i
geek_girl - 18 Mar 2004 21:07 GMT
> A question for those of you (Chris, Ig, anyone else?) taking thyroid...
>
> I realize that the thyroid regulates metabolism; did you notice any
> difference in weight or calorie need when you started treatment, or was it
> every bit as difficult to lose/not gain as when you weren't taking it?

It made a huge difference for me. Before I went on the thyroid
replacement, I was maintaining at 175 lbs on about 1800 calories/day,
and working out 3 times a week, doing weights and insane amounts of
cardio. I knew I should have been losing weight, and didn't understand
why I wasn't. Then I started gaining even more weight, and eventually
got so sick and exhausted I couldn't work out anymore. I finally
realized something was very wrong and got treatment for it. When I went
on the thyroid, I was able to work out again, and I started losing the
weight. I still had to diet and exercise, but I was finally getting some
results for all my work.

> PCP said my thyroid was normal, but I felt very, very out of whack and
> went to an endocrinologist for a final opinion.  

Normal isn't optimal. The normal ranges are huge, and what's normal for
you might not be normal for someone else.

> Lab results aren't in yet
> but since I had tons of symptoms of hypothyroidism and my thyroid was
> slightly enlarged on one side, he decided to start me on Synthroid to see
> if it helps (I start tomorrow with no idea what to expect).  

I've never taken Synthroid (I take Armour) but I know a few people who
take it, and it seems to work for them. I've heard that some people
don't do well on it though, and need to take some T3 to feel normal
(either Cytomel added to the Synthroid, or a combo drug such as Armour
or Thyrolar).

> Weight loss
> isn't my main goal (feeling better is!) and I don't expect pounds to
> miraculously melt off with no work, but I was wondering my metabolism
> might eventually speed up a bit and make maintenance slightly easier.

Right. It won't be magic, but it does make things easier. You'll be able
to get the same results with a little less effort, or better results
with the same effort. What you won't get is better results with no effort.
Alison L Miles - 18 Mar 2004 21:50 GMT
>> PCP said my thyroid was normal, but I felt very, very out of whack and
>> went to an endocrinologist for a final opinion.  

> Normal isn't optimal. The normal ranges are huge, and what's normal for
> you might not be normal for someone else.

That's what my endo says, and why he says that hypothyroidism is actually
kind of widespread and undiagnosed in much of the population.  He's pretty
into treating symptoms regardless of lab results for that reason.

>> Lab results aren't in yet
>> but since I had tons of symptoms of hypothyroidism and my thyroid was
>> slightly enlarged on one side, he decided to start me on Synthroid to see
>> if it helps (I start tomorrow with no idea what to expect).  

> I've never taken Synthroid (I take Armour) but I know a few people who
> take it, and it seems to work for them. I've heard that some people
> don't do well on it though, and need to take some T3 to feel normal
> (either Cytomel added to the Synthroid, or a combo drug such as Armour
> or Thyrolar).

Once again, just like my endo said (you know your stuff!).  He's starting
me on a low dose of Synthroid (T4) and in a couple of weeks, after a
progress report, he's going to add in some T3--not Cytomel, though, since
he likes to prescribe it in smaller doses to start out with (so he has his
own low-dose stuff compounded locally).

>> Weight loss
>> isn't my main goal (feeling better is!) and I don't expect pounds to
>> miraculously melt off with no work, but I was wondering my metabolism
>> might eventually speed up a bit and make maintenance slightly easier.

> Right. It won't be magic, but it does make things easier. You'll be able
> to get the same results with a little less effort, or better results
> with the same effort. What you won't get is better results with no effort.

That's what I'd like.  I like exercise, but I am sick of running 8 miles a
day, 7 days a week, on 1200 (maximum) calories and gaining, and everyone
here on a.s.d (and in "real life") is sick of me complaining about it!  
I'd really just like to feel a bit more normal.

Thanks so much for the info!

-Alison, hoping for the best
geek_girl - 18 Mar 2004 23:22 GMT
>>>Lab results aren't in yet
>>>but since I had tons of symptoms of hypothyroidism and my thyroid was
[quoted text clipped - 8 lines]
>
> Once again, just like my endo said (you know your stuff!).  

Heh. Sounds like your endo knows his stuff! Unfortunately, a lot of them
don't. They think that normal labs mean you're normal, T3 is dangerous
and unnecessary, etc.

>>>Weight loss
>>>isn't my main goal (feeling better is!) and I don't expect pounds to
[quoted text clipped - 8 lines]
> day, 7 days a week, on 1200 (maximum) calories and gaining, and everyone
> here on a.s.d (and in "real life") is sick of me complaining about it!

That must be so frustrating. Getting the thyroid problem straightened
out should help a lot.

> I'd really just like to feel a bit more normal.
>
> Thanks so much for the info!

You're welcome, and good luck. Hope you feel better soon.

> -Alison, hoping for the best
Alison L Miles - 23 Mar 2004 15:19 GMT
>> That's what I'd like.  I like exercise, but I am sick of running 8 miles a
>> day, 7 days a week, on 1200 (maximum) calories and gaining, and everyone
>> here on a.s.d (and in "real life") is sick of me complaining about it!

> That must be so frustrating. Getting the thyroid problem straightened
> out should help a lot.

I think it just may.  I've been on the Synthroid now for 5 days, and
though my head says that's way too early to feel ANY difference, I think
am seeing some subtle changes.  I'm keeping my fingers crossed...

>> Thanks so much for the info!

> You're welcome, and good luck. Hope you feel better soon.

Thanks, to you and everyone, for the good info, advice, and support.  It's
nice to know that people out there understand.

-Alison
Ignoramus3985 - 23 Mar 2004 16:27 GMT
>>> That's what I'd like.  I like exercise, but I am sick of running 8 miles a
>>> day, 7 days a week, on 1200 (maximum) calories and gaining, and everyone
[quoted text clipped - 6 lines]
> though my head says that's way too early to feel ANY difference, I think
> am seeing some subtle changes.  I'm keeping my fingers crossed...

try counting your pulse in the mornings, and see if synthroid
increases it.

i

>>> Thanks so much for the info!
>
[quoted text clipped - 4 lines]
>
> -Alison
Alison L Miles - 23 Mar 2004 19:08 GMT
> try counting your pulse in the mornings, and see if synthroid
> increases it.

> i

Thanks--I will try that tomorrow.  I was getting excited that my resting
heart rate was decreasing (it's 60 now--used to be much higher) because I
thought it was all the exercise getting me in shape, but I guess it may
have been my thyroid too.

Temp's still the same (97.4-97.6 in the morning, 98.1 at night), so I'll
keep tabs on that too.

It sure is funny how much a thyroid does.

-Alison
Ignoramus19359 - 23 Mar 2004 20:12 GMT
>> try counting your pulse in the mornings, and see if synthroid
>> increases it.
[quoted text clipped - 5 lines]
> thought it was all the exercise getting me in shape, but I guess it may
> have been my thyroid too.

Both have an impact...

> Temp's still the same (97.4-97.6 in the morning, 98.1 at night), so I'll
> keep tabs on that too.
>
> It sure is funny how much a thyroid does.

it's like a furnace regulator...

i
JMA - 19 Mar 2004 02:08 GMT
>> That's what I'd like.  I like exercise, but I am sick of running 8 miles
a
> day, 7 days a week, on 1200 (maximum) calories and gaining, and everyone
> here on a.s.d (and in "real life") is sick of me complaining about it!
[quoted text clipped - 3 lines]
>
> -Alison, hoping for the best

I hope it works out for you Alison.  Your posts have been hitting close to
home with me and my endocrine problems.  It's possible when I see my endo on
Monday that he'll tell me it's a thyroid thing as my thyroid has always been
pretty much the lowest it can be and still be considered "normal."  Every
doctor I've seen, including this one has said that my symptoms are very
consistent with thyroid problems, though I did have some labs that indicate
the adrenal glands are also involved.

Anyway, I cannot imagine how you can run 8 miles a day, 7 days a week and
still have knees.  I feel like a slacker doing only 15 miles this WEEK, but
my knees have been a bit sore after running and so I'm trying to cut back a
bit and avoid injury.  I think it's due to the excess weight from my last
bout with edema, I haven't been able to get rid of it this time around even
on 1200-1300 cal/day.

People in my RL really don't care to hear me complain about my weight
problems because I look slim and fit to them.  That's why I come here and
whine. BTW, what is normal?

Jenn
Patricia Heil - 18 Mar 2004 22:46 GMT
I only lost 20 pounds when I got on the medication.  The rest has
been exercise and changing how I eat.  The point was with a bad
thyroid I didn't have the energy to exercise and every time I tried
to increase my routine, I got sick.  That's over, now that I am on
the meds and exercise regularly I've had one cold in two years.
But I think it was wrong of the doctor to start you on meds before
the results came in because being hyperthyroid can cause heart problems.

> A question for those of you (Chris, Ig, anyone else?) taking thyroid...
>
[quoted text clipped - 13 lines]
> Thanks for any insight,
> Alison
Chris Braun - 19 Mar 2004 04:27 GMT
>A question for those of you (Chris, Ig, anyone else?) taking thyroid...
>
[quoted text clipped - 13 lines]
>Thanks for any insight,
>Alison

When my condition was diagnosed and I began taking synthroid, I didn't
lose any weight as a result of this.  In fact, it mainly seemed to
increase my appetite at first.  But it seemed to make it more possible
to lose weight when I reduced my caloric intake.  Previously, it
seemed very difficult to lose even when I ate little.  So I guess I
think it made my body more responsive to dieting.

Chris
Doug Freyburger - 23 Mar 2004 20:14 GMT
> I realize that the thyroid regulates metabolism; did you notice any
> difference in weight or calorie need when you started treatment, or was it
> every bit as difficult to lose/not gain as when you weren't taking it?

I started low dose synthroid generic about mid-1980s.  I read about
weight loss but didn't get any.  Maybe my dosage is too low for loss
but it is enough so I no longer have the symptoms.

A low carb caution - Induction level carb intake causes T3 output to
drop starting week 3.  Folks on thyroid pills should NOT use ANY
excuse to extend Induction.
 
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