Weight Loss and Hypothyroidism: Quite the Odd Couple

Weight Loss and Hypothyroidism

Weight loss is by far the number one question asked by readers. Thank you Marc Ryan from Hashimoto’s Healing for writing a guest blog post on this topic for Hypothyroid Mom. Marc recently invited me to be part of his video blog. I had a great time with Marc discussing Hashimoto’s, hypothyroidism and pregnancy! For those of you who wish to become members of Marc’s video blog and view our interview, here is the link: Hashimoto’s Healing Video Blog

Written by Marc Ryan, Founder of Hashimoto’s Healing

One of the most common concerns for people with hypothyroidism is maintaining proper body weight.

For people with Hashimoto’s (the most common cause of hypothyroidism) this comes in 2 varieties. They gain weight and can’t lose it or they have trouble keeping it on.

In this post we will examine the many reasons why a lot of people with hypothyroidism have such difficulty losing weight.

The Thyroid Influences Metabolism

One of the obvious things that people think about with hypothyroidism and weight gain is the fact that the thyroid has an impact on the body’s metabolic rate.

What does this actually mean? In technical terms, metabolism is the amount of oxygen used by the body over a particular amount of time. When this measurement is made at rest, it is called the basal metabolic rate or BMR.

Testing BMR was, once upon a time, used to assess a patient’s thyroid status. If you had a low BMR, your thyroid was underactive, and if you had a high BMR your thyroid was overactive.

Later studies showed that low thyroid hormone levels were linked to low BMRs. Then, most physicians decided to scrap testing BMR in favor of simply testing thyroid hormone levels because it is easier and it was found that the thyroid was not the only thing to influence metabolism.

Not So Fast

High or low BMRs are associated with changes in energy balance. Energy balance comes down to the difference between how many calories one eats and how many calories one’s body burns.

Things that create a high BMR, like amphetamines, for example, often cause a negative energy balance which results in weight loss. (This is one reason why you tend not to see many overweight speed freaks.)

Based on this, many people originally assumed that changes in thyroid hormone levels which can lead to changes in BMR should lead to the same changes and the same weight losses (Minus the lost teeth and paranoia).

Well, as with most things related to the body, it turns out that it’s more complicated than that.

Other hormones, proteins and neurotransmitters have also been found to be part of the mix and these all also have influence on energy, food intake and body weight.

Some of them that are worth taking a look at and dealing with are leptin, insulin, neuropeptide Y, serotonin and inflammatory proteins like interleukin 6 (IL-6).

Fat, Literally, Has a Mind of Its Own

Physiologically, evolution takes quite a long time (relative to our sweet, short lives). And our ancestors evolved in a calorie poor environment where fat was pretty hard to come by.

As a hunter gatherer on the open plains of Africa, our forefathers (and foremothers) had to expend a lot of energy to get food and there wasn’t a whole lot of fat around.

Most prey was pretty lean and grass fed and there weren’t too many fast food joints (The fossil record has yet to reveal a single Mickey D’s).

As a result, our bodies developed a natural tendency to store whatever fat was available. And that fat got programmed with some pretty ingenious innate intelligence.

One of those ingenious adaptations from the clever mind of fat is the hormone leptin.

Leptin, The Body’s Fat Programmer

Leptin is a hormone that is made in your fat cells and it is involved in maintaining body weight. Interestingly enough, it also has influence on the thyroid.

Leptin acts as an important control system that communicates to other organs about the state of your fat balance and whether to eat more or stay in low-metabolism survival state. (Where, oh where, have all the wildebeest gone?)

When you have more fat cells, you get higher leptin levels.

The high leptin lets your hypothalamus (a kind of master endocrine gland in your brain) know that you don’t need to eat as much.

So your metabolism slows (and this signals you to make more Thyrotropin-releasing hormone (TRH), and this raises Thyroid Stimulating Hormone (TSH) and the TSH tells your thyroid to make more thyroid hormone.

This is what happens when everything is working properly. But with Hashimoto’s and hypothyroidism, lots of things are often not working properly and many people develop leptin resistance.

Leptin Resistance, Not Unlike Insulin Resistance

You may have heard of insulin resistance (if you haven’t, read about it here: http://www.hashimotoshealing.com/hashimotos-blood-sugar-blues/). Well, leptin resistance is similar and often co-exists. In fact, both are consequences of obesity.

With insulin resistance your body’s insulin receptors get fatigued because they have to deal with so much sugar. (They just give up and say “Uncle”). A lot of people in the US, today, have some degree of this.

With hypothyroidism, people can become overweight and they tend to use less energy. The increased amounts of fat and the lower energy use can result in leptin resistance and you wind up with a vicious cycle where leptin stops doing its job.

It stops telling you when to eat and it stops signaling your thyroid.

Dieting Can Make This All Worse

Of course, many people’s natural inclination when they gain weight is to go on a diet to try and lose it. Often these people will keep dieting and fail and then diet again and get all stressed out about it because it’s not working.

And guess what? Chronic dieting and/or major stress are common causes of leptin resistance. As a result, leptin no longer signals your hypothalamus and your metabolism slows down.

Leptin resistance makes the hypothalamus believe that you are in starvation mode, and you make more fat, and slow down thyroid hormone production.

So, TSH goes down, you don’t convert as much T3 from T4, and your reverse T3 goes up.

And, in what can only be described as unfair and cruel, your appetite actually increases, you become insulin resistant, and fat breakdown (lipolysis) slows down.

So a vicious cycle is created in which more fat accumulates, you’re hungrier and your thyroid is slower.

Over time, you gain weight, especially around the mid-section, and it becomes more difficult to lose the weight and accumulated fat.

Leptin Resistance Leads to Inflammation

With Hashimoto’s (and hypothyroidism) one of the most serious problems is inflammation. In fact, a destructive inflammatory process is really what is at the root of all autoimmune diseases (of which Hashimoto’s is one.)

Leptin controls and influences the immune system, too. It is chemically very similar in structure to IL-6, which is an inflammatory cytokine (immune protein) that studies have shown to be significantly elevated in women with Hashimoto’s.

One of the places where you can find high concentrations of IL-6 is in the fat that accumulates around the abdomen. This adipose tissue is highly inflammatory and can, itself, lead to the progression and more aggressive proliferation of many diseases.

Low vitamin D has also been associated with both insulin and leptin resistance. And vitamin D is an important anti-inflammatory that is often low in people with hypothyroidism.

This Is Your Brain on Leptin

Your perception of hunger is intimately linked to your brain chemistry. Normally, when things are working properly, your hypothalamus gets signals that you need energy and a brain neurotransmitter called neuropeptide Y (NPY- not to be confused with NYPD) is released.

It makes you want to eat more carbohydrates (think overwhelming urge to finish that can of Pringles). That surge is what makes you feel cravings and hunger.

Once your body has had enough carbohydrates, the brain releases serotonin which is your brain’s way of saying, “Put down the bag and step away from the counter.”

Studies have shown that NPY is an important go between of leptin in the central nervous system and the hypothalamus. And that giving people NPY suppressed circulating levels of thyroid hormone (T(3) and T(4)) and resulted in an inappropriately normal or low TSH.

So, high levels of NPY can actually lead to functional hypothyroidism. And leptin’s job is to suppress NPY. So once again, we have the makings of another vicious cycle.

This also may be yet another reason why TSH testing can be unreliable in circumstances involving leptin and insulin resistance and weight gain due to hypothyroidism. (A set of circumstances that is ridiculously common.)

Et Tu, Serotonin?

Another neurotransmitter that is impacted by hypothyroidism is serotonin. As we saw above, one of the many roles of serotonin is to tell you to stop eating those crazy carbohydrates.

Thyroid hormone and serotonin have an intimate relationship and many studies have shown that thyroid hormones impact virtually all neurotransmitters in the brain.

So, with hypothyroidism you also may have less serotonin production and all the accompanying emotional and physiological problems related to that, like depression and minimized signaling that tells you to stop eating.

The cravings don’t go away, they intensify with weight gain and hypothyroidism. And this is all accompanied by emotional discomfort that makes you want to reach for that high carb comfort food.

Help! What Do We Do?

Naturally, we can’t leave you there, depressed and jonesing for comfort food. Let’s talk about what to do about all of this.

In a simple sense the root of all of this can be summed up with one word: inflammation. Being overweight is a problem of inflammation. So is Hashimoto’s, the most common cause of hypothyroidism.

So the most important thing to do is to reduce inflammation. And if you do that you can start to unwind many of these hormonal and neurotransmitter disruptions that are leading you down the road to feeling really crappy a lot of the time.

Paleo to the Rescue

One place to start is with some version of the Paleo diet. There are many versions, with my patients I use a version that is tailored for people with autoimmune disease.

This is also called the elimination diet and is very restrictive. But it is also very effective. Desperate times call for desperate measures.

If you want to unwind all of these vicious cycles and to reset leptin and insulin you can’t mess around and use half measures. When things get bad, half measures do not result in half results. They result in disappointment or, worse, no results.

This diet involves the elimination of virtually everything that is inflammatory in your diet and it removes almost all of the carbohydrates that lead to most of the problems we have described, too.

This allows your body to convert from a sugar burning leptin and insulin resistant machine to a happy fat burning ecosystem. It also reduces systemic inflammation.

This is absolutely essential, but often, the diet is not enough. As we have seen here, many systems are involved (and this is just the tip of the iceberg-click here to learn more: http://www.hashimotoshealing.com/how-the-thyroid-affects-11-different-systems-of-the-body/).

Over time, these various systems start to break down because of the influence of thyroid hormone on virtually every aspect of our physiology. The impact of hypothyroidism is felt everywhere.

This can cause problems in all the other systems of your body including your adrenals, your liver, your heart, your pancreas, your brain, your blood and much more.

Other Important Anti-inflammatories

Other things to add to the mix are natural anti-inflammatories like Vitamin D, turmeric, glutathione and lots of fruits and vegetables high in anti-oxidants.

Also, it should be noted that it is super important to eliminate from your diet other foods that are inflammatory like gluten, dairy products, soy, artificial sweeteners, processed foods and fast food.

Exercise Is Important Too

The other important ingredient is exercise. If you have Hashimoto’s or hypothyroidism this can be a real challenge because many people don’t have the energy to do anything.

But it’s really important that you do and that you do it consistently and at a relatively high intensity. For some people you may only be able to do high intensity for a few minutes a few times a week.

But gradually, as you lose the weight and the inflammation you will have more efficient energy reserves and distribution and you will turn this oppressive trend of downward spirals on its head and create a positive upward momentum towards weight loss and healing.

It can be done. It takes commitment and it takes perseverance. But, the results are well worth the effort. For more information on how to exercise with Hashimoto’s, click here: http://www.hashimotoshealing.com/how-to-exercise-with-hashimotos/.

Marc Ryan, L.Ac. is a licensed acupuncturist and herbalist and a functional medicine practitioner who specializes in treating Hashimoto’s Thyroiditis.

After going through his own trials and tribulation with the disease he decided to devote his life and his practice to helping people with Hashimoto’s and hypothyroidism get the information and the help that they need to understand what is happening to their bodies and to heal.

He is the founder of www.hashimotoshealing.com where he blogs about Hashimoto’s and hypothyroidism. He also has a Facebook support group with about 6,000 likes at www.facebook.com/hashimotoshealing


http://www.ncbi.nlm.nih.gov/pubmed/20205113 – IL-6 and Hashimoto’s

http://www.ncbi.nlm.nih.gov/pubmed/21528812 – low vitamin D and insulin resistance

http://www.ncbi.nlm.nih.gov/pubmed/11356711 -NPY inhibits HPT axis

http://www.ncbi.nlm.nih.gov/pubmed/21914774 – leptin resistance and neuropeptide Y

http://www.nature.com/mp/journal/v7/n2/full/4000963a.html – thyroid hormone and serotonin

http://endo.endojournals.org/content/138/10/4485.short – leptin and thyroid hormone

http://www.eje-online.org/content/149/4/257.full.pdf -leptin and thyroid dysfunction

http://www.ncbi.nlm.nih.gov/pubmed/18840640 -obesity in children and thyroid dysfunction

http://www.ncbi.nlm.nih.gov/pubmed/18852923 – relationship between TSH and BMI


http://articles.mercola.com/sites/articles/archive/2012/10/29/leptin-resistance.aspx – what to do about insulin and leptin resistance



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About Dana Trentini

Who knew that little butterfly-shaped thyroid gland at the base of my neck could affect my life so completely? I founded Hypothyroid Mom in memory of the unborn baby I lost to hypothyroidism. Winner of two 2014 WEGO Health Activist Awards: Health Activist Hero & Best In Show Twitter. *Hypothyroid Mom includes Affiliate links. Connect with me on Google+


  1. Dear Dana

    Thank you so much for sharing with us! It is indeed true that even my GP cannot advise my properly about my thyroid problem.

    I have just had a missed miscarriage at 9 weeks. This is my first pregnancy, and we are both devastated… I have been offered to take part in a study called TABLET, and had my blood sample taken to see if my thyroid is functioning properly. I will be contacted on 12th Dec with the test result.

    I actually took a test in March after hearing so many people are affected without knowing it. My results were: TSH 2.59/ FT3 2.6/ FT4 1.26/aTPO 106.7/ aTG 114.3. My GP had very little knowledge on it and said I should monitor it. I don’t really know much of the result neither but aware that the antibody level is abnormal…

    I now start to think my miscarriage could be caused by my thyroid problem. I am desperately wanting to conceive again, and do not know if I am fit enough to be pregnant. The thought of miscarrying again is unbearable…

    What should I do?

    Thank you in advance!


    • Dana Trentini says:

      Hi Lilly,

      I am very sorry to hear about your miscarriage. I’m so happy you had your thyroid tested ecause the high anti-TPO (Thyroid Peroxidase Antibodies) and high antiTG (Thyroglobulin Antibodies) suggest you have Hashimoto’s. This is considered the number one cause of hypothyroidism in the US yet antibodies are not routinely tested. It is common for other blood tests to come back normal but the person suffers symptoms with high antibody levels. High antibodies have been linked to miscarriage and why you now to need to get as thyroid healthy as possible before trying to conceive again.


      You should read a great new book by Dr. Izabella Wentz on lifestyle changes to make to treat Hashimoto’s.


      Here is what worked for me to get pregnant with my second son despite hypothyroidism.


      Now you need to find a good thyroid doctor.


      • Hi Dana

        Thank you for your reply.

        Almost a week after the miscarriage, I am feeling better and more hopeful now. I am still hoping that I will have a successful pregnancy soon without any treatment apart from keeping a healthy life style.

        Thanks for the recommendation. I have literally just ordered the book, and it will be with me next week Wednesday. I can’t wait to read it all through…

        As I mentioned, that there is a study going on in the UK called TABLET, organized by Birmingham University. They are studying on 50,000 miscarried women between the age of 16-40 who has antibodies. I will take part in from next week. The only downside is that you don’t know if you are given a placebo or the real medication. But at least, my levels will be checked more regularly.

        I will also be speaking to my GP to get me a referral to see a good thyroid doctor, which I find a bit challenging. I don’t know if my GP will be helpful…

        I will be updating you with the progress.

        Best regards


  2. All true, I did a version of a paleo diet for about 3 months, with similar restrictions – no wheat, diary, coffee or processed foods etc. I lost weight and had more energy and even started to run again. Stupidly, as my mileage increased I returned to eating pasta and bread (cheap, filling and easy to prepare). I have now found my weight starting to go up and my energy levels starting to go down. Guess I know what I need to do! (16 years hyprothyroid and losing the will to live).

    • Dana Trentini says:

      Hi Sue, I did a similar diet that eliminated grains, dairy, sugar, etc and found my weight dropped within a few weeks and improvement in my symptoms. At least you know what works for you and you can go back to it.

    • Sue,
      i too have hypo and i wound up gaining 100lbs in 10 yrs (sucks) and last year i decided to get help and lose the weight. I lost 60lbs last year (then i went on a 3month vacation with alot of indulging and put on 8lbs) so this year i need to lose 50. Paleo works ofcourse depending on what foods you are emphasizing. What i wanted to share with you is that every few months sometimes every few weeks i change “diets” and try something new. Now its slightly silly because they are all healthy and wholesome and avoid gluten, sugars, processed foods so in essence i am following the same rules BUT i emphasize a different aspect. For example last summer i was ok with eating salads 2xs per day and juicing the third but by August i was tired of it. I began to juice more and have a soup because i wanted hot foods. then i noticed i began to sneak in some stuff that i shouldnt be so i went back to my reboot mode- shakes for my meals. If i am given options it is a slippery slide for me. so i am always researching, trying a new combo emphasizing my liquid intake, focusing on my supplements, etc. its like i am playing mindgames every day. oh also…it is not a DIET for me this is how i must eat unless i want my fat belly back. so since this is a permanent state for me…i DO indulge. i hate the word never or you CANT have this or that. i have TCBY white cho mousse with cookie dough (kiddie cup). i have gluten free crackers, i make gluten free pizza at home, etc. i do these things as rarely as possible but when i feel an itch i scratch it. this is permanent so i need to stroke my temptations sometimes.
      btw i am doing a blog and vlog (naughtythyroid) on blogspot and youtube because losing weight with a hypo is…intense

  3. Wow. I lost 4 children so I know how devistating it can be. So glad this lady got her thyroid checked. At the time I never even heard of a thyroid until I landed in the hospital and they found 2 large nodgules I believe they called them. Now it’s too late for me to have children unless God grants me a miracile.

    Anyway I am just starting to go glueten free. Only my 2day and getting headaches and what not. That stuff is in everything. If they doesn’t help I will continue with the dairy however I am hoping I am not sensitive to dairy I love my yogurt and cheese far to much. I know I have glueten issues because after I eat pasta or bread for example well you know the issues one gets.

    Personally I just want my life back. I have drive before I have some back but not like I was. I don’t know if I will ever be the same again. My hands are starting to hurt and I get stiff alot. I just hope this is my answer. Weight wise after 6-7 years of trying I have given up. I can’t lose and ounce even with daily excersie it’s crazy. I think in one year I lost 3 pounds how sad is that.

    Thanks for sharing

    • Dana Trentini says:

      Hi Anita,

      Not sure which thyroid medication you are on but if you are on a Levothyroxine drug like Synthroid you should check out this article attached. Many of us do better on a combo of T4 and T3 meds. Best wishes to you for better health.


    • Dana Trentini says:

      Hi Anita,

      Not sure which thyroid medication you are on but if you are on a Levothyroxine drug like Synthroid you should check out this article attached. Many of us do better on a combo of T4 and T3 meds. Best wishes to you for better health. I am so saddened to hear about your 4 lost children.


    • Anita,
      Goat cheese is better and it doesnt cause so much tummy drama. Milk? coconut milk…it is better for your thyroid (coconut) and yogurt…Kefir is almost completely Lactose free (something about the process) and it comes in different flavors. Cottage cheese is supposed to aid weight loss bc it takes a long time to digest.
      Pasta…i had trouble letting go of my beloved pasta. Use the quinoa (i think its Hodge Mill) pasta when you really need it. i used it alot at the beginning and now..i can go months without pasta (gluten free ofcourse).
      I had a few months last year where i was exercising 3hrs a day and lost nothing! and i WAS gluten free sugar free (basically crap food free) it was so annoying. For me it came down to keeping my calories super low AND eating the right foods. I did lose 60lbs last year so it is possible even with weeks and months of no progress. i share what i have learned or what helped in my blog and vlog (naughtythyroid) im doing it because when i began the journey i looked and looked for success stories of people losing weight with hypothyroid (not the ones who “took the meds and their weight fixed itself”) but people who hit the bottom of the bottle and climbed up. i met a few but it was in chat groups and it wasnt as much info as i wanted. So it CAN be done and it needs to be done. whats your alternative? death by weight and depression…so even if every other day is an oops you just get right back on that no crap food diet.

      • I can relate. I have been Hypothyroid for three years now. I do Zumba three times a week and work out when I can. I get so irritated because Im earing better and drinking lots of water and still have difficulty losing weight. I am currently on 50 mcg of Levothyroxine and see no weight improvement and have severe brain fog and low energy but I am trying to be hopeful as I will be seeing a new Dr next month. I do take a daily Vitamin D Supplement and COQ10, Turmeric which assists with low back pain. The migraines are severe when I get them. Anybody have any suggestions for weight loss or can recommend what they are currently taking.

  4. OK. But what if you also have ME so you can not excercise?
    (Don’t tell me you can, because that is not so.)

    • Dana Trentini says:

      Hi me,

      If you cannot exercise, you can focus on making sure your thyroid is properly treated (the thyroid helps regulate metabolism and plays a major role in weight) and diet. Here are two articles with more detail on these two topics.



    • no exercise? what about swimming? Anyway im assuming you mean NO exercise. This month i began to use “The Gabriel Method 21 days of Meditation”, basically it is 10 min daily audio as he guides you through visualization of a healthier you (ie. imagine a light in your tummy in a sea of light..let the light wash over you, etc.) i decided to try it because…why not? and because every person i have met that is healthy, balanced and happy practices meditation daily. so i figured this is a good start. ive only done a week BUT i must say i like it..and ive been stuf on the same weight for 6 weeks and i went down .5lb this week. small but for me it signals that things are clicking again. BTW i DO exercise and have a very strict diet. So i am not saying its solely the meditation but i believe it helped just because it put me in a calmer state of mind and we ALL know that stress makes our hypo issue worse

    • Hi Me,

      You also need to have your vitamin B12 levels tested through a blood test. Even if they are only just above the minimum you may still have a deficiency. I had a course of B12 injections (6 weeks, 2 injections and after that 1 per week, still having 1 per week noww). I also had ME symptoms but ultimately they were all because of a B12 deficiency.

      B12 deficiency is very common in people who have hypothyroidism. It’s worth getting checked! 8 months ago I couldnt exercise at all, now I can at least do mild exercise……

      • I em 57 yrs. old I have always weighted between 115 – 120 lbs. and since I started problems with thyroid in my middle 40s I gained 30lbs and over last 6 wks gained 10 more lbs. and haven’t changed any of my life style why??? I em at the point of doing yummy tuck and lipo suction I can eat all fruits and veggies and still gaine can u help me please???

        • I’m guessing your thyroid levels are low. Have you had them checked? I have low thyroid (hypothyroid) as my base condition, with episodes of hyperthyroid thrown in there. Fun! So far I have only had two in the last 10 years, so not too bad. I’ve just started on Synthroid to bring up my low levels of T4.

          Since I have experienced both the effects of too much and too little thyroid hormone, I can say I think it does make a difference. During my last hyperthyroid episode, I lost weight—though I ate exactly what I always have done (Perfect Health Diet, kind of like Paleo but with a few more good carbs). Then, as the hyper episode waned and my T3 and T4 dropped, and my TSH went up, the weight came back…despite my exercising and eating exactly as I’ve done the past 10 years. And now, 6 months after my hyper episode in August-September, I am 15 lbs heavier and no matter how much I exercise, it doesn’t budge. There are a lot of factors to weight control but for me, thyroid is key. I tried diet, acupuncture, Chinese herbal medicine, exercise, and while they all helped to some degree, for me personally I believe that I am going to feel best when my thyroid levels are at a certain point. Hope that helps.

  5. I am so confused by all I read.Ive been all over your site reading info.Im newly diagnosed with Hypothyroidism.Been on Synthroid for 10 weeks and I feel awful still.Its almost to much for me to type these words.I have an appointment in a few weeks with my doc and will find out her thought on using Armour instead as I see it might be better option.Now about this Palao diet.Is there a link to an actual diet plan,did I miss it.I would love someone to guide me along for meal suggestions.Give me too many choices and Ill give up.I need precise meal instructions.I am feeling oh so very hopeless right now so any thing you can give me is great.Thanks

    • Karen,
      Just google it. Basically the rule of thumb is…if it doesnt look like what it originally was…then you should not eat it. Meats are allowed (no you dont have to hunt it yourself) but the major emphasize is fruits nuts and veggies and dairy is allowed as well (but try to limit it and get it from as good as source as possible- non hormone organic local). NO PROCESSED FOODS. i just googled it and found this list and its pretty decent http://www.lowthyroiddiet.com/foods-to-avoid.htm
      However, do your own research. everyone is different and use common sense. dont get stuck on any one thing, as your body changes you may need to adjust. Not sure how much weight you have gained yet but i will say this. STOP IT STOP IT RIGHT NOW. One tip i can give you while you sort out your food options and doctor nonsense…Low Sodium V8 – drink instead of snacks and have it for dinner. in my blog i go on about foods that work for me (NaughtyThyroid) on blogspot and youtube you can read it and it might help. You can reach out to me via the blog or comment on the videos. One thing i have learned is that very few doctors really understand and the best source of help is fellow hypothyroid victims. We get it….the depression, lack of will power, wishing i could be a cat… 😉 you will figure it out

  6. This really confuses me because PALEO is linked to lower T3 levels. Isn’t that the opposite of what we want? I lost weight on a low-carb diet but my T3 tanked and I felt awful. I went back to eating carbs and feel much better and my T3 is slowly increasing, but I’ve gained 6 pounds. I feel like I can’t win.

    • i have not read it nor did i google the low t3 claims. it just makes no sense. i can see that IF you are eating a lot of veggies and nuts that are goiterous or bad for the thyroid (ie. broccoli and cauliflower) then it is possible i suppose. However, there is NO diet on this earth that is better than fruits and veggies. maybe you need to avoid certain veggies but that still leaves hundreds of other options. organic and raw is always the better option. Why are you eating carbs again? there are gluten free options. you are causing inflammation. try the quinoa pasta, naan bread, squash pasta/zucchini pasta, GF bread. are you eating a multivitamin? if your T3 tanked…get the MD to change your prescription! weight gain is NOT a sign of improvement. im sorry i seem hard. i just know that for me it takes a month to lose 6lbs. but if i have carbs….lol i can gain a lb per day and undo a years worth of work in one month- scary

  7. Hi Amanda, I have many followers who are sales reps for many different products. I do not permit posting of ads to keep my site from being filled with marketing. I hope you understand. I’m happy you found something that works for you.

  8. Hi Dana, Sorry to hear about your misscarriage, so great you have resolved problem and have wonderful children now. This site is a great resource. I have had hypothyroid symptoms for years but Drs waiting for TSH to go over 5 ATPO 1300 positive ANA. Meantime I had two babies die in the womb 4 months and 5 months, 15 years ago and was told it was because I was fat. I had put on 30 kilos in 12 months prior to getting pregnant. I had empty sella syndrome which prob should have indicated possible related thyroid probs. I now have stage 3 heart failure, loss of hair and brain function, a multi nodular goiter and a mass in the sella fossa. Drs still waiting for TSH to go super high. Have tried the Autoimmune/Paleo elimination diet with excellent results but fell off it and symptoms returned. Will try again. Intesive research lately has shown same connection you made with infammation behind autoimmune and weight gain, as well as heart disease. Keep up the good work. Education is the key to us taking control of our lives and health. Thank you.

  9. I have struggled with graves disease first then got radiation treatment which killed my thyroid and no I have hypothyroid and it has been a nightmare!! I was on synthroid for years and it almost killed me! My doctors were awful and did not listen; thank God for doing my own research. I am on Armour now and it has slowly changed my nervous system. I still struggle with depression and the weight but I am grateful I found this site! I will begin my research on the diet mentioned! I am still in search of a great endo Doctor that listens to my needs and is progressive! If anyone has great recommendations of great progressive doctors I live in Northern NJ. Are there any natural meds we can take for the L/S mentioned? Thanks again for the great post!

  10. Candace Main says:

    Hi i am 16 years old and i have had hypothyroidism since i was 10 years old. I understand that it is a problem and that nothing seems to work when trying to lose weight but from reading your comments it seems like i a bigger issue if you want to fall pregnant. is there anything that you can take to help lose weight

  11. Hi, I am Sakshi, from India. I am overweight, and weigh 86 KGS, and my height is 5’4″. I exercise almost daily,that includes walking, stretching and cycling. I love dancing, so that makes up for when I dont exercise.But since I have come back home from my College, for a month, I tend to eat a lot at once(You know how much we miss the food at home, in college :P)
    I am on a homeopathic treatment for hypothyroid, and its going on well.But, sadly, in the recent blood report I had a hike in the TSH Level.
    Your article motivated me to lose weight and hence combat with so many more diseases that come with it. Please provide me with some tips,on what foods to consume, as I need to lose at least 20 KGS to set my BMR right.
    Thank you.

  12. Do you have and article about hypothyroidism and extreme weight loss. I am 5’4 and weigh 98lbs now. I was a healthy 120 about 2 years ago and have steadily lost weight since then to what I am now. I know some people look at me like I am crazy when I am upset with the way I look but I have literally watched myself waste away in the mirror. I have no muscle tone anymore and I look sick! Ive had to buy clothes in the kids department because the size 00 they make in the juniors department don’t fit me. I can’t seem to find anything about hypothyroidism and excessive weight loss all I seem to find is about hyperthyroidism. Is it possible to not be able to gain weight with hypothyroidism?

  13. http://smdu85gjSASA.com
    Helpful information. Lucky me I found your site accidentally,
    and I’m shocked why this twist of fate did not came about in advance!
    I bookmarked it.

  14. Thank you for listing studies and references that informed your article. This is not done often enough. It increases my confidence in the validity of any author’s statements when they show due diligence in this regard.

  15. I totally agree with you Dana . Don’t trade your thyroid health to lose a few quick pounds today. Focus on your thyroid healing . Avoid low carb diet as it can make you loss your precious healthy muscle mass and can damage your thyroid

    I’ve read the book called the miracle of endorphine a simple exercise like jogging in the morning for 30 – 60 minutes can burn more fat and more safe than heavy exercise . maybe this exercise can help hypothyroidism patient to lose weight safely .CMIIW

  16. This is utter tosh, recommending a paleo diet is nonsense and unscientific. You should not be peddling this nonsense.

  17. Eating healthy and fibre-rich food products, avoiding high
    caloric food and eating 5 smaller meals per
    day are important pillars of a healthy post pregnancy diet.
    Today, most people find themselves gaining weight because
    of choosing the wrong types of foods. As a result,I found
    that basically, there are three methods for losing weight.

  18. Nice article for weight loss, burn fat. A trues story is interested to read me your article. Thanks

  19. Our body is our Temple, and we must learn to love it. We are living in the 21st century, where healthy food costs much more than unhealthy food. A healthy living plan consists of consuming healthy food as well as exercising regularly more: http://albatohealthylife.com/loseweight-in-short-period/

  20. Hdmckean says:

    Hello! I need help!! I will be upfront and tell you I am one of those “complicated” cases. I’m not sure why…but something is going awry with my body. I have been paleo/ketogenic/primal for about 4 years. I adopted this lifestyle after doing a round of HCG and losing 30lbs that I COULD NOT budge with any amount of diet or exercise. I kept the weight off for a couple of years but suddenly it came back with a vengeance with no change in diet or exercise. I have been on a terrible roller coaster ever since. It’s a long story (of course) but bottom line is…I cannot seem to stop my incredible weight gain. I am ridiculously strict and discplined in my diet and exercise. And I have tried everything. I have worked with nutritionists and personal trainers and they all end up stumped. I will stay completely ketogenic (under 20-15 carbs daily), eat lots of healthy fats and still just gain at an alarming rate. Most recently I worked with a ketogenic diet coach. I sent her my daily macros and exercise logs. I NEVER cheat. She kept reducing my calories because I just kept gaining. She finally said she couldn’t help me. I have done TONS of research and have been lurking around the Carb Nite crowd for over a year. 1 month ago I had to do another round of HCG to shed the excess 15lbs I had put on in 3 months prior. I have been strict kept for almost 2 months and still my weight was creeping up. I have been to numerous doctors, and had all my blood work run multiple times. I am slightly hypothyroid and have a few small issues with my hormones and a slight issue with afternoon/evening cortisol. All of which I am being treated for but do not explain the rapid and large weight gains. I am taking Thyroid S (was taking 2 but ended up showing “hyper” after 2 months). I have low testosterone and progesterone and will start bio-identicals for those this week. For instance, in the last 4 days I have put on almost 7 lbs and it just keeps going up! But this is what always seems to happen. I lift heavy at the gym and do HIIT sprints as well. I am 39 years old. My current weight is 140lbs. I am 5’3. My goal isn’t a number on the scale, although I can tell you that my clothes start getting tight when I go over 130. I am most comfortable at a fit 125-130. Can you help me? Do you know others like this? I am really desperate for some actual answers. I am super motivated and compliant. I wouldn’t waste your time if I was half-hearted about this. Can you help or know someone who might be able to? Thank you SO much.

  21. Hello! I stumbled upon you on FB and have been pouring through your website. I absolutely love what you have been able to do in educating the public about Thyroid disease. I was diagnosed about 18 years ago (probably had it for much longer). For the first 8 years, I was on Synthroid. Not surprisingly, it didn’t do much. Amazingly though, I was able to keep in good shape and have 4 successful birth w no infertility. However, I knew I could be feeling better. After much research, I fired my endo and found a doctor who treats not only by labs, but also by Symptoms. I have been on Armour (and now NatureThroid) along with compounded T3 for apx 10 years now. The first 5 years I was on desiccated thyroid, I felt great. Unfortunately, that is no longer the case.

    I am not dealing with my second bout of adrenal fatigue and it is not good (abnormally low cortisol). My amazing compounding pharmacists is starting me on an adrenal glandular protocol tomorrow.

    Here is my question – I would love to order the bundle, but do you feel like I will get a lot out of it considering I am already on natural thyroid hormone and will be treated for my adreanals? I also eat a low carb diet (most of the time) and try to stay active (though exhausted). Secondly, does the bundle mainly deal with Hashimoto’s? I have plain HypoT. Lastly, is there good information in the bundle on creating what is known as a “hypo-endocrine” issue? I am looking for balance in the whole endocrine.

    Thanks!!!!! Mindi

  22. Hello Anita,
    I am at a stalemate as far as even knowing where to get my thyroid tested. I believe I’ve had thyroid problems nearly all my life, but it’s to the point now where I think if I don’t get help soon, there will be some very serious health consequences. My MD said my thyroid was normal, but as we all know, that doesn’t mean anything at all. I am seriously underweight, but have most other thyroid symptoms. My tongue is very sensitive and has a large fissure down the middle of it, almost to the tip. For over a year I’ve been on a gluten-free diet. My case is unusual. Can you please tell me where to go to have my thyroid really tested? Please reply ASAP. I’ve been on my own far too long with this. Thanks

  23. DID I MISS THE ‘DIET’ ….. ????

  24. HOW DID I MISS THE ‘DIET’ ….. ????

  25. Hi. I am newly diagnosed with hypo. I don’t know is it’s hashimotos, graves, it just plain hypo. The doctor didn’t really seem concerned with finding out either. My Question is: as far as weightloss, and gaining my energy back, how important is it that I find out what the cause of my hypo is? And what tests do i need to get to the root of it? I’m 31 yrs old, 196 lbs at 5ft,6. I have gained over fifty lbs since my three year old little boy was born. I’m currently ot levothyroxine, 25 mcg, My tsh was at 14 two months ago before being prescribed the levothyroxi e. I’m due next week for another tsh test, so we will see if it’s improving. My main focus is losing weight. I realize this while thyroid treatment is a long road, and takes time, but I’m very impatient. When I don’t see results, I tend to lose motivation, and just give up. I hate healthy foods. There are very few that I can even stomach for the sake of dieting. But I do realize that in order to lose weight I can’t eat the food that I am used to. Which is unimaginably hard because when I say I don’t like healthy foods, I mean I hate them. Meaning I would rather go hungry than to eat some green leafy gob of goop that taste like poop. Lol. But that’s kind of of topic. Anyways, is anyone can give me some advice on what I need to focus on, off what blood tests to get, or what diet to follow, I would really be grateful 🙂


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