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How can I lose weight with hypothyroidism?
Answered by : Prof Dinesh Dhanwal
Prof. of Medicine and Head of Endocrinology, Maulana Azad Medical College, New Delhi
Q. Is it true that those who have high TSH never succeed to lose weight even if they do everything to lose weight? I am a 38 years old man having a high TSH i.e. 7.15 and FT4 - 1.15. I take a low fat diet comprising 1200 calories. I exercise for about an hour and cycling 15 km in 1.15 hours daily but I am still not getting a good response. My weight is around 86 kg. How can I lose weight? Please suggest.
A.  A few studies have shown that normal TSH is around 2.5 only but this has not been accepted for definition of hypothyroidism. Keeping this in mind you become a case for starting treatment with Thyroxine sp if your anti-TPO is positive. It is not true that patient with subclinical hypothyroidism (as you are) are resistant to weight loss. Usually, with hypothyroidism there is weight gain, which is around a few kg, and this disappears after treatment. I hope you are not taking snacks in between your meals or excessive tea or coffee. The other option is that you might have to go for a medical treatment of obesity using Sibutramine or so. This is likely to help you.
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