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Almost EVERY patient gains weight after having a Thyroidectomy. In fact, it's considered normal to gain 2. Doctors just shrug it off as . It just seems logical, right? I hate to break it to you, but most Doctors don't think twice about it. And there aren't a lot of resources for patients after they get a Thyroidectomy. Luckily, there are some tips and tricks you can use to help . In fact it's been shown that women who have a total thyroidectomy gain more weight than patients with hypothyroidism. And, let's face it: Most Doctors don't do a good job in treating Hypothyroidism, otherwise websites like this wouldn't exist! And, following the trend, Doctors typically do an even worse job in treating post Thyroidectomy patients. Why are patients gaining so much weight? The truth is that regulating hormones is very complex. The thyroid system in your body is no exception. Take for instance Type I Diabetes: . How often are you getting your labs tested? How often is your medication being changed? Are you feeling any better on those changes? It might be time to make a change to our current treatment paradigm, or at least consider the fact that we don't have it all figured out. In order to understand why our current treatment doesn't work we have to understand why we actually gain weight.. It's about an imbalance in your hormones. How else do you explain the sudden weight gain in post Thyroidectomy patients despite eating the EXACT same foods before and after? Or how about the weight gain associated with menopause? Obviously not. Weight gain is a hormonal problem guys! And to fix it we have to fix the hormonal imbalance. You even get this kind of advice from places like the Mayo clinic and Livestrong.. I know what you're thinking: I don't have a thyroid and I take medication so it doesn't matter to me. If you're on T4 medication your body must convert it to the active Free T3 in order for it to work. And your body can still turn it into Reverse T3 as well. So it definitely still matters to you. I don't want you to think you need to restrict your calories to lose weight (that won't work). But it is still important for you to eat a HEALTHY, nutritious and whole food diet. If you don't know what that is you can find a lot of information about it here. And, to answer your question, yes it will work for patients with a sluggish thyroid and for those without a thyroid. So in addition to eating a whole food diet, what other things will help with weight loss after thyroidectomy? Let's jump into my tips and tricks that I use in my office. So it's in your best interest if you can find a Doctor that is willing to work with you and your condition to get you the best possible results. I typically recommend Doctors with training in Functional Medicine and preferably MD's or DO's that can prescribe thyroid medications. Get on the Right Type and Dose of Thyroid Medication. And currently we have an epidemic of thyroid patients that are being under treated. To understand why this is you need some basic understanding of thyroid phsiology: . T4 = The inactive thyroid hormone < -- - This is what most Doctors prescribe and very few people do well on this medication (Yes I said that it is inactive by itself). Most people do better on medication that contains T3 hormone and studies show this to be the case. Patients on Natural Dessicated Thyroid hormone (a medication that contains T3) lose more weight and have better satisfaction than patients on Levothyroxine (the medication you are most likely taking). It turns out that your thyroid produces both T4 and T3 medications (when it's functioning normally). It produces about 8. T4 and about 2. 0% T3. When your thyroid is gone most patients are given T4 medications ONLY (remember that this is the INACTIVE hormone). As a result most patients develop weight gain and symptoms of hypothyroidism. That means dosing your thyroid with 2. T3 and 8. 0% T4. If your doctor is willing to work with you, you have a couple of options: Get on Natural Dessicated Thyroid Hormone which contains roughly around an 8. T4 to T3 - in addition to other less biologically active thyroid hormones. In this case I would simply add 2. T3 medication to your regimen. Adding T3 medication to your regimen can drastically improve your overall symptoms and metabolism thus leading to more weight loss. And remember: After thyroidectomy the ONLY way you are getting T3 is in the form of medication. Optimize your Free T3 Levels. Under normal circumstances your body must produce free T3 from T4 (unless you provide T3 directly via medication). The problem is that your body can also turn T4 into Reverse T3 which is a thyroid blocker (it sits on free T3 receptors on the cells and blocks the action of thyroid hormone). I've gone into a lot of detail on how to increase your free T3 levels naturally in this article, but I will also go over some useful info here as well. In order to optimize free T3 levels you will want to do the following: Take supplements that increase T4 to T3 conversion like Zinc, Selenium and B6. Get off of medications (if possible) that block T4 to T3 conversion like anti depressants, narcotics, mood stabilizers, pain modulators, blood pressure medications and diabetic medications. Heal any digestive issues you may be dealing with like acid reflux, bloating or irritable bowel syndrome - use a high quality soil based organism probiotic. Make sure your iron levels are in the . Balance ALL Hormonal Systems in the Body. Balancing your thyroid is just one piece of the weight loss puzzle. In fact: I've never seen a thyroid patient with just ONE hormonal imbalance, and patients with weight loss resistance tend to have several. And it's also important to remember that hormones interact with other hormones! For instance, thyroid hormone interacts with progesterone, cortisol and insulin levels. This is especially true in patients without a thyroid. To make your weight loss efforts MOST effective you will want to evaluate the following hormones: Insulin Levels - High levels of insulin (AKA insulin resistance) causes weight gain in the belly. Estrogen Levels - High levels of estrogen and low levels of progesterone promote weight gain in the hips/butt and thighs. Testosterone Levels - Low levels of testosterone causes depression, weight gain and reduced muscle mass. Leptin Levels - Leptin resistance causes increased appetite, low metabolism and chronic weight gain. Find out how to reverse it here. Cortisol - Adrenal fatigue leads to weight gain in the belly, reduced energy and inability to tolerate stress. Almost EVERY thyroid patient has issues with cortisol. Generally 2- OH Estrone should be preferred over other pathways. Progesterone Deficiency Blood: . Progesterone levels should be higher than Estrogen levels during days 1. Insulin Resistance. Blood: Insulin (Fasting and 2 hours after meals), Hemoglobin A1c (Hgb A1c), Fasting blood sugar (FBS), Uric Acid, Fasting Triglycerides, Fasting HDL Insulin: . If Cortisol levels are low = Late stage adrenal fatigue. If cortisol levels are high = Early stage adrenal fatigue. Be Strict with your Diet but Don't Restrict Calories. When I use the word diet I am referring to the food that you eat. I'm not referring to DIETING or eating a calorie restricted diet. Since we've already discussed diet in this article I won't go over it much more except some general guidelines: Stick to Organic Food groups and Grass Fed Meats. Don't be afraid of eating Healthy Fats. Eat lots of Vegetables. Don't snack every 2- 3 hours. Avoid Processed foods or anything that comes in a box or package. Avoid sugar and artificial sweeteners as much as possible. When your Energy Improves make Exercise Count. Exercise isn't important because you are . It's important because it helps to balance hormones in your body, release endorphins and stimulate neurotransmitter release. These types of exercise have been shown to be more effective than traditional . It just takes a systematic approach, and and sympathetic physician. Because getting on the right type and dose of thyroid medication (preferably medication that contains T3!) is so important I recommend that you find a Doctor who is willing to work with you. In addition you will need to find someone who will look at your other hormone levels and treat them appropriately. The other aspects: Diet, exercise and supplements - are things that YOU can take care of. But once you are able to lose pure fat mass without losing muscle mass, your weight loss will be long and lasting. Now I want to hear from you!
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