Monday, November 26, 2012

The Thyroid Gland: A Bane to My Weight Loss Goal


So, I've been worrying more and more about why I’m not losing weight even though I've been eating better and working out multiple times a week. I went to the doctor with my concerns, and of course, it was my fault and I just wasn't doing enough. He actually suggested I go to a weight-loss clinic and be put on a special calorie restricted diet (under 800 calories/day) to help me lose weight. Given that I've studied endocrinology for my degree, this scenario didn't appeal to me regardless of how “fast” the weight loss would be. I know my body and I knew something was wrong, so I wanted blood work to see what that could be. Long story short, 2 rounds of blood tests later, my concerns were validated as I was diagnosed with hypothyroidism. 


Hypothyroidism is a condition in which the thyroid gland does not make enough thyroid hormones that control metabolism in addition to other functions. Hypothyroidism, or under-active thyroid, is more common in women and people over age 50.  Early symptoms of this disease range from constipation, cold sensitivity, fatigue, heavier menstrual flow, joint or muscle pain to dry skin, depression, thin, brittle hair or fingernails, and weight gain.  


Well, I pretty much had all of those!  I had also started to suffer from some late symptoms like decreased sense of taste and smell and hoarseness. If you think you may have this or a similar problem, talk to your medical provider. He or she can conduct a physical examination and order lab tests to determine thyroid function (TSH and T4 tests). Other tests that may be done include cholesterol levels, complete blood count (CBC), liver enzymes, prolactin, and sodium tests. Thankfully, treatment for hypothyroidism is pretty simple and painless. The purpose of treatment is to replace the thyroid hormone that is lacking and relieve your symptoms bringing your hormone levels back to normal. 


Unfortunately, most people with an under-active thyroid will need lifelong therapy.  I should start treatment soon and honestly I’m looking forward to seeing how I feel afterwards. I’ll keep you updated!

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