Pikapolonica
Pridružen/-a: 24.06. 2006, 12:56
Prispevkov: 658
Kraj: Domžale
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 Objavljeno: 21 Avg 2007 12:57 Naslov sporočila: Hipotiroza in hujšanje (ang) |
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The longer it takes you to get diagnosed with hypothyroidism, the more weight you may end up gaining. While you're becoming hypothyroid, even before your TSH is elevated enough to warrant treatment, your metabolism can slow down. This means fewer calories burned each day, and even those few calories start to add up over time. Since hypothyroidism can also make you tired and achy, you're also less likely to exercise as much or as effectively, which can further reduce metabolism. And, when we're tired, we sometimes eat -- especially carbohydrates -- to try to fight fatigue. Three reasons why you need to become your own best advocate, and work with a practitioner who understands the importance of early diagnosis.
For many thyroid patients, calorie restriction simply isn't enough to trigger weight loss. This is why popular "diet plans" that don't require exercise may not work for us. To keep your metabolism efficient, or make it even more efficient, you absolutely need exercise, because it helps burn calories and fat, it reduces insulin levels, it raises resting metabolism, and helps combat imbalances in leptin, insulin, and growth hormone. But if you want to lose weight, you're going to need to do more than the recommend 20 minutes, 3 times a week. According to experts, healthy people of normal weight need 60 minutes of physical activity a day to maintain weight and avoid excess gain. Meanwhile, half of us do less than 30 minutes of moderate activity a day – and only one in four is actually active for 30 minutes or more.
Hyperthyroidism does not equal weight loss. In fact, a percentage of people who are hyperthyroid actually gain weight. Why they do is not clear. It may be hunger is causing excess calorie intake. Or the impaired endocrine system may be triggering poor digestion, insulin resistance, or adrenaline resistance. But hyperthyroidism, including being hyperthyroid due to taking too much thyroid medication, can sometimes result in weight GAIN.
Some of the drugs doctors give you to HELP thyroid-related symptoms and problems can actually cause weight GAIN!
For example...
The antithyroid drug PTU
Beta blockers (often given for hyperthyroidism)
Steroid anti-inflammatories (i.e., prednisone)
Estrogen and progesterone independently, or together as the "pill"
Certain antidepressants, especially Prozac, Paxil and Zoloft
Mood stabilizing and anticonvulsant drugs such as those given for bipolar disorder, including lithium, valproate (Depakote) and carbamazepine (Tegretol)
WHAT TO DO? If you're on one of these drugs and gaining weight, talk to your doctor about your concerns, and to explore possible alternatives.
Doctors who tell you that they can somehow calculate it and give you just the right amount of RAI to make you neither hypothyroid nor hyperthyroid are not dealing with reality. The truth is, most patients post-RAI become hypothyroid, and many gain weight. Some studies have found that from more than half, to as many as 85% of patients, gained weight after RAI, and there is a dramatic increase in obesity among previously hyperthyroid patients who have had RAI therapy.
WHAT TO DO? Talk to your practitioner about other options, because radioactive iodine is not the only treatment for hyperthyroidism.
If you have the energy or time to do only one type of exercise – weight-bearing/muscle building, or aerobics, which one should you choose? Well, ideally, you should be doing both, but in my book The Thyroid Diet, I posed this question to About's exercise Guide Paige Waehner, who had this to say: I would probably choose strength training. When you build lean muscle, you're giving your body the ability to burn more calories even when you're not exercising. A pound of fat only burns around 6-10 calories each day while a pound of muscle can burn up to 60 calories per day. Adding more muscle means burning more calories, period.
You're probably not getting enough water. Water helps your metabolism work more efficiently. It can also help reduce appetite, eliminate water retention and bloating, and improve elimination and digestion. We hear about the typical recommendation to drink eight 8-ounce glasses a day, but some experts say drink another 8-ounce glasses for every 25 pounds of weight you need to lose. Philip Goglia, author of Turn Up the Heat: Unlock the Fat-Burning Power of Your Metabolism, recommends you drink one ounce of water per pound of scale weight -- this ends up being a great deal MORE than the standard 64 ounces a day. If you're at a plateau, or weight loss is very slow, it's worth a try.
You're also probably not getting enough fiber. Getting a good amount of fiber is one of the basic tactics things you can do as a thyroid patient if you want to lose weight.
Metabolic Syndrome
Can cause exhaustion & weight gain. Lose Weight and Feel Vibrant Again!
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Fiber has so many benefits for people with hypothyroidism who are trying to lose weight, and it can come from food, supplements, or both.
WHAT TO DO? Read The Unique Role of Fiber in Weight Loss With Hypothyroidism, and nutrition guide Shereen Jegtvig's article Drinking Water to Maintain Good Health. |
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