The problem of excess weight is a scourge of the 21st century. More and more men and women are going beyond the acceptable height / weight ratio. However, if for men it is not so tragic, then women are forced to fight for every kilogram. But despite endless diets, exercise and the use of various substances for weight loss, it is rarely possible to achieve the desired result. This may be due to a thyroid disease – hypothyroidism. This is a thyroid pathology, in which there is a decrease in thyroxine production, leading to a general hormonal imbalance in the internal environment of the body and a change in the general metabolic process. How to lose weight with hypothyroidism is not an easy task! This process involves the normalization of hormonal levels in general. Let’s consider the question in more detail. 

WHAT DOCTOR TO CONTACT

A doctor – endocrinologist deals with weight regulation in case of hormonal imbalance in the body. He determines the cause of the extra pounds using diagnostic techniques and the content of the level of hormones in the body. If necessary, the patient also receives advice on a balanced diet from a dietitian doctor. This specialist develops a diet based on the individual characteristics of the patient’s body.

You should adjust yourself to the fact that this process will be long, ascetic and will lead to results only with the strict use of hormonal drugs, drugs that burn fat, additional exercise in the form of sports and dietary nutrition.

An endocrinologist will help prescribe the correct treatment and lose weight painlessly for the body.

The main reason for visiting an endocrinologist is to identify the cause of obesity (hormonal disruption in the thyroid gland) thanks to diagnostic measures and the correct prescription of drugs based on the results of the study.

ENDOCRINOLOGIST TIPS

The endocrinologist prescribes hormonal treatment in accordance with the indicators of laboratory tests. Then he gives the patient a number of recommendations for self-supportive therapy: 

• Weight loss diets should not be “Hungry”. Often, refusing to eat, a person thinks that he will lose those extra pounds this way. It is a common misconception that according to most nutritionists and endocrinologists, weight loss is about eating small meals. It is necessary to adhere to the calorie counting system and take food in multiples, that is, in small portions 5-6 times a day. In one of our previous articles, you can find a list of recommended foods and their recommended diets for hypothyroidism (link). The number of calories for women should not exceed 1500 kcal / day, for men – 2500 kcal. 
• Diet pills for hypothyroidism should not contain in their composition the female sex hormones estrogen and calcium, which provoke rapid overweight gain.
• You should exercise daily for 30 minutes. These can be: brisk walking, swimming, restorative gymnastics.
• Losing weight leads to fluctuations in body weight. Dramatic weight loss is stress for the body. In this case, humoral changes in the body can be observed. If endocrinological changes occur, the endocrinologist may advise you to cancel all current diets and weight loss drugs until the tests return to normal.
• In hypothyroidism, there is also an accumulation of body fat due to increased insulin production against the background of high blood glucose levels in diabetes mellitus. Under this condition, the endocrinologist can prescribe drugs that reduce insulin in the blood. The most effective of them are Glucophage Long.
• Follow a special diet prescribed by a dietitian physician. You cannot change the treatment yourself. It depends on many factors that only a specialist should take into account. 
• It is necessary to regularly take tests for the level of thyroid-stimulating hormone (TSH). By its quantitative content in the body, one can judge whether the treatment is proceeding correctly.
• Conduct an ultrasound examination of the gland at least twice a year.  

WEIGHT LOSS PREPARATIONS FOR HYPOTHYROSIS

Therapy of the disease itself is carried out by replacing the thyroid hormones missing in the body with their synthetic analogues. This itself leads to a gradual decrease in body weight. It is possible to lose weight by about 1.5 – 2 kg in 2 months of treatment. Further weight correction is carried out under the supervision of a physician. The dosage of the hormonal preparation is carried out taking into account the determination of the initial and achieved body mass index. In addition to hormone therapy, additional drugs may be prescribed to regulate the body’s metabolism.

GLUCOFAGE LONG

An effective first-line drug for the treatment of diabetes mellitus with no side effects. The main active ingredient – Metformin – biguanide lowers blood sugar, does not stimulate insulin secretion and, accordingly, does not have a hypoglycemic effect. Promotes a delay in the absorption of glucose in the intestine. It is indicated for failure of diet therapy in patients with any stage of excess weight. 

XENICAL

The drug ” Xenical ” is used for obesity. The main active ingredient, orlistat , inhibits gastrointestinal lipase. It loses its function to dissolve triglyceride fats that enter the body with food and to affect the absorbed free fatty acids.

Indication of the drug:

• Treatment in conjunction with a hypocaloric diet;
• Obesity with a body mass index> 30 kg / m2;
• Patients with a predisposition to overweight.

When using the drug, you must follow the dietary regimen. Can sometimes worsen hypothyroidism. There is a decrease in the absorption of iodine and levothyroxine . Patients with hypothyroidism should eat a low-calorie diet, with approximately 30% of calories in the form of fat-soluble compounds. You need food rich in vegetables and fruits. The amount of fat per day, proteins and carbohydrates should be broken down into three meals. Admissions ” Xenical ” provokes an increase in fecal output fats massamá 24-48 hours.

HOW TO LOSE WEIGHT WITHOUT DIETS

Obesity in hypothyroidism occurs due to a decrease in the production of thyroid hormones, which are responsible for metabolic processes in the body and for the rate of calorie burning. Is it possible to lose weight with hypothyroidism? – definitely yes! Certain procedures and exercises can help you lose weight with concomitant hypothyroidism. Consider the popular ones.

WEIGHT LOSS ACUPUNCTURE 

This is an acupressure massage for weight loss. Its purpose is to influence biologically active points of the human body. Improves metabolism in the body and eliminates hunger. By acting on certain points, the causes of excess weight are eliminated. The main point responsible for the elimination of excess fat from the body is the Cv4 point. Located in the middle of the abdomen just below the navel. In the supine position, you need to press on this point with your thumb and perform massage actions for 30 minutes. The massage course should be at least 20 days. This leaves from 1 to 2 kilograms of fat.

The massage of the Sp 6 and Sp9 points will help to improve metabolic processes in the body, get rid of food decay and decay products, remove fat from the abdomen and thighs . The first point is located on the lower leg just above the bone, the second is in the fold of the knee. It is recommended to stimulate the points with light striking movements.

EXERCISE STRESS

The best sports for hypothyroidism are water aerobics and swimming. They make it possible, without a heavy load on the cardiovascular system (CVS), to get rid of excess weight, and help to increase muscle tone and tighten the skin during stretch marks.

To maintain the correct functioning of the heart and blood vessels, cardiovascular equipment and therapeutic exercises are recommended . They should only take place under the supervision of a coach. When playing sports, it is recommended to exclude fast carbohydrates, rich in cholesterol, and substances that increase the acidity of gastric juice from the diet. 

Follow these guidelines:

• There are more fish dishes;
• Do moderate daily physical activity;
• Plenty of vegetable fiber: vegetables, fruits;
• Try to spend more time outdoors;
• Once a week arrange a fasting day: kefir, apples, oatmeal;
• Flour products, sweets, cakes must be replaced with dried fruits;
• Try to have a rest at sea at least once a year.

Thus, it is possible to lose weight with hypothyroidism of the thyroid gland by both medication and non-medication by putting a lot of effort into this process. It is necessary to be patient, unswervingly follow the appointment of a specialist, maintain a healthy lifestyle and engage in physical activity.