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March 11th, 2011
12:21 PM ET
How can I lose weight if I have hypothyroidism?Every weekday, a CNNHealth expert doctor answers a viewer question. On Friday, it's Dr. Melina Jampolis, a physician nutrition specialist. How can I lose weight when I have hypothyroidism and I can't do strenuous exercise? My doctor is still adjusting my thyroid medication, so my TSH (thyroid-stimulating hormone) is still high at 22. Added to that, I've got heart problems and have been told by my cardiologist not to do strenuous exercise! I do a lot of walking and typically do 10,000 steps a day. I've been doing a low fat 1,400 calorie diet with no result. I was thinking about a low-carb 1,200 calorie diet and upping my steps to 15,000 a day but I'm wondering what else I can do when I can't exert myself. Asked by Serene of Sacramento, California Expert answer Hi Serene, It sounds like you are in a frustrating situation. First of all, until you are taking the appropriate dose of thyroid medication and your TSH is in the normal range (I like to see it in the mid-normal range for my patients, around 2, for those that are struggling with their weight), it will probably be very difficult for you to lose weight. The thyroid gland plays an important role in metabolism, and if your thyroid hormone levels are low, as indicated by a high TSH (thyroid hormone normally suppresses TSH when present at normal levels), your metabolism will be low and you will not burn as many calories every day. When your TSH gets into the normal range, however, don't expect the weight to just fall off without continued effort. I find that most of my patients have to continue working very hard to lose weight even when their TSH is in the normal range. Without knowing your age, height, weight (especially where you tend to carry your excess weight - in the hips and thighs or in the belly), it's hard to make specific recommendations. I think trying a nutrient-dense 1,200-calorie diet with fewer starchy carbs like bread, crackers, pasta, rice, cereal and baked goods might be useful, especially if your waist is greater than 35 inches (40 inches for men). Try to eat lean protein with most meals and snacks as this can give you a slight metabolic boost and having a cup or two a day of green tea (decaf is OK if you can't tolerate caffeine) could give you a slight metabolic boost as well, especially before exercise (check with your cardiologist regarding the caffeine since I don't know the nature of your heart problem). As far as exercise, 10,000 steps a day is terrific. If you have the time and energy to increase to 15,000 steps per day, that could help. The latest government guidelines suggest that some people may need 90 minutes per day of exercise to lose weight. If your cardiologist approves, you might consider adding in hills on a regular basis to work your muscles differently and burn more calories. In addition, I would definitely add strength training at least twice a week to build calorie-burning muscle. If you begin a strength training program, the scale may not move right away, but it should in the long run and it will help you keep the weight off. Finally, for optimal heart health, a low-fat diet is not the best approach. A better idea would be to follow a moderate fat diet (about 25-30%) and substitute healthy fats like nuts, seeds, avocado, fatty fish, olive oil and canola oil for saturated fat like butter, cheese, cream and sugary and refined carbohydrates (Choose whole grains, which are heart healthy.). |
  About this blog
Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.
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Do you remember the blockbuster hit film The Matrix that was released in 1999? You may not know this, but it has deep spiritual implications concerning the times we are living in and Bible prophecy.
It tells a story of how these "agents" are trying to turn us into machines. We are closer then ever before for this to become a reality when they cause us to receive an implantable microchip in our body during a time when physical money will be no more.
You may have seen on NBC news concerning the implantable RFID microchip that some people are getting put in their hand to make purchases, but did you know this microchip matches perfectly with prophecy in the Bible?
"He (the false prophet who deceives many by his miracles) causes all, both small and great, rich and poor, free and slave, to receive a mark on their right hand or on their foreheads, and that no one may buy or sell except one who has the mark or the name of the beast, or the number of his name...
You also may have heard of the legendary number "666" that people have been speculating for possibly thousands of years on what it actually means. This article shares something I haven't seen before, and I don't think there could be any better explanation for what it means to calculate 666. This is no hoax. Very fascinating stuff!
...Here is wisdom. Let him who has understanding calculate the number of the beast, for it is the number of a man: His number is 666" (Revelation 13:16-18 NKJV).
To see all the details showing why the Bible foretold of all these things, check out this article!
Article: https://biblewoke.com/rfid-mark-of-the-beast-666-revealed
GOD is sending out His end time warning:
"Then a third angel followed them, saying with a loud voice, 'If anyone worships the beast and his image, and receives his mark on his forehead or on his hand, he himself shall also drink of the wine of the wrath of God, which is poured out full strength into the cup of His indignation. He shall be tormented with fire and brimstone in the presence of the holy angels and in the presence of the Lamb. And the smoke of their torment ascends forever and ever; and they have no rest day or night, who worship the beast and his image, and whoever receives the mark of his name'" (Revelation 14:9-11).
In the Islamic religion they have man called the Mahdi who is known as their messiah of whom they are waiting to take the stage. There are many testimonies from people online who believe this man will be Barack Obama who is to be the biblical Antichrist based off dreams they have received. I myself have had strange dreams about him like no other person. So much so that I decided to share this information.
He came on stage claiming to be a Christian with no affiliation to the Muslim faith...
"In our lives, Michelle and I have been strengthened by our Christian faith. But there have been times where my faith has been questioned - by people who don't know me - or they've said that I adhere to a different religion, as if that were somehow a bad thing," – Barack Obama
...but was later revealed by his own family members that he indeed is a devout Muslim.
So what's in the name? The meaning of someones name can say a lot about a person. God throughout history has given names to people that have a specific meaning tied to their lives. How about the name Barack Obama? Let us take a look at what may be hiding beneath the surface...
"And He (Jesus) said to them (His disciples), 'I saw Satan fall like lightning from heaven'" (Luke 10:18).
In the Hebrew language we can uncover the meaning behind the name Barack Obama.
Barack, also transliterated as Baraq, in Hebrew is: lightning
baraq – Biblical definition:
From Strongs H1299; lightning; by analogy a gleam; concretely a flashing sword: – bright, glitter (-ing, sword), lightning. (Strongs Hebrew word H1300 baraq baw-rawk')
Barak 'O'bamah, The use of bamah is used to refer to the "heights" of Heaven.
bamah – Biblical definition:
From an unused root (meaning to be high); an elevation: – height, high place, wave. (Strongs Hebrew word H1116 bamah baw-maw')
The day following the election of Barack Obama (11/04/08), the winning pick 3 lotto numbers in Illinois (Obama's home state) for 11/5/08 were 666.
Obama was a U.S. senator for Illinois, and his zip code was 60606.
Seek Jesus while He may be found...repent, confess and forsake your sins and trust in the savior! Jesus says we must be born again by His Holy Spirit to enter the kingdom of God...God bless!
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Do you remember the blockbuster hit film The Matrix that was released in 1999? You may not know this, but it has deep spiritual implications concerning the times we are living in and Bible prophecy.
It tells a story of how these "agents" are trying to turn us into machines. We are closer then ever before for this to become a reality when they cause us to receive an implantable microchip in our body during a time when physical money will be no more.
You may have seen on NBC news concerning the implantable RFID microchip that some people are getting put in their hand to make purchases, but did you know this microchip matches perfectly with prophecy in the Bible?
"He (the false prophet who deceives many by his miracles) causes all, both small and great, rich and poor, free and slave, to receive a mark on their right hand or on their foreheads, and that no one may buy or sell except one who has the mark or the name of the beast, or the number of his name...
You also may have heard of the legendary number "666" that people have been speculating for possibly thousands of years on what it actually means. This article shares something I haven't seen before, and I don't think there could be any better explanation for what it means to calculate 666. This is no hoax. Very fascinating stuff!
...Here is wisdom. Let him who has understanding calculate the number of the beast, for it is the number of a man: His number is 666" (Revelation 13:16-18 NKJV).
To see all the details showing why the Bible foretold of all these things, check out this article!
Article: https://biblewoke.com/rfid-mark-of-the-beast-666-revealed
GOD is sending out His end time warning:
"Then a third angel followed them, saying with a loud voice, 'If anyone worships the beast and his image, and receives his mark on his forehead or on his hand, he himself shall also drink of the wine of the wrath of God, which is poured out full strength into the cup of His indignation. He shall be tormented with fire and brimstone in the presence of the holy angels and in the presence of the Lamb. And the smoke of their torment ascends forever and ever; and they have no rest day or night, who worship the beast and his image, and whoever receives the mark of his name'" (Revelation 14:9-11).
In the Islamic religion they have man called the Mahdi who is known as their messiah of whom they are waiting to take the stage. There are many testimonies from people online who believe this man will be Barack Obama who is to be the biblical Antichrist based off dreams they have received. I myself have had strange dreams about him like no other person. So much so that I decided to share this information.
He came on stage claiming to be a Christian with no affiliation to the Muslim faith...
"In our lives, Michelle and I have been strengthened by our Christian faith. But there have been times where my faith has been questioned - by people who don't know me - or they've said that I adhere to a different religion, as if that were somehow a bad thing," – Barack Obama
...but was later revealed by his own family members that he indeed is a devout Muslim.
So what's in the name? The meaning of someones name can say a lot about a person. God throughout history has given names to people that have a specific meaning tied to their lives. How about the name Barack Obama? Let us take a look at what may be hiding beneath the surface...
"And He (Jesus) said to them (His disciples), 'I saw Satan fall like lightning from heaven'" (Luke 10:18).
In the Hebrew language we can uncover the meaning behind the name Barack Obama.
Barack, also transliterated as Baraq, in Hebrew is: lightning
baraq – Biblical definition:
From Strongs H1299; lightning; by analogy a gleam; concretely a flashing sword: – bright, glitter (-ing, sword), lightning. (Strongs Hebrew word H1300 baraq baw-rawk')
Barak 'O'bamah, The use of bamah is used to refer to the "heights" of Heaven.
bamah – Biblical definition:
From an unused root (meaning to be high); an elevation: – height, high place, wave. (Strongs Hebrew word H1116 bamah baw-maw')
The day following the election of Barack Obama (11/04/08), the winning pick 3 lotto numbers in Illinois (Obama's home state) for 11/5/08 were 666.
Obama was a U.S. senator for Illinois, and his zip code was 60606.
Seek Jesus while He may be found...repent, confess and forsake your sins and trust in the savior! Jesus says we must be born again by His Holy Spirit to enter the kingdom of God...God bless!
https://biblewoke.com
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