 |
|
|
|
|
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.
 |
|
|
|
mexican pharmacies shipping to usa viagra no prescriptin best canadian prescription prices
Get Our Passive Income System – Step 1: Get our ready made niche websites, Step 2: Run our Premium Unlimited Traffic Step 3: Setup your Paypal account. Then just sit back and relax while you watch your paypal account receiving payments during the whole day 100 in auto pilot.
https://warriorplus.com/o2/a/pdps2/0
ganaric viagra viagra headache cure viagra cost per pill
Awesome cooking!
https://www.google.ac/url?q=https://www.vuasongbac.com.com
I love this recipe
https://images.google.sh/url?q=https://www.vuasongbac.com.com
canada pharmacies online canadian prescriptions canadian online pharmacies legitimate by aarp
generic viagra online pharmacy prescription drugs prices online pharmacies canada
Earn $200/Day With Our Passive Income System – Best Autopilot income system 2021
https://docs.google.com/forms/d/e/1FAIpQLSfjcTppdKQzGbIgIlhuWTJNXIfS0zBO8D2tZvBP-tIrqbHdxg/viewform
Earn $1000/Day With Our Passive Income System – Best Autopilot income system 2021
http://makedollarstoday.landingbit.com/superaffiliatesystem
Earn 3000 a Month With Our Passive Income System
https://warriorplus.com/o2/a/c9n3t/0
How does Computer Ram make a computer faster and deliver better performance?
https://fink48le.mystrikingly.com/blog/well-nigh-households-toy-video-recording-games-in-unrivaled-bod-or-some-other
This is something New !
https://anonym.to/?https://j-website.net
canadian drug stores online pharmacies shipping to usa canadian pharcharmy onlinecanadian online pharmacy
Is a computer science degree any good for computer forensics?
https://dribbble.com/lindemccartney1
Great post, you have pointed out some wonderful points, I besides think this s a very excellent website.
http://www.froleprotrem.com/
generuc viagra generic viagra 100 best place to buy online viagra
How does one make money from blogs? How does one go about it or start it?
https://www.indiegogo.com/individuals/25892542
I love this recipe
https://images.google.co.th/url?q=https://www.vuasongbac.com
I love this recipe
https://maps.google.co.bw/url?q=https://www.vuasongbac.com
Very timely topic
https://maps.google.com.py/url?q=https://www.thesufitrader.com
It?s difficult to find well-informed people on this subject, however,
you sound like you know what you?re talking about! Thanks
Feel free to visit my web-site ... Mother's Medicine Hemp CBD Oil
Have you ever heard one of those “sounds too go to be true” stories about how someone started an online business, and now that business makes sales for them while they sleep… What if I told you those stories were true? Even better… What if I told you that there’s a system that’s proven to work for people REGARDLESS of background or experience. Even better... What if I told you that you could get yourself completely set up with just such a business before you go to bed tonight? You probably would be skeptical. And you’d be right to. But you’d probably also be curious… In which case you’d need to click on the link on this post, and check out the details for yourself. Everything I’m saying is proven. Check it out for yourself. Click the link and see for yourself http://divineurl.com/28di0
https://bit.ly/3aNq5gl
Pulling in commissions from the internet isn't all that hard. The trouble is that... Most people tend to complicate things. They make things more difficult than necessary. But the good news is that... In this free video, I'm going to show you how you can... Pocket DAILY commissions starting as quickly as THIS WEEK http://jtayl.me/4nw13
https://tinyurl.com/y5lq8lns
online pharmacies no prescription prescription online anti fungal
Have you ever heard one of those “sounds too go to be true” stories about how someone started an online business, and now that business makes sales for them while they sleep… What if I told you those stories were true? Even better… What if I told you that there’s a system that’s proven to work for people REGARDLESS of background or experience. Even better... What if I told you that you could get yourself completely set up with just such a business before you go to bed tonight? You probably would be skeptical. And you’d be right to. But you’d probably also be curious… In which case you’d need to click on the link on this post, and check out the details for yourself. Everything I’m saying is proven. Check it out for yourself. Click the link and see for yourself http://divineurl.com/28di0
https://tinyurl.com/y5lq8lns
Hey, Have you ever been so excited that you just want to jump out of your chair and go flying through the roof?!? That's about how I'm feeling right now. Quite frequently I'll send out an email about something that I'm really excited about. This works. And it will be of EXTREME value to you. It's worked for so many people – myself included. If it's worked for us, it can work for you too. Just make sure you act fast so you don’t miss out. Trust me when I tell you that you’ll kick yourself if you lose out on this! http://divineurl.com/28di0
https://tinyurl.com/y5lq8lns
As soon as I detected this website I went on reddit to share some of the love with them.
https://europa-road.eu/
Thankyou for this marvellous post, I am glad I detected this internet site on yahoo.
https://europa-road.eu/hu/vasuti-szallitmanyozas.php
You completed various good points there. I did a search on the subject and found a good number of people will go along with with your blog.
https://europa-road.eu/hu/tengeri-szallitmanyozas.php
Normally I don't read article on blogs, but I wish to say that this write-up very forced me to try and do it! Your writing style has been amazed me. Thanks, quite nice article.
http://www.dumpawaste.co.uk
Amazing blog! Do you have any tips and hints for aspiring writers? I'm planning to start my own site soon but I'm a little lost on everything. Would you recommend starting with a free platform like WordPress or go for a paid option? There are so many options out there that I'm totally overwhelmed .. Any ideas? Thanks!
http://www.dumpawaste.co.uk
I got what you mean , thankyou for putting up.Woh I am delighted to find this website through google. "Wisdom doesn't necessarily come with age. Sometimes age just shows up by itself." by Woodrow Wilson.
http://www.vreyrolinomit.com/
Best view i have ever seen !
http://www.bshare.cn/share?url=https://www.songmanhits.com
You are my aspiration, I own few web logs and infrequently run out from to brand.
http://www.vreyrolinomit.com/
I conceive other website owners should take this website as an model, very clean and excellent user friendly pattern.
http://www.vreyrolinomit.com/
I've learn some excellent stuff here. Certainly price bookmarking for revisiting. I wonder how much effort you set to make one of these wonderful informative web site.
http://www.vreyrolinomit.com/
dave ramsey loan money to family cash advance goodlettsville tn money loans republic of ireland
Best view i have ever seen !
https://images.google.co.uz/url?q=https://thuocladientu123.com
viagra over the counter http://vigedon.com/ generic viagra online united states
cuanto cuesta la cialis en venezuela can you buy cialis at rite aid cialis 5 mg info
This is very useful! I'm glad I found your post because it's better than similar posts I've seen from most other bloggers about this subject. Is it okay if I ask you to add some more detail? Could you write any further example? Thank you!
https://loginlegends.com/groups/reusable-and-washable-face-masks-now-accessible/
Get Our Passive Income System – Step 1: Get our ready made niche websites, Step 2: Setup your Paypal account. Step 3: Run our Unlimited Traffic System from 850 sources of traffic (Approximately 35000 views a day guaranteed). Then just wait and earn your income 100 on autopilot. More info: https://www.k3reviews.com/2020/08/16/monster-mode-700k/
https://www.k3reviews.com/
Earn 500 a Day With Our Passive Income System Doing These 3 Steps: Step 1: Get our ready made niche websites, Step 2: Setup your Paypal account. Step 3: Run our Unlimited Traffic System from our Free 850 sources of traffic and start earning your income in same day. More info: https://www.k3reviews.com/2020/08/16/monster-mode-700k/
https://www.k3reviews.com/
online payday loan quebec how do you get a cash advance from a credit card payday loans details
accident claims cash advance payday loans no faxing manitoba payday loan rate
cialis on ebay http://llecialisjaw.com/ cialis viagra levitra young yahoo
cialis y ciclismo cialis windsor generic cialis 2.5 mg
\\cheap viagra discount viagra buy generic viagra from canada
Hmm it appears like your site ate my first comment (it was extremely long) so I guess I'll just sum it up what I submitted and say, I'm thoroughly enjoying your blog. I as well am an aspiring blog writer but I'm still new to the whole thing. Do you have any tips and hints for rookie blog writers? I'd really appreciate it.
http://www.vreyrolinomit.com/
Well I definitely liked reading it. This post provided by you is very useful for correct planning.
http://www.vreyrolinomit.com/