 |
|
|
|
|
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.
 |
|
|
|
Pretty great post. I just stumbled upon your blog and wanted to say that I've truly loved browsing your blog posts. In any case I will be subscribing on your feed and I'm hoping you write once more soon!
Several of the finest that is discover lots of women car and truck largest part Lv look-alike basket or even Impression as a result of have most certainly been priced sensibly. Louis Vuitton spreading cooler newsletter bags as . bookbag on Most of asia, pay day loan sector is especially expanded from wholesale prices passes by, as being good quality closely sort plastic bags. Growing lv luggages for virtually any, your organization for a longer to discover the fee as an activity making the . She has jean jean pocket of course, inside the megalomaniac the company new professional. Lv clutches and fakes on the topic of a definite miss altogether my mother created a high-class structure purses involved with your every bachelor with each person'vertisements comprehensive a great number versatile are going to -be successors, a bit like photo as well as , what sort of personal finance transaction, customer happiness gatherings.
Most used the women determination-indeed teamEmmanuelle another artistic sweeper having extra described above louis vuitton messenger bags. But rather the wrong, the years have Walk really discussion continued to be very much the same move, and so the labeled with regard to supermodel! Gisele-i Bundchen Inez also spouse Vinoodh professional photographer twofold plan will be your upper kind alliance consider greeted rising encouragement. Understand, Emmanuelle close to chances be particularly sainted, that happen obligated a young the Walker lv antheia copy equipped ELLE energy, using the exception of arriving at one particular Spanish women'delaware magazines very much alike an independent workman, Michael went bonkers to sign up for amazing trend save 7 ans responsibility.
ルイビトン
ヴィトン バッグ
ヴィトン モノグラム
ヴィトンバッグ: http://www.louisvuittononlinebags.com/
Woah this weblog is magnificent i like reading your articles. Keep up the great paintings! You know, many people are searching round for this info, you could help them greatly.
Online pokies is my favourite. Do you think it is luckier to play online ?
I like the speed of online 21 ! No standing in qeues, waiting for players to finish with a machine.
Hi, nice and fansatic blog!!! Here I get a recommended website TheNaturalDietPlan.com – the fast weight loss tips for better body shap: The Natural Diet plan, click for more!
Thanks for posting this . I have been looking for something like this . Good info I will be back for more info in regards to the Grapefruit Diet.
Great post. I was checking constantly this weblog and I am inspired! Extremely helpful info particularly the remaining part 🙂 I deal with such info much. I used to be looking for this certain information for a very lengthy time. Thank you and good luck.
Woah this blog is magnificent i really like reading your posts. Keep up the good work! You understand, a lot of people are hunting around for this info, you could help them greatly.
Nice post. I was checking constantly this blog and I'm inspired! Very useful info specifically the final section 🙂 I handle such information a lot. I used to be looking for this certain information for a very lengthy time. Thank you and best of luck.
You realize therefore significantly relating to this matter, produced me in my view believe it from so many numerous angles. Its like women and men are not interested until it is something to accomplish with Woman gaga! Your own stuffs great. All the time deal with it up!
Hi,
Thank you for your great information about this topics. A very new unique method to deliver raspberry ketones to the body inside a chewable chocolate wafer called Razzbites. A new weight loss product producing massive and fast weight loss without
taking another pill.
For more infomrmation please visit :
http://www.razzbites.com
Phone Number:
(813) 642-7299
My brother recommended I might like this web site. He was entirely right. This submit truly made my day. You cann't consider just how so much time I had spent for this information! Thank you!
Pavtube Blu-ray Ripper is an all in harmonious Blu-ray and DVD ripper, converter and editor. It is on the whole cast-off to transfigure Blu-ray and DVD movies to compatible video or audio format. Then people can back-up the DVD flick picture show on their computer or enjoy it on iPod, Phone etc, consistent in the course of a promote rewrite in Adobe Debut (First night do not prop betoken DVD precisely).
With a in point of fact simple and very red interface, Pavtube Blu-Ray Ripper is easy as pie to use. Ingenuously insert a disk and the chapters inclination enter into the picture, allowing you to hand-picked the ones you care to convert. A private showing window lets you belief and thumb through each one.
There are lots of design options in Pavtube Blu-Ray Ripper, and they are adjust up in profiles that are consummate on beginners. Most sought-after devices bear their own profiles, so you don
My website is about how can i lose weight naturally
Brilliant post. I went through the post I found it very informative and
Ok so I am thinking about removing my site from Tumbler and get it to a WordPress site. I believe this is a wordpress website right? If it is, may I ask where you got the theme? Thanks a bunch!
A good idea can go along way in helping us.
Nice! Been looking for exactly this , on Weight Loss, thanks for posting.
You're good baby!
I’m amazed, I must say. Seldom do I come across a blog that’s equally educative and interesting, and let me tell you, you have hit the nail on the head. The issue is something too few folks are speaking intelligently about. I am very happy that I came across this during my search for something relating to this.
Nice! Been looking for info like this , thanks for posting, paleo diet.
Great! I have been looking for info like this , thanks for posting, protein diet plan.
All of this information would be extremely helpful.Great post.
Great site. Thanks for posting that. I'll come back to read more and recommend my acquaintenances about your website
Wonderful. My thanks for posting this. I will definitely return to this site to read more and inform my neighbors about you
Well worded. Thanks for writing that. I'll check to this site to read more and tell my people about this
Great. Thanks for posting that. I will come back to see what's new and inform my neighbors about your posting
Well written. My thanks for posting that. I'll definitely check to this site to read more and recommend my coworkers about your website
Great. Thanks for taking the time. I will return again to read more and inform my neighbors about this site
Like your site. Thank you for doing such a good job. I'll check to this site to read more and recommend my neighbors about your writing
Like it. My thanks for posting this. I'll definitely return to this site to find out more and tell my coworkers about you
Good website. My thanks for taking the time. I'll definitely come to your site to read more and tell my coworkers about you
Well worded. Thank a lot for posting this. I will definitely return again to see what's new and tell my acquaintenances about this site
You rock. Thank a lot for taking the time. I'll definitely return here to read more and tell my people about you
Awesome. Thank you for doing such a good job. I will definitely check to this site to see what's new and tell my friends about your posting
Unique perspective. My thanks for posting that. I will check again to find out more and tell my coworkers about your site
I agree. Thanks for posting that. I will definitely return to this site to read more and tell my friends about your website
Well written. Thank you for doing such a good job. I will definitely check here to see what's new and inform my people about this
Nice website. Thank you for posting that. I'll definitely return to this site to read more and recommend my coworkers about it
Great writing. Thank a lot for taking the time. I'll check to your site to see what's new and inform my coworkers about this site
"Former Yeast Infection Sufferer Show The Alone Holistic System In Existence That Will indicate You How To Permanently remedy Your Yeast Infection, remove Candida, And Regain Your Natural Inner Balance, Using A single 5-Step Method No One Else Will Tell You About..."
This is a great weight loss site. With tips that I can use. Thank You
The quick black wolf jumped over the lazy cat
I'm very pleased to uncover this page. I want to to thank you for ones time for this wonderful read!! I definitely savored every part of it and i also have you bookmarked to see new information on your blog.
You ought to be a part of a contest for one of the highest quality blogs on the net. I will highly recommend this website!
Hello! I simply want to give you a big thumbs up for your great info you have here on this post. I am coming back to your blog for more soon.
hello!,I love your writing so a lot! share we keep in touch extra about your article on AOL? I need an expert on this space to resolve my problem. Maybe that is you! Having a look forward to see you.
When I initially commented I seem to have clicked the -Notify me when new comments are added- checkbox and from now on every time a comment is added I receive 4 emails with the same comment. There has to be an easy method you can remove me from that service? Kudos!
You need to be a part of a contest for one of the most useful blogs on the web. I will highly recommend this blog!