 |
|
|
|
|
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.
 |
|
|
|
This is very fascinating, You're an excessively professional blogger.
I've joined your feed and look forward to in search
of more of your great post. Also, I've shared your
website in my social networks!
Look at my page http://arteriors.qhub.com/member/2220928
Valuable information. Lucky me I found your website by accident, and I am shocked why this accident did not happened earlier! I bookmarked it.
http://www.zortilonrel.com/
The other day, while I was at work, my cousin stole my iphone and tested to see if it can survive a thirty foot drop, just so she can be a youtube sensation. My iPad is now broken and she has 83 views. I know this is totally off topic but I had to share it with someone!
http://www.zortilonrel.com/
I’ve been exploring for a little bit for any high quality articles or weblog posts on this kind of house . Exploring in Yahoo I eventually stumbled upon this website. Reading this info So i am glad to show that I have a very good uncanny feeling I came upon just what I needed. I most undoubtedly will make certain to do not forget this site and provides it a glance regularly.
http://www.zortilonrel.com/
Yo lo siento, pero no se puede citar a Citroën como la panacea técnica cuando ninguno de sus coches, ninguno, presenta ni tan siquiera un cada día más común sistema de control de distancias. Insisto, prueba a ir en un BMW, Audi, Mercedes durante 8 horas de viaje y luego monta en un C . Ya me contarás. Pero vamos, de ahí a que a día de hoy despierte furores en terrazas de verano un coche cuyo año de inicio de producción coincidió con el Mundial de Naranjito, no sé. Me gustaría saber tu opinión personal José B. (como entre colegas) del C . Tu lo has probado y sabes cómo va.
http://bbs.zengzhixin.com/bbs/home.php?mod=space&uid=96217
En un país con casi millones de parados, tres veces más personas acogidos a los programas de alimentos de Cáritas que en el 2008, la degradación sistemática de los servicios públicos y con 150 desahucios y 10 suicidios diarios, la huelga debe desbordar el timorato planteamiento de las centrales sindicales mayoritarias. Méndez y Toxo sostienen que hay más motivos que nunca para ir a la huelga y denuncian que en España se está abusando de la propaganda para adormecer a la sociedad”. He investigado todos los informes del Defensor del Menor en cuanto al funcionamiento de estos centros.
http://your001.com/home.php?mod=space&uid=58949
I needed to thank you for this excellent read!! I absolutely loved
every bit of it. I have you book marked to check out new stuff you
post?
Here is my homepage – Thunder Slim Keto Reviews
Have you ever considered publishing an ebook or guest authoring on other sites?
I have a blog based on the same information you discuss
and would love to have you share some stories/information. I know my visitors would appreciate your work.
If you're even remotely interested, feel free to send me an email.
Feel free to surf to my web blog http://erectarxmaleenhancement.com/
I like what you guys are up also. Such clever work and reporting!
Keep up the excellent works guys I've incorporated you guys to my blogroll.
I think it'll improve the value of my website :).
Also visit my blog Mighty Vigor Male Enhancement
all the time i used to read smaller posts which also
clear their motive, and that is also happening with this piece of writing which I am reading at
this place.
Also visit my webpage ... https://mightyvigor.net/
I do not even know how I ended up here, but I thought this
post was good. I don't know who you are but certainly you are going to a famous blogger if
you aren't already 😉 Cheers!
My website ... Erecta Rx Review
I was reading some of your content on this site and I think this site is really informative!
Keep putting up.
My web-site: Space Disco Too Hard
Spot on with this write-up, I really believe this amazing site needs far more attention. I'll probably be back again to
read through more, thanks for the advice!
Look into my blog :: https://geegram.net/PriscillaJasso7
Nice post. I learn something totally new and challenging on websites I stumbleupon every day.
It's always interesting to read through content from
other writers and use something from their websites.
Here is my web-site – NutriProov Keto Reviews
I'd incessantly want to be update on new blog posts
on this site, saved to fav!
Look at my web-site :: ErectaRx Male Enhancement
Hmm is anyone else encountering problems with the images on this blog loading? I'm trying to figure out if its a problem on my end or if it's the blog. Any feed-back would be greatly appreciated.
http://www.vreyrolinomit.com/
Why people still use to read news papers when in this technological world
everything is available on net?
my website Ultra Keto Blast
Hi, Neat post. There is a problem with your web site in internet explorer, might check this?K IE nonetheless is the marketplace leader and a huge part of other people will miss your magnificent writing because of this problem.
http://www.vreyrolinomit.com/
I'm really loving the theme/design of your blog. Do you ever run into any browser compatibility problems? A small number of my blog readers have complained about my website not working correctly in Explorer but looks great in Firefox. Do you have any tips to help fix this issue?
http://www.vreyrolinomit.com/
Heya i’m for the first time here. I found this board and I in finding It truly useful & it helped me out much. I am hoping to give one thing again and aid others like you helped me.
http://www.vreyrolinomit.com/
That is a really good tip especially to those new to the blogosphere.
Brief but very accurate info? Appreciate your sharing this one.
A must read article!
my page; Limitless OneShot Keto
Usually I do not read post on blogs, but I would like to say that this write-up very forced me to try and do it! Your writing style has been amazed me. Thanks, very nice article.
http://www.vreyrolinomit.com/
Fantastic site. Plenty of helpful information here. I am sending it to some buddies ans additionally sharing in delicious. And naturally, thanks for your sweat!
http://www.vreyrolinomit.com/
I am pleased that I discovered this site, precisely the right information that I was searching for! .
http://www.vreyrolinomit.com/
I really appreciate this post. I¦ve been looking everywhere for this! Thank goodness I found it on Bing. You have made my day! Thanks again
http://www.vreyrolinomit.com/
If you are a tea or coffee addict & drink more than five cups of it a day while working in your office & need some health replacement for your caffeine & toxin needs than green tea is an ultimate solution to your problem.
http://bestproducts-4u.com/best-green-tea-brands/
Aw, this was an extremely nice post. Finding the time and actual effort to produce a great article?
but what can I say? I hesitate a whole lot and never seem to get nearly
anything done.
Feel free to visit my homepage; Isogenesis Keto Review
We stumbled over here coming from a different page and thought I might as
well check things out. I like what I see so i am just following you.
Look forward to finding out about your web page repeatedly.
my blog – Ultra Keto Blast Pills
It's amazing in support of me to have a website, which is helpful for
my know-how. thanks admin
My blog: Stamitol Male Enhancement Review
I am not very superb with English but I come up this really easy
to translate.
my blog – Stamitol Male Enhancement Review
Some truly interesting points you have written.Aided me a lot,
just what I was searching for :D.
Feel free to visit my site: Ultra Keto Blast Price
Regards for helping out, excellent information.
Feel free to surf to my website Isogenesis Keto Blend
What exactly I find exceptional with regard to metabolic food recipes compilation is because that it allowed so that I could very easily organize my meal and even work the prep time into my personal hectic routine. I really could arrange certain components of the meals beforehand to lessen the prep every time i was hard-pressed for the time. The downloadable copy on my smartphone made searching out to buy the ingredients a piece of cake and a lot of those ingredients are easy to locate not to mention commonly low-cost. I looked and just couldn't come across this kind of a really good group of excellent recipes of this magnitude anywhere. Read my detailed review at the following
https://truehealthreport.com/is-bacon-really-that-bad-for-you/
The 2 Week Weight loss plan Analysis – Is This Diet program Genuine? – The two week diet plan is the cutting edge diet plan by global distinguished author, weight loss coach, together with personalized health and well being mentor Brian Flatt
https://truehealthreport.com/low-carb-diabetes-diet-benefits/
The health and weight loss sector in the U.S. exclusively generates in excess of $70 billion in gross annual earnings –yet a lot more Us citizens suffer the pain of chronic weight gain, inferior health and poor diet. See more
http://jtayl.me/4nvjn
https://truehealthreport.com/is-a-1-week-diet-really-more-effective-than-a-gruelling-6-month-weight-loss-program/
I visited a lot of website but I conceive this
one contains something extra in it.
My website :: Isogenesis Keto
Just wanna input on few general things, The website pattern is perfect,
the written content is real superb :D.
Here is my web site; True Libido Boost Reviews
https://truehealthreport.com/preventing-hair-loss-strategies-and-tips/
It is so much more than a diet or meal plan, it changed my perspective on nutrition forever.
https://truehealthreport.com/best-easiest-clean-eating-shrimp-fajitas-recipe/
https://truehealthreport.com/best-treatment-for-dry-hands-in-women/
It truly is much more than an eating plan or meal plan, it revolutionized my perspective on nutrients permanently.
https://is.gd/GYE9so
The facts present in the Fat Decimator training course is truly unique, basic and immensely effective. What’s even more amazing is the fact that Kyle isn’t charging massive amounts of money for his program. Learn more about this system right here
http://tvc.in/2vo6h
Can I just say what a comfort to discover somebody that actually understands what they are discussing
on the net. You definitely realize how to bring an issue to light and make it important.
More and more people have to check this out and understand this
side of your story. I was surprised you're not
more popular because you most certainly have the gift.
Also visit my web-site; Ultra Keto Blast Ingredients
I absolutely love your blog and find a lot of your post's to be exactly I'm looking for.
can you offer guest writers to write content for you
personally? I wouldn't mind composing a post or elaborating on a lot of the subjects you
write with regards to here. Again, awesome website!
Take a look at my page :: ManDime Male Enhancement Reviews
You got a very fantastic website, Gladiolus I observed it through yahoo.
Here is my web blog – Optimal Trim Keto Review
You would like to keep your heart healthy? The best Method to do this is by keeping a healthy diet full of low-fat foods. There are a number of foods that can't be from your diet, what are they? There Is scientific evidence indicating that 70 of cases of heart disease can be prevented by keeping a healthy diet. Arthur Agatston, renowned cardiologist and creator of the South Beach diet, states about this : What's good for the heart is good for the mind and good for general health. But, Do not think you should only focus your attention on the main meals. To the contrary, from breakfast to dinner, such as bites, may be heart healthy if you put your mind. You just need to include certain foods, which ones? http://jtayl.me/4nvku
http://jtayl.me/4nvks
Follow the Glycemic Index (GI) - The Glycemic Index ranks foods according to their effect on your blood glucose level. Foods with a high GI, like white bread and short-grained white rice, are converted almost immediately to blood sugar, causing your blood sugar levels to spike quickly. There are a lot of weight loss articles out there that delve Into complex issues such as calorie counting and complex carbs versus carbs that are simple and after some time all of the detailed, and often conflicting, info can leave your head spinning. These articles can make the whole weight reduction procedure look so difficult and overwhelming that many people simply give up and do not even attempt to eliminate weight. http://divineurl.com/23jpo
http://view-free.info/7dSO
Many people aren't aware that diabetes is just one Of the most preventable of all life threatening diseases and that it is simple to learn how to stop yourself from becoming a type 2 diabetic. It's possible to prevent type 2 diabetes simply by making changes to the way you live your life. What Other disorder are you really able to control that easily? In case you have been advised by your physician that you have prediabetes, you are on your way to developing type 2 diabetes, then if you don't begin mato makeome changes. This can be even more important for someone with a family history of diabetes. Let us discuss what can be done in order to avoid type 2 diabetes. http://www.congreso-hidalgo.gob.mx/urls/43C
https://tinyurl.com/y7ncdw75
It's very effortless to find out any matter on net as compared to books, as I
found this article at this website.
Check out my site Testonyl