Too many patients, as documented in an on-line study of 12,000 individuals conducted by the American Thyroid Association published in June 2018, (https://doi.org/10.1089/thy.2017.0681) , complain of persistent symptoms of hypothyroidism despite what their doctors believe is successful treatment with levothyroxine (brands include Synthroid, Unithroid, Tirosent, Levoxl). We believe something needs to be done to resolve this conflict between patients and their doctors.
Being underweight can be as frustrating and embarrassing as being overweight. Matt writes about his experience with a fast metabolism due to thyroid hormone treatment for cancer. What he learned from his experience he puts into specifics to help others overcome a naturally fast metabolism and achieve a desirable body weight.
Matt offers members of metabolism.com the following comments:
It IS possible to gain weight, no matter how fast your metabolism is â€“ I know from experience. I have a very fast metabolism â€“ it was always fast â€“ but now I *know* it to be abnormally fast because I have thyroid cancer, and as part of the treatment, I have to take a slightly above-normal dose of thyroid hormone, which is done to prevent the growth of the cancer. (Thyroid hormone controls the speed of your metabolism, so it would definitely be worth a trip to the doctor to have your thyroid levels tested if you have a hard time gaining weight.) My levels are not as high as they used to be (fortunately) since the cancer is now in remission and the level could be safely reduced somewhat, but I remember from when the levels were at their highest how it seemed like I had to eat constantly to maintain my weight. I remember that I seemed to have just as much of an appetite, if not more, than I did when I was running cross-country 8-12 miles a day (prior to my diagnosis), even though I was no longer running much at all.
What you have to remember is that itâ€™s all a matter of how many calories youâ€™re taking in. If you take in more calories than you burn, you WILL gain weight. Itâ€™s a lot easier to do with a well-designed nutrition program. After going through my initial cancer treatment, a couple years ago, I went to see a nutritionist who did numerous tests and designed a custom nutrition program for me. (The nutritionist was Dr. Frederick Sutter, if anyoneâ€™s interested, though Iâ€™m sure there are other nutritionists who can do similar tests.) One of the tests even determined the number of calories that I should be eating per day, which I think was 3500. Some of the people posting comments here may need even more calories than that.
Keep in mind that many professional athletes eat 8000 calories or more a day (Michael Phelps eats a staggering 12,000!) Talk about really having to spend a lot of time eatingâ€¦ unless anyone here is a professional athlete, you probably donâ€™t need nearly that many calories. But it still can be a challenge.
While lately Iâ€™ve been a little less vigilant, and consequently my weight is a little lower than Iâ€™d like it to be, I know how to gain weight, and I successfully did so in the past even when my thyroid levels were higher. You do have to be vigilant to eat frequently.
What worked for meâ€“and what my nutritionist recommendedâ€“was first of all to eat more protein. This is easiest to do on a non-vegetarian diet, but do make sure to include vegetable protein from sources like beans, nuts, and soy. This will help to increase caloric intake and build muscle. Also, eat frequently â€” preferably 4 meals a day, plus snacks. Healthy snacks include whole-grain crackers or rice cakes with peanut butter, cottage cheese with fruit and/or honey (or stevia), yogurt mixed with weigh protein, and protein shakes.
I think one of the biggest helps for me was supplementing my diet with weigh protein (I prefer the unsweetened kind, or Jay Robbâ€™s sweetend with stevia since I avoid sugar), which as I just mentioned you can mix with yogurt or use to make protein shakesâ€¦or just mix with water or milk (or soy or almond milk). For one very brief period, I even started to gain too much weight, and I think it was due eating a lot of weigh protein without exercising enoughâ€“it works best if youâ€™re working out, in which case it will definitely help you to build muscle. Iâ€™m also a big fan of Hemp Protein, which does not taste as good mixed with foods like yogurt, but can be used to make a good shake, especially when mixed with cocoa (I use a banana to sweeten it). It contains all the essential amino acids, plus chlorophyll, fiber, and more, and itâ€™s completely vegetarian. Itâ€™s a big hit with vegetarian athletes.
Well, that should be enough to get you startedâ€¦remember, itâ€™s just a matter of figuring out ways to eat more calories! â€” but donâ€™t eat junk! You may hear people say that you should just eat more cookies and cakes, etc., which is probably the worst advice that could be given. White flour (which on ingredient labels is referred to as â€œwheat flourâ€â€“watch out! look for â€œwhole wheat flourâ€) and refined sugar are among the worst things ANYONE can eat, except in very, very modest quantities. And if this advice isnâ€™t enough for you, research the glycemic index, and finally see a nutritionist if you need further assistance â€” itâ€™s hard to find good advice in books and on the internet, since most of it is geared toward people wanting to lose weight. But a professional nutritionist can definitely help you to gain weight.