lapband and thyroid
on 7/6/13 2:34 am
If you are under the care of a good endocrinologist- you will have your T3, free T4, and TSH levels closely monitored (blood tests) and your dose of replacement thyroid hormone will be gradually increased until you reach "therapeutic level"- this should help to keep your basal metabolic rate near normal. However, sad to say, many people who have surgical removal of the thyroid do not respond identically to the replacement hormone as they do the hormones their body makes- and the basal metabolic rate is still lower than it could/should be- resulting in weight gain. There may also be weight gain during the time that it takes for the medications to be incrementally increased to obtain therapeutic levels. Not written in stone, mind you, but very probable.
The good news is you can find a good endocrinologist to monitor and treat you (if you have not already) and you can exercise (morning is the best time so your BMR stays higher longer throughout the day- but should be supplemented by aerobic activity a few times a day to keep the BMR up- even 10-15 minute brisk walk 3x a day is very helpful) and strictly limiting simple carbs "sort of" compensates for the potential weight gain. Using the band as a tool is helpful in caloric restriction and, when fitted properly, should be beneficial to restrict gain as well.
Good luck with going forward.