VSG Maintenance Group
Hypothyroidsim
Hello group, I am a revision from lap band to sleeve 07/11. I was doing pretty well up until the last two months. I was feeling extremely tired. I went to my doctor and she ran some labs. My labs showed that I have an underactive thyroid. I started Levoxyl 50mg about a month ago, but I have scheduled to see my doctor next week because I have put on about 8 pounds. I know that I will probably need to get my dose adjusted probably to 100 mg. But this is very frustrating, I do not see myself overeating and the pounds are coming on. Has anyone had a similar experience? Any suggestions? Don’t get me wrong, I am glad to be made aware that my extreme tiredness was an actual medical condition that is treatable, but the thought of gaining weight over this is stressing me out..
Thanks,
Santos Bronx, New York
on 5/31/12 10:56 pm, edited 5/31/12 10:57 pm
After he started meds, he was able to drop the weight. He's military and was given a weight waiver that allowed him 6 months to get it off, which he did.
After being on meds for a couple of years, he found he was still very tired. Then a doctor friend of ours told us to read this book (I'll post a link). Through this book, he learned that there are several tests that you can get to make sure you are really taking the correct meds. From what he learned, he was able to demand a few more tests, and learned he needed a combo of two meds to feel good. I highly recommend you read this book so that you can learn about your hypothyroidism, and as a result, your doctor will listen to you better.
http://www.amazon.com/s/ref=nb_sb_ss_i_6_29?url=search-alias %3Dstripbooks&field-keywords=what+your+doctor+may+not+tell+y ou+about+hypothyroidism&sprefix=what+your+doctor+may+not+tel l%2Cstripbooks%2C272
Don't worry, treating your hypothyroidism will make losing the extra weight easier. After starting meds, my husband had no problem dropping that 30 pounds. It literally fell off of him.
on 6/1/12 12:04 am
Thanks,
Santos
Lizanne
What were your labs? TSH? fT4? fT3?
Make sure they don't try to medicate you based on TSH alone. It is a pituitary hormone, not a thyroid hormone. It does not measure your thyroid function or absorption of thyroid hormone into the cells. It measures the levels of thyroid hormone in the pituitary where they are acted upon by a different set of deodinase enzymes than those which work in your cells and liver.
The thyroid produces primarily T4 which is an inactive transport horomone. It has to be converted into T3, the active hormone. You can be deficient in production of T4 or have poor conversion of T4 to T3 or both. T4 supplementation is preferred because has a half life of 6-7 days whereas T3 is less than one day. You get fewer peaks and valleys' however, if you aren't converting properly you will not get the benefits. Weightloss in itself supresses conversion of T4 to T3, and you may need to take a combo T4/T3 pill rather than T4 alone. Also, low ferritin is associated with poor conversion.
I take .175mg of Levoxyl, but I have no thyroid function at all. Mine was knocked out with radioactive iodine almost 20 years ago. You really have to push endocrinologists. They can be very dogmatic, and half the time they leave everything to their PA's who are even MORE dogmatic. The American Association of Clinical Endocrinogists came out 10 years ago saying TSH above 3 is hypothyroid, and doctors STILL tell patients they are fine at levels of 4-4.5.
Your TSH should be 1-2, your fT4 and fT3 should both be within the normal range. If your fT3 is low, you are hypothyroid at the cellular level which is where it actually matters.