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  • CSARdiver
    CSARdiver Posts: 6,252 Member
    CSARdiver wrote: »
    Let me just throw this out there right now. I did not at any point starve myself. I have a medical condition where I put on weight super easy and lose it very slowly normally. They adjusted my thyroid levels and now I'm closer to where I should be.

    What was your last TSH reading? Did they take a full thyroid panel including fT3, fT4, and rT3?

    Thyroid disorders have minimal impact on metabolism. It is important to understand what this condition does and does not do. It may have great impact on your appetite triggers where you eat and never feel satiated. It can impact your sleep and fatigue triggers making you feel sleepy and tired when you really are not. It has minimal impact on metabolism. ~5% from clinical observation and that is in the extreme case. This equates to ~80 kcals/day out of a 1600 kcal/day caloric budget.

    It also can cause water retention, but that's really neither here nor there if the logging and tracking aren't en pointe to begin with.

    BINGO!

    ANY hormone shift causes water retention. This is your body's natural defense mechanism.

    Note that this is the only clinically provable weight gain associated with hypothyroidism - water weight.
  • collectingblues
    collectingblues Posts: 2,541 Member
    CSARdiver wrote: »
    CSARdiver wrote: »
    Let me just throw this out there right now. I did not at any point starve myself. I have a medical condition where I put on weight super easy and lose it very slowly normally. They adjusted my thyroid levels and now I'm closer to where I should be.

    What was your last TSH reading? Did they take a full thyroid panel including fT3, fT4, and rT3?

    Thyroid disorders have minimal impact on metabolism. It is important to understand what this condition does and does not do. It may have great impact on your appetite triggers where you eat and never feel satiated. It can impact your sleep and fatigue triggers making you feel sleepy and tired when you really are not. It has minimal impact on metabolism. ~5% from clinical observation and that is in the extreme case. This equates to ~80 kcals/day out of a 1600 kcal/day caloric budget.

    It also can cause water retention, but that's really neither here nor there if the logging and tracking aren't en pointe to begin with.

    BINGO!

    ANY hormone shift causes water retention. This is your body's natural defense mechanism.

    Note that this is the only clinically provable weight gain associated with hypothyroidism - water weight.

    Yup. I lost four pounds in the first week of a med adjustment from being in an undermedicated state to an optimal state. Was it water? You bet. But thanks to meticulous logging, I know that the 16 pounds I put on in that year of being undermedicated was also water. And now I just need to wait for it to come off.

    I told my therapist that I'm aware that if what the difference is between what I weigh, and what my calorie deficit should have me weigh, really was all water, that I'm going to have to see my dietitian to start working calories back in, because the difference is quite stark, and would put me in an underweight state.

    But it was *having* those meticulous logs -- along with what my weight and my meds and my lab results were during that time -- that got my new endo to take me seriously, and come up with a treatment plan. If I hadn't had those, I'm sure he would have thought (as did my previous one, who refused to even look at them) that no, I was just blaming the hypothyroid instead of taking ownership.
  • CSARdiver
    CSARdiver Posts: 6,252 Member
    CSARdiver wrote: »
    CSARdiver wrote: »
    Let me just throw this out there right now. I did not at any point starve myself. I have a medical condition where I put on weight super easy and lose it very slowly normally. They adjusted my thyroid levels and now I'm closer to where I should be.

    What was your last TSH reading? Did they take a full thyroid panel including fT3, fT4, and rT3?

    Thyroid disorders have minimal impact on metabolism. It is important to understand what this condition does and does not do. It may have great impact on your appetite triggers where you eat and never feel satiated. It can impact your sleep and fatigue triggers making you feel sleepy and tired when you really are not. It has minimal impact on metabolism. ~5% from clinical observation and that is in the extreme case. This equates to ~80 kcals/day out of a 1600 kcal/day caloric budget.

    It also can cause water retention, but that's really neither here nor there if the logging and tracking aren't en pointe to begin with.

    BINGO!

    ANY hormone shift causes water retention. This is your body's natural defense mechanism.

    Note that this is the only clinically provable weight gain associated with hypothyroidism - water weight.

    Yup. I lost four pounds in the first week of a med adjustment from being in an undermedicated state to an optimal state. Was it water? You bet. But thanks to meticulous logging, I know that the 16 pounds I put on in that year of being undermedicated was also water. And now I just need to wait for it to come off.

    I told my therapist that I'm aware that if what the difference is between what I weigh, and what my calorie deficit should have me weigh, really was all water, that I'm going to have to see my dietitian to start working calories back in, because the difference is quite stark, and would put me in an underweight state.

    But it was *having* those meticulous logs -- along with what my weight and my meds and my lab results were during that time -- that got my new endo to take me seriously, and come up with a treatment plan. If I hadn't had those, I'm sure he would have thought (as did my previous one, who refused to even look at them) that no, I was just blaming the hypothyroid instead of taking ownership.

    Oh yeah - I blamed my condition for 14 years and just wallowed in failure. The moment I started tracking, logging, and being brutally honest with myself the world changed and I saw weight fall off just as intended at about an average 1 lb/week over a year.
  • collectingblues
    collectingblues Posts: 2,541 Member
    edited May 2018
    CSARdiver wrote: »
    CSARdiver wrote: »
    CSARdiver wrote: »
    Let me just throw this out there right now. I did not at any point starve myself. I have a medical condition where I put on weight super easy and lose it very slowly normally. They adjusted my thyroid levels and now I'm closer to where I should be.

    What was your last TSH reading? Did they take a full thyroid panel including fT3, fT4, and rT3?

    Thyroid disorders have minimal impact on metabolism. It is important to understand what this condition does and does not do. It may have great impact on your appetite triggers where you eat and never feel satiated. It can impact your sleep and fatigue triggers making you feel sleepy and tired when you really are not. It has minimal impact on metabolism. ~5% from clinical observation and that is in the extreme case. This equates to ~80 kcals/day out of a 1600 kcal/day caloric budget.

    It also can cause water retention, but that's really neither here nor there if the logging and tracking aren't en pointe to begin with.

    BINGO!

    ANY hormone shift causes water retention. This is your body's natural defense mechanism.

    Note that this is the only clinically provable weight gain associated with hypothyroidism - water weight.

    Yup. I lost four pounds in the first week of a med adjustment from being in an undermedicated state to an optimal state. Was it water? You bet. But thanks to meticulous logging, I know that the 16 pounds I put on in that year of being undermedicated was also water. And now I just need to wait for it to come off.

    I told my therapist that I'm aware that if what the difference is between what I weigh, and what my calorie deficit should have me weigh, really was all water, that I'm going to have to see my dietitian to start working calories back in, because the difference is quite stark, and would put me in an underweight state.

    But it was *having* those meticulous logs -- along with what my weight and my meds and my lab results were during that time -- that got my new endo to take me seriously, and come up with a treatment plan. If I hadn't had those, I'm sure he would have thought (as did my previous one, who refused to even look at them) that no, I was just blaming the hypothyroid instead of taking ownership.

    Oh yeah - I blamed my condition for 14 years and just wallowed in failure. The moment I started tracking, logging, and being brutally honest with myself the world changed and I saw weight fall off just as intended at about an average 1 lb/week over a year.

    I think the clincher for my doc -- and how we came up with the new dose -- was that I could show him that when I was properly medicated, I was *always* losing what the numbers said I should be losing, within 5 percent of expected, averaged out to about 100 calories (which I could live with, considering I'm a diabetic who periodically has to treat hypos, which I refuse to count in my calorie allotment, since that makes me want to not treat).

    But when I wasn't properly medicated? There was a 150 to 200 percent difference between what was expected and what was observed, usually to the tune of my weight either staying flat, or gaining.

    So he could look at all that data, conclude with my assessment that my dosing was too low, and then come up with a dose that was expected to work correctly. And indeed, so far, it has.

    And after a year of this, I will be really happy to finally let my brain do *other* stuff besides run stats evals on my wonky thyroid. :D
  • TerranandKaylynsmommy
    TerranandKaylynsmommy Posts: 321 Member
    NovusDies wrote: »
    I am thinking we may have a very unusual amount of water weight. I have to think she would be in the hospital or close to it at a true fat loss in 80 days. No way she could exercise 6 days a week at a ~1750 per day calorie deficit, right?

    In the first month actually. Right after they adjusted my meds.
  • NovusDies
    NovusDies Posts: 8,940 Member
    NovusDies wrote: »
    I am thinking we may have a very unusual amount of water weight. I have to think she would be in the hospital or close to it at a true fat loss in 80 days. No way she could exercise 6 days a week at a ~1750 per day calorie deficit, right?

    In the first month actually. Right after they adjusted my meds.

    I suspected as much which is why I backed off. There was just no way you could maintain enough of a deficit to accomplish it, had it been all fat, and still be upright with the exercise.
  • Aaron_K123
    Aaron_K123 Posts: 7,122 Member
    Perhaps in my original thread I should have listed my medical problems. My doctor said much of my initial weight loss was water. I was way more calorie restrictive... Not unhealthy and was medically observed in the beginning. If you look at my diary as of late my calories have been a lot higher. I was only ranting because of my propensity to gain weight rapidly. I in no way was implying that said weight loss was advised. I will be more careful of my wording in the future. As for a body scan... I didn't have that but I do go to the doctor once a month and he said I look much healthier and that I had good muscle tone.

    I think that all makes sense, thank you for clarifying and apologies if you were offended by the response you got.
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