How to deal with exercise calories with hypo?

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slieber
slieber Posts: 765 Member
Hi everyone,

In the olden days, I was told to eat back the exercise calories to lose weight, so as not to go into starvation mode. I lost 50 pounds on that system. Then the hypo hit.

I have been exercising regularly, but just ballet classes, due to the exhaustion issues. I have now been back to the gym a few times and come out feeling good, but I am not sure if I should eat back the calories.

Anyone have any idea how to deal with hypothyroid (reasonably regulated) and the calories situation?

Thanks in advance!
S.
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Replies

  • editorgrrl
    editorgrrl Posts: 7,060 Member
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    I have Hashimoto's (autoimmune thyroid disease), and I lost and have maintained for six months just like everybody else—by eating fewer calories than I burn. No special "hypo math" needed.

    If you're not losing, you may be underestimating your food &/or overestimating your burns. That has nothing to do with your thyroid.
  • slieber
    slieber Posts: 765 Member
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    Thank you. I was hoping this might be the case. It makes it easier to deal with. I have maintained but not lost over the past 3 years. Now I think I know what to do.
  • lindsey1979
    lindsey1979 Posts: 2,395 Member
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    You also may have accessory issues to the thyroid. I just learned the hard way how important it was to keep DHEA levels up in addition to my thyroid. How are your DHEA levels? Does your doc look at the thyroid accessory stuff too (magnesium, iodine, Vitamin D, sugar levels like A1C, etc.)? Almost all women that have hypothyroid issues also have low DHEA (don't remember why it seems to correlate so highly with women but not as much with men).

    I literally stopped taking my DHEA for a while -- I can't explain why but for some crazy idea I just thought I didn't need it or it wasn't that important. And my weight loss totally stopped, despite the exact same exercise and calorie deficits. I thought I was going crazy again. Blood tests came back and doc was like "what's up with your DHEA -- have you stopped taking it?!!" I just didn't realize how important it was.

    I started taking it again, got my levels back up into the good range, and the weight started coming off again, just like before -- exactly in line with my calculated deficits.

    So, sometimes, it's really not about the food, but about other things going on in your body. Hormones are very, very powerful and a delicate balance.
  • editorgrrl
    editorgrrl Posts: 7,060 Member
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    So, sometimes, it's really not about the food, but about other things going on in your body. Hormones are very, very powerful and a delicate balance.

    When you hear hoofbeats, think horse before zebra. If you're not losing weight, get a kitchen scale and weigh everything you eat—even packaged foods.

    If you learn to log everything you eat & drink accurately & honestly, you'll probably start losing weight. If not, you can look for other causes. But start with the most obvious cause first.
  • knittingbandmom
    knittingbandmom Posts: 190 Member
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    @lindsey - my doctor put me on DHEA last fall when I was diagnosed (along with quite a list of other vitamins).

    I about fell out of my chair when he explained it to me. He said, and I quote: "you need DHEA to support and keep your adrenals functioning. Your adrenals give you testosterone. I am a man. I get my testosterone from my balls. You get yours from your adrenals. You fix the adrenals, you won't need the bioidentical testosterone you are putting in your hip". Sorry if that offends anyone but it's a true story. Also, he was right! I do feel freakin fantastic, however, I've not lost any weight. He asked me if I was eating less and exercising more? Since I had not been doing either of these things at the time this is sadly, also a true story lol. At least now I have enough energy and feel well enough to start exercising again. Before I got sick I used to run 2-3 miles a day and do yoga twice a week. This is my goal again but maybe I'll start out with yoga and just walking!
  • Fuzzipeg
    Fuzzipeg Posts: 2,300 Member
    edited January 2015
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    Thank you for the DHEA references. I think this goes to prove we may all live under one label but the reasons for us ending up there are as numerous as we are, or the combination of the thyroid hormone problems we have. It is so very difficult and disheartening trying to discover "what is best for you" when it comes to these thyroid symptoms. Finding a thyroid condition specialist is the greatest obstacle anyone has to overcome particularly in the UK and Europe where we have a one size fits all testing and medication regime which fails many of us, unless we find an open minded medic who is prepared to cover all our angles and treat as a "named patient", a very rare person. Becoming our own thyroid specialist by listening and reading is probably the best many of us can do but it is not without risks.

    I read, having a good DHEA levels is good for most, many of us will be deplete in DHEA because it goes with the low thyroid hormone territory, self medication is problematic because in high amounts, above the 4 to 16 mg prescribed by physicians, the excess in those who do not need as much can lead to high cortisol and more health problems. Under correct medical direction where there is a recognised need it seems to work wonders, going it alone could be fought with issues. How do we enable most medical advisers to test for wider issues here in the UK?

    Thank you for bringing more relevant information to the table. All many of us want is to find our own way of being very well, again. Information always helps.
  • editorgrrl
    editorgrrl Posts: 7,060 Member
    edited January 2015
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    Fuzzipeg wrote: »
    It is so very difficult and disheartening trying to discover "what is best for you" when it comes to these thyroid symptoms. Finding a thyroid condition specialist is the greatest obstacle anyone has to overcome particularly in the UK and Europe where we have a one size fits all testing and medication regime which fails many of us, unless we find an open minded medic who is prepared to cover all our angles and treat as a "named patient", a very rare person. Becoming our own thyroid specialist by listening and reading is probably the best many of us can do but it is not without risks.

    It's hard to be a thyroid patient in the US, too. Doctors here (including endocrinologists) are very resistant to prescribe Armour (dessicated pig or pig & cow thyroid glands) or Cytomel (liothyronine). But Synthroid (levothyroxine) is not right for everyone.

    I agree 100% about educating yourself. Get your information from reliable sources, like the NHS, NIH, and Mayo Clinic.

    And shop around for a good endocrinologist who will adjust your meds based on symptoms, too—not just your levels. Find a doctor who will listen to you.
  • slieber
    slieber Posts: 765 Member
    edited January 2015
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    I have these items I take, at various times of the day: Synthroid 75, Cytomel 100, DHEA 25 every other day, progesterone 100. Additionally, I take a multivitamin, B complex, Vitamin D3, glucosamine and condroitin, green tea extract, fish oil, and shizandra. The Synthroid is taken on its own at about 3am ( I naturally awake to use the bathroom so it's not a big deal). Cytomel is about 12 hours later. Progesterone is before bed already no with magnesium (calcium is with the magnesium). DHEA is with breakfast, along with most of the other supplements.

    I have a great doctor. Actually, two. I'm one is an osteopath, and his physician's assistant. She is amazing. Definitely goes but symptoms rather than just numbers.

    I have started with the measuring now, so we'll see what happens. Getting old really sucks!
  • Fuzzipeg
    Fuzzipeg Posts: 2,300 Member
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    As far as I am concerned, I welcome any information I can come across which I can read and consider for myself because I have been failed hands down by all but one modern medic, and a fresher I've encountered in my 65 years. I have to confess an underlying problem salicylate intolerance and the immunologist agreed. My symptoms are sometimes similar to some of those experienced by someone having taken an aspirin overdose but coming out of it, sometimes it is not quite so bad, mine are probably on the worse side of average with continuous, no relief tinnitus.

    The Australians were the first to try to get to grips with the problem though it had been noted from times past. The FDA registered, agreed the work many years ago, in the '70's. I think the UK was not as interested. The thyroid link. Up shot, the thyroid becomes stressed in its attempt to eliminate salicylate from foods especially those now deemed so good and the environment particularly perfumes and household cleaners and plants, this also adds chemical sensitivity. This puts myself and fellow sufferers as the immunologist said, "At the edge of science". The exact cause of the sensitivity is not known.

    I know logging and weighing religiously disregarding activity calories, after a week or three stops working for me my weight will not drop any more. The more precise I become, were it possible to be so, the more resistant my body becomes. I admit to drifting for a while and gaining. Knowing I am still 6 stone down from my worst, over several years gives me some comfort and hope. It comes to something when one has to tell the top endo at the local hospital that salicylate is a toxin!

    On my own I overcame many problems including severe joint and muscle pain, to the point I needed crutches, bladder problems and chronic fatigue (this is gone for the most part, but I can get caught out, even in my own garden). I'm still restricted to the briefest of visits to a supermarket to do essential shopping. The laundry isle is a definite no no. However it depends on the amount of perfume on others in the store as to how long I can stay, often I leave my husband to pay.

    I'm due another blood test soon because I say the 50 mg of liquid levo (without maize, full of salicylate) I am allowed is not enough and because a year ago the immunologist told me my thyroid was too far off for where it should be and this probably accounted for all my disregarded health issues, I had achieved relief for myself by reducing salicylate and pressure on my thyroid, not using medication which was never considered relivant. One person could see by looking at me what my problem was, simple over eating! not. The immunologist considered my respiratory system so compromised. I don't remember the name of the condition, he thought I might have at worst, my condition was as if I lived all my life in the mountains of darkest Peru as against mostly 200 ft above sea level. My current doctor disregarded this and may need to back track. There is no point in changing practices because I know the other doctors and the principal who had "cared" for me in theory for 10 years preferring to label me depressive. It is known in medical circles, to put a person who's mental health condition does not respond to the usual medication on thyroid medications and they probably will see an improvement in that person..............

    I have no idea if I will make my three score years and ten not but the last 5 years are counting down daily and I need to make the best of them. If I want to live rather than just exist, I must take my care into my onw hands. This next blood test. I will visit the hospital early in the morning, masked in an attempt not to be made ill again, it was not overly successfully last time because I was seen way after time. It may reveal I would benefit from DHEA, it may not even be being tested. If nothing else is considered helpful as the outcome I will do my best to find some DHEA to see if it addresses any issues. If not I will keep trying.

    I have my husband, 2 adult children and partners, 9 grandchildren 2 with partners, and a cat, (in the year she has been with us she has lost the needed 16% of her body weight, so I can get it right) all of who's company I want to enjoy on family holidays, at school plays, out of school activity, family days out, attending concerts or films, I have ordinary days to enjoy, and holidays I want to take. In short, I want to live, having lost 30 years of what should have been good quality life to problems which were dismissed all the way along as nothing, even hypochondria. I even had a cancer operation which might well have been avoided had I been listened to in my 20's and 30's.

    So I will grasp any information I can, Oriental, alternative or orthodox, web sites too, "stop the thyroid madness", Salicylate Sensitivity site, accredited medical papers, Thyroid UK, Thyroid anywhere English speaking just in case, (the NHS site has old news as do some supposedly good clinics), I listen, read, consider then act in what I consider to be the best way for me. I would encourage any other person to use their intelligence and do what is right for them. If you are not "active" at the centre of your life, life may not be all you want it to be. I give thanks to my husband who knows how far I have come and would like me to achieve all that is available to me. I only say this worked for me, consider, and do your own thing.

    Only you can make your life work, others don't have the same agenda or incentives.
  • chunt87
    chunt87 Posts: 161 Member
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    I am hypo and on synthroid, my doctors tell me my levels are fine now. I lost the most when I did not eat back my exercise calories (marginal amount gave me like 100-300 back) and I made sure that daily I ate like 1200-1500 cal per day

    If I did eat them back I would stall. I hadnt felt well because it was cold out for about a month and ate under my tdee keeping it between 1700 or so and I GAINED like 6 pounds!! So back to plan A for me.
  • editorgrrl
    editorgrrl Posts: 7,060 Member
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    Not eating back your exercise calories reduces the margin of error on your logging. If you're not weighing everything you eat (even packaged foods), then you're underestimating your calories.

    People with thyroid disease do not have a "broken metabolism" nor need fewer calories than anybody else.
  • thyroidless74
    thyroidless74 Posts: 9 Member
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    Happy new year, everyone! I'm going to chime in here because for the first time since I had my thyroid removed in 2008, I am able to lose weight. I gained 25 lbs. after my thyroidectomy and am finally on a dose that works for me (150 MCGs of Tirosint (I have really noticed a difference since switching from Synthroid to Tirosint!) and 30 MCGs of generic Cytomel. I am breastfeeding my 9 month old daughter, but this is the first time I have been logging what I eat and making wise food choices. I mean, I have never been a fast food/junk food eater, but now I eat smaller portions and really consider where I want my calories to come from. I have lost ELEVEN pounds! I am 40 years old, by the way. I am so happy and just want to share here because for years I searched the internet looking for hopeful stories of weight loss post-TT. So for me, optimal dose of both T4 and T3 and paying attention to my calories (and I guess breastfeeding, although I also bf my first child) are what have worked for me.
  • slieber
    slieber Posts: 765 Member
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    editorgrrl wrote: »
    Not eating back your exercise calories reduces the margin of error on your logging. If you're not weighing everything you eat (even packaged foods), then you're underestimating your calories.

    People with thyroid disease do not have a "broken metabolism" nor need fewer calories than anybody else.

    Chunt 87 "I am hypo and on synthroid, my doctors tell me my levels are fine now. I lost the most when I did not eat back my exercise calories (marginal amount gave me like 100-300 back) and I made sure that daily I ate like 1200-1500 cal per day"

    Thanks! That's what I was hoping was the case. Sometimes I do get so hungry and likely will eat some of it back but I'll try to keep within the cal limit and see what happens.
  • lindsey1979
    lindsey1979 Posts: 2,395 Member
    edited January 2015
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    editorgrrl wrote: »
    So, sometimes, it's really not about the food, but about other things going on in your body. Hormones are very, very powerful and a delicate balance.

    When you hear hoofbeats, think horse before zebra. If you're not losing weight, get a kitchen scale and weigh everything you eat—even packaged foods.

    If you learn to log everything you eat & drink accurately & honestly, you'll probably start losing weight. If not, you can look for other causes. But start with the most obvious cause first.

    Except if she's a woman and hypo it's highly likely that she has low DHEA levels -- so that would be the horse. But, I definitely do agree with others that suggested looking at that in conjunction with your other tests and under a good doc's supervision. I get my DHEA and Vitamin D levels checked along with my thyroid levels for this very reason.

    I'm not sure if it's best to describe a metabolism as "broken", but when someone has thyroid issues, it can cause and/or interact with a lot of other issues. It's great if you're a person that just needs the thyroid supplementation, but there are m any of us where it causes, contributes to or is exacerbated a bunch of other things -- like other vitamin deficiencies (D, magnesium, iodine, etc.), other hormonal issues (DHEA, cortisol, etc.), liver issues, insulin resistance, etc.

    If your adrenals aren't in good shape, thyroid supplementation can actually make things worse initially -- that's why doctors are ALWAYS supposed to check the adrenals before prescribing thyroid medication, but sadly, many don't realize this (even though it's in the Physician's Desk Reference) and their patients learn the hard way.

    If you have hypothyroid issues and you don't know the results of your adrenal tests (DHEA, cortisol, etc.), you may be in big trouble.

  • slieber
    slieber Posts: 765 Member
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    I am very lucky. My doctor checks the adrenals with every blood test. She reduced some of my meds due to the vigilance.
  • irleshay
    irleshay Posts: 102 Member
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    I've never heard of DHEA... had to look it up. Always learning something new here! I take Synthroid and it seems to mostly work for me.
    To answer your question, I always eat back my exercise calories. These day I try not to eat back all of them. I read an MFP blog post recently about eating back exercise calories, and it said most people don't need to, unless you exercise for an hour or more a few times a week. That's me, and I can't imagine not eating the extra calories because I definitely need the fuel. I think I'd get light-headed without the extra food, and I wouldn't be able to go as hard, fast, or long, plus there's that whole muscle recovery thing. So if your workouts become rigorous, long, and frequent, you probably want to eat back at least some of the calories. Good luck!
  • slieber
    slieber Posts: 765 Member
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    Majority of my workouts are over an hour. Ballet is an hour and a half. Gym is 30 mins interval cardio, then weights and stretching. I use a heart rate monitor for most of my workouts, too. For example, MFP says 90 mins ballet is 800 calories, but my HRM clocks me at less than 400 in an advanced class, using pointe shoes. I know it's due to being fit already.
  • allergictodiets
    allergictodiets Posts: 233 Member
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    I do not eat back my calories. I wear two exercise trackers ( Fitbit and a Polar watch ) which both give me between 2200 and 2500 kcal burned per day. I average 1800-2000 kcal per day foodwise and only about manage to maintain at the moment. In May I lost about a pound a week on the same deficit. When asked about it, my endo said that it must have been a temporary "flutter" in my thyroid function allowing me to lose weight like a normal person would in the same circumstances.
    The thyroid advocate Mary Shomon maintains that hypo people burn about 200kcal less per day than your average Joe. I do not know where she gets this number from though.
  • allergictodiets
    allergictodiets Posts: 233 Member
    edited January 2015
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    slieber wrote: »
    I am very lucky. My doctor checks the adrenals with every blood test. She reduced some of my meds due to the vigilance.
    How can you check it? Is there a test for it? What's its name? I always thought that the whole "adrenal fatigue" was dismissed by traditional medicine so never bothered to ask for a test.

  • lindsey1979
    lindsey1979 Posts: 2,395 Member
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    slieber wrote: »
    I am very lucky. My doctor checks the adrenals with every blood test. She reduced some of my meds due to the vigilance.
    How can you check it? Is there a test for it? What's its name? I always thought that the whole "adrenal fatigue" was dismissed by traditional medicine so never bothered to ask for a test.

    I'm not sure these are all the tests, but I know that my doc checked both my DHEA levels (and continues to monitor them) and my cortisol levels initially as part of my diagnosis and before I started thyroid treatment (Nature-throid for me). There could be other tests out there too, but those are the two I remembered having done.

    He told me that if the adrenals aren't operating correctly, it can really impact your thyroid therapy -- in fact, could even make you feel much worse initially. So he wanted to be sure my adrenals were where they needed to be before starting thyroid medication. Women who are hypo often have low DHEA levels. I also supplemented with Vitamin D and magnesium as those were both very low (magnesium deficiency is super common in general).

    I know one indication of low DHEA levels is inability to sleep through the night. If you find yourself often waking up at 2, 3 or 4 am, that may be the cause. I used to do that ALL the time. Until I got this sorted out, I don't think I'd ever slept all the way through the night as an adult. This also increases fatigue symptoms, which were my worse.

    "This happens because there is inadequate cortisol production to stabilize blood sugar so the adrenals release adrenaline instead which raises blood sugar but is also too stimulatory resulting in waking up and insomnia."

    http://drhedberg.com/2011/02/24/the-thyroid-adrenal-pancreas-axis/