Carbohydrates and the thyroid

bella_lizzy
bella_lizzy Posts: 12 Member
edited November 23 in Health and Weight Loss
Hello,

I was curious if anybody has any experience or advice with hypothyroidism and low carb diets and whether or not they are bad for the thyroid function.

I have been having alot of trouble losing weight despite counting all of my food on a food scale (I eat about 1200-1300 calories/day) and minimum of about 30 mins of exercise per day. If I was going my the calories in/calories out logic I should have lost double of what I have by now. I am not new to dieting at all and I know i'm not overeating or overestimating ect, I have lost 100lbs in the past with a low carb diet. My health started to go downhill and I gained the weight back. I have little energy, dizziness, panic attacks and so forth and I had a blood test and the doctor told me my TSH was high and my thyroid was underactive so he put me on 50mcg of levothyroxine. I have been on it for about a week and I have even less energy.

I have been trying to follow a low carb/keto plan, but yesterday after reading this article http://chriskresser.com/is-a-low-carb-diet-ruining-your-health/ I felt as though maybe I am doing my thyroid more harm than good without carbs - so i decided to try adding some carbohydrates back in. I am unsure about how many grams of carbs I should be eating to hopefully try to get my thyroid functioning properly.

I would really appreciate any insight into this.

Replies

  • WBB55
    WBB55 Posts: 4,131 Member
    If you're on medication, them you don't need a thyroid. Plenty of people function without a thyroid (by taking the meds).

    I only had half mine out, so I'm doing better than some in that regard. Why not follow MFP's suggested plan for a couple months and see how you do.

    Oh and stay in touch with your doctor/endo while they find the right levels for you. Good luck :)
  • bella_lizzy
    bella_lizzy Posts: 12 Member
    WBB55 wrote: »
    If you're on medication, them you don't need a thyroid. Plenty of people function without a thyroid (by taking the meds).

    I only had half mine out, so I'm doing better than some in that regard. Why not follow MFP's suggested plan for a couple months and see how you do.

    Oh and stay in touch with your doctor/endo while they find the right levels for you. Good luck :)

    thanks!
    The thing is, I am afraid my thyroid was only not functioning properly because of my diet. My TSH was high but my other levels are normal. Yes I have hypo symptoms and have trouble losing weight (never had this problem in the past) but I don't want to be stuck on medication forever if I could fix it by changing my diet and adding in more carbs ect? *confused*
  • mrsmlkp248
    mrsmlkp248 Posts: 8 Member
    I have hypothyroidism and can not lose any weight at all if I eat carbs. Infact I actually gained 20kg since diagnosis 15 months ago even though I was eating 1200 calories a day and exercising hard 5 times a week (weight training and cardio).
    2.5weeks ago I decided to give low calorie paleo a try. I ve lost 6kg!
    I have removed all processed carbs from my diet including starch vegetables and stopped eating sugar. The only fruit I now eat is a serve of berries.
    I also dropped my calories for the time being to 800 to 1000, made up just from berries, protein, low gi vege and full fat cheese.
    The weight is coming off and I'm now only exercing 3 to 4 times a week.
    Carbs (the processed ones even wholegrains) just don't work for me.
    I feel incredible too with so much energy.
    I know paleo gets a bad rap but it's working for me.
    It would have taken me months to lose 6kg or not happened at all before this change but I've done it in like 17 days.
  • ninerbuff
    ninerbuff Posts: 48,988 Member
    edited August 2015
    My DW went from 165 to 130 in about 8 months and hypothyroid. She didn't cut carbs (we eat rice), she just ate less and moved more.

    A.C.E. Certified Personal and Group Fitness Trainer
    IDEA Fitness member
    Kickboxing Certified Instructor
    Been in fitness for 30 years and have studied kinesiology and nutrition

    9285851.png
  • LKArgh
    LKArgh Posts: 5,178 Member
    edited August 2015
    Hello,

    I was curious if anybody has any experience or advice with hypothyroidism and low carb diets and whether or not they are bad for the thyroid function.

    I have been having alot of trouble losing weight despite counting all of my food on a food scale (I eat about 1200-1300 calories/day) and minimum of about 30 mins of exercise per day. If I was going my the calories in/calories out logic I should have lost double of what I have by now. I am not new to dieting at all and I know i'm not overeating or overestimating ect, I have lost 100lbs in the past with a low carb diet. My health started to go downhill and I gained the weight back. I have little energy, dizziness, panic attacks and so forth and I had a blood test and the doctor told me my TSH was high and my thyroid was underactive so he put me on 50mcg of levothyroxine. I have been on it for about a week and I have even less energy.

    I have been trying to follow a low carb/keto plan, but yesterday after reading this article http://chriskresser.com/is-a-low-carb-diet-ruining-your-health/ I felt as though maybe I am doing my thyroid more harm than good without carbs - so i decided to try adding some carbohydrates back in. I am unsure about how many grams of carbs I should be eating to hopefully try to get my thyroid functioning properly.

    I would really appreciate any insight into this.

    Hypothyroidism does not negate calories in calories out. It lowers your energy, as if your body is trying to shut down, but still, if you eat less than you burn, you lose. If you just started meds, give it time, it will take a few months until you feel normal again and possibly a few adaptations of meds. No one gains 100 lbs just because of hypothyroidism. You would have to be at the point where you had a huge goiter, were falling asleep mid-sentence, losing handfuls of hair, and letting this continue for years. And obviously not just an elevated TSH, but extremely low T4 too. I have heard it happen from drs in my family, but it is extremely rare, despite what many people think about hypothyroidism.
    Carbs or anything else you eat do not affect you at all, despite all the nonsense you read on the internet. Sure, some few people have other autoimmune disorders that are affected by diet, but hypothyroidism itself is not.
    Opem your diary if you need specifi advice. You are not eating 1200 calories.
  • bella_lizzy
    bella_lizzy Posts: 12 Member
    aggelikik wrote: »
    Hello,

    I was curious if anybody has any experience or advice with hypothyroidism and low carb diets and whether or not they are bad for the thyroid function.

    I have been having alot of trouble losing weight despite counting all of my food on a food scale (I eat about 1200-1300 calories/day) and minimum of about 30 mins of exercise per day. If I was going my the calories in/calories out logic I should have lost double of what I have by now. I am not new to dieting at all and I know i'm not overeating or overestimating ect, I have lost 100lbs in the past with a low carb diet. My health started to go downhill and I gained the weight back. I have little energy, dizziness, panic attacks and so forth and I had a blood test and the doctor told me my TSH was high and my thyroid was underactive so he put me on 50mcg of levothyroxine. I have been on it for about a week and I have even less energy.

    I have been trying to follow a low carb/keto plan, but yesterday after reading this article http://chriskresser.com/is-a-low-carb-diet-ruining-your-health/ I felt as though maybe I am doing my thyroid more harm than good without carbs - so i decided to try adding some carbohydrates back in. I am unsure about how many grams of carbs I should be eating to hopefully try to get my thyroid functioning properly.

    I would really appreciate any insight into this.

    Hypothyroidism does not negate calories in calories out. It lowers your energy, as if your body is trying to shut down, but still, if you eat less than you burn, you lose. If you just started meds, give it time, it will take a few months until you feel normal again and possibly a few adaptations of meds. No one gains 100 lbs just because of hypothyroidism. You would have to be at the point where you had a huge goiter, were falling asleep mid-sentence, losing handfuls of hair, and letting this continue for years. And obviously not just an elevated TSH, but extremely low T4 too. I have heard it happen from drs in my family, but it is extremely rare, despite what many people think about hypothyroidism.
    Carbs or anything else you eat do not affect you at all, despite all the nonsense you read on the internet. Sure, some few people have other autoimmune disorders that are affected by diet, but hypothyroidism itself is not.
    Opem your diary if you need specifi advice. You are not eating 1200 calories.

    I didn't say I gained 100lbs because of hypothyroidism - I gained that weight back a long time ago because of poor choices during a depressive period in my life. I was only just recently diagnosed hypothyroid. So sorry if I made it sound like I was blaming hypothyroidism, that isn't the case. If carbs don't affect me at all then I will continue low-carbing. Thanks for the advice. I eat just under 1200 most days. I don't know why you are telling me otherwise. The girl above stated she gained 20kg in 15 months eating 1200 calories/day and exercising with hypothyroidism - so I think it's safe to believe that someone eating very few calories with hypothyroidism struggle to lose weight - and usually end up maintaining, losing very slowly or gaining.
  • bella_lizzy
    bella_lizzy Posts: 12 Member
    mrsmlkp248 wrote: »
    I have hypothyroidism and can not lose any weight at all if I eat carbs. Infact I actually gained 20kg since diagnosis 15 months ago even though I was eating 1200 calories a day and exercising hard 5 times a week (weight training and cardio).
    2.5weeks ago I decided to give low calorie paleo a try. I ve lost 6kg!
    I have removed all processed carbs from my diet including starch vegetables and stopped eating sugar. The only fruit I now eat is a serve of berries.
    I also dropped my calories for the time being to 800 to 1000, made up just from berries, protein, low gi vege and full fat cheese.
    The weight is coming off and I'm now only exercing 3 to 4 times a week.
    Carbs (the processed ones even wholegrains) just don't work for me.
    I feel incredible too with so much energy.
    I know paleo gets a bad rap but it's working for me.
    It would have taken me months to lose 6kg or not happened at all before this change but I've done it in like 17 days.

    That's awesome :-) I am considering temprorarily lowering my cals as-well to see if this makes up the difference.
  • LauraRae2
    LauraRae2 Posts: 107 Member
    Can i ask what your numbers were? I'm incredibly hypo (TSH of 34 last time it was checked with a low T4 as well). I am able to lose but it's definitely difficult. I wonder if maybe you need to focus more on your macros. Can you either open your diary or give an example of what you eat daily?
  • azulvioleta6
    azulvioleta6 Posts: 4,195 Member
    You need to give the medication more than a week to start working.

    I would suggest asking your endocrinologist about the article/adrenal fatigue.

    I have hypothyroidism and several other more complex/serious metabolic issues. I am able to lose on a moderate-carb diet (70-100G/day) with LOTS of exercise.
  • Pawsforme
    Pawsforme Posts: 645 Member
    Hypothyroidism slows your metabolism. IME it's entirely possible if you're a short female to eat less than 1200 calories a day and not lose weight if your thyroid is low and you're not medicated. It also makes you too tired to feel like exercising or moving much at all, so you don't get much of an extra cushion from calorie burn. It will take the medication at least a month, probably more, to kick in. After that time with careful food logging you should start slowly losing weight. At least that's been my experience--I was diagnosed and started on medication two months ago. Before diagnosis I gained 11 pounds in a few months despite eating well. Pretty much the same way/amount I'm eating now that is resulting in a slow loss caused me to gain before diagnosis and medication. I'm only just in the past couple of weeks beginning to start losing. Hang in there.

    FWIW, I'd been eating lowish carb for about a year before my diagnosis. I chose that way of eating because it really helps some intestinal issues I've had for years. I don't think it caused or even contributed to my hypothyroid diagnosis. Hypothyroidism is extremely common in females my age, and I have a family history of it.
  • editorgrrl
    editorgrrl Posts: 7,060 Member
    edited August 2015
    I was curious if anybody has any experience or advice with hypothyroidism and low carb diets and whether or not they are bad for the thyroid function.

    Thyroid function is not affected by carbs.

    http://www.mayoclinic.org/diseases-conditions/hypothyroidism/expert-answers/hypothyroidism-diet/faq-20058554
    Although claims about hypothyroidism diets abound, there's no evidence that eating or avoiding certain foods will improve thyroid function in people with hypothyroidism.

    I have Hashimoto's (autoimmune thyroid disease). I lost more slowly than most MFPers, but I did it just like everybody else—by eating fewer calories than I burn. And I lost long before my thyroid levels ever entered the "normal" range. Logging works.

    I followed the advice in the Sexypants post: https://community.myfitnesspal.com/en/discussion/1080242/a-guide-to-get-you-started-on-your-path-to-sexypants/p1
  • arb037
    arb037 Posts: 203 Member
    Hypo/hashi here as well. First let me post this for you to read up and educate yourself on thyroid.
    http://www.stopthethyroidmadness.com

    Dont let your Dr tell you your numbers are " in range" and send you away. A more modern TSH range .5-3. But also need labs sone for free T3 , T4 , reverse T3. Also make sure they treat your symptoms and not just your lab ranges.

    I follow a ketogenic diet ( high fat , moderate protein, low carb <25g) and have no problem thyroid wise with low carb.
    But when you run a calorie deficit for extended periods the bodies natural response is to lower T3 function ( thyroid) to slow the metabolism down in periods of famine. Which in turn elevates cortisol ( adrenals).
    Low carb is fine. Just understand what the pronlonged deficit does.
    The body makes adaptations along the way
  • Kalikel
    Kalikel Posts: 9,603 Member
    People who say you can treat your thyroid issues with food are either lying or very stupid. Don't take advice from them.

    See an endocrinologist for your thyroid.

    I don't have a thyroid, eat a very high-carb diet and have lost 90 pounds.
  • gettinfabnfit
    gettinfabnfit Posts: 29 Member
    Great information to know
  • mrtastybutt
    mrtastybutt Posts: 87 Member
    edited January 2016
    I was dx'd with Hashimoto's when I was 20. I probably had it for much longer than that. I take 200 mcg of levothyroxine. It takes about six weeks for a dose change to take full effect. My TSH has been as high as 187. I suggest getting a full panel and seeing an endocrinologist. I also recommend taking your medicine on an empty stomach about 30-60 minutes before any food or drink at about the same time every morning. If you take antacids often, then make sure that you don't take them in combination with your thyroid med as it will inhibit the absorption.

    FWIW, I lost more weight while hypothyroid at a TSH of 187 simply because I lacked the energy and motivation to eat. I gained weight while euthyroid. I realize that I'm an outlier. I'm currently euthyroid and have lost almost 40 pounds while eating a moderate carb diet. It's only moderate because of my type 2 diabetes.
  • neohdiver
    neohdiver Posts: 738 Member
    edited January 2016
    I don't know why you are telling me otherwise. The girl above stated she gained 20kg in 15 months eating 1200 calories/day and exercising with hypothyroidism - so I think it's safe to believe that someone eating very few calories with hypothyroidism struggle to lose weight - and usually end up maintaining, losing very slowly or gaining.

    I am a short female with Hashimoto's hypothyroidism, I have been eating low carb @1200 calories a day and have been losing weight at a rate of about .3 lbs/day since early October.

    It is hard not to be in a calorie deficit eating 1200 calories a day, even if all you do is sit around - which is why people are suggesting that if you are not losing weight you are not eating 1200 calories. Are you measuring, weighing, and logging everything? I'm pretty good at estimating when I don't have scales or measuring cups handy - which is why my weight loss has been so steady. But it is very easy to underestimate quantities, and if you are eating LC/HF and underestimate quantities of fat the calories add up extremely quickly.
  • Sued0nim
    Sued0nim Posts: 17,456 Member
    A week is not long enough to have an effective treatment for your thyroid issues, it may take tweaking

    Give it a chance to kick in and you'll find it easier once properly medicated
  • JenniferLynWhatx
    JenniferLynWhatx Posts: 141 Member
    rabbitjb wrote: »
    A week is not long enough to have an effective treatment for your thyroid issues, it may take tweaking

    Give it a chance to kick in and you'll find it easier once properly medicated

    Agreed...My doctor started me at 50, and now a year later I'm at 125....it takes time to get your t3 and t4 levels back to where they should be
  • amandaatwork
    amandaatwork Posts: 6 Member
    I didn't say I gained 100lbs because of hypothyroidism - I gained that weight back a long time ago because of poor choices during a depressive period in my life. I was only just recently diagnosed hypothyroid. So sorry if I made it sound like I was blaming hypothyroidism, that isn't the case. If carbs don't affect me at all then I will continue low-carbing. Thanks for the advice. I eat just under 1200 most days. I don't know why you are telling me otherwise. The girl above stated she gained 20kg in 15 months eating 1200 calories/day and exercising with hypothyroidism - so I think it's safe to believe that someone eating very few calories with hypothyroidism struggle to lose weight - and usually end up maintaining, losing very slowly or gaining.

    Hey girl. I totally believe you. I was eating 1300 cals/day plus working out and not eating back those cals and with my hypothyroidism it took me a full month to lose 1 lb. Then I went to a birthday party for my friend's kid, had a piece of cake, and the pound came back on for two weeks. At my height/weight (5'11", 230 lbs) eating 1300 calories a day should have me losing 2 lbs a week.

    My doctor, 18 months and one baby after my diagnosis, added some Cytomel to my Synthroid under the suspicion that my body is not converting T4 to T3. I'm happy to say that because the Cytomel doesn't require time to build up in your system, I began losing weight immediately. I lost 10 lbs in 6 weeks and I continue to lose about .2 lbs/day.

    Hang in there. It will take time, but be patient with the process. And don't be afraid to change up the meds if they don't work after a while.
  • bellaa_x0
    bellaa_x0 Posts: 1,062 Member
    rabbitjb wrote: »
    A week is not long enough to have an effective treatment for your thyroid issues, it may take tweaking

    Give it a chance to kick in and you'll find it easier once properly medicated

    this.

    i've been medicated for over a year now and it took quite a while to find the correct dosage for my body.
  • missxlisa
    missxlisa Posts: 70 Member
    I don't have a thyroid anymore (thyroid cancer) but losing weight has been just as easy for me as it used to. I eat tons of carbs & it doesn't matter ;)
  • CSARdiver
    CSARdiver Posts: 6,252 Member
    OP - Stick with MFP and make a long term plan. Be patient.

    Lot's of good advice in this thread and I'll just restate the basics:

    1. What you eat is marginal compared to your caloric intake.
    2. Hypothyroidism only impacts your metabolism by a small degree.
    3. It takes~6-8 weeks for your hormones to readjust to thyroid supplement. Any earlier feelings of "normalcy" are placebo.
    4. Being overweight will negatively impact your hypothyroidism - the hormones are free cycling. You will feel better and your TSH will approach optimal when you get your weight under control.

    I had a total thyroidectomy in 2000 and managed to put on 60lbs in transitioning from an active military environment to a cushy civilian life. My wife turned me onto MFP about 18 months ago and I lost the weight largely through awareness - tracking my intake and increasing my physical activity.
  • BigAnnieG
    BigAnnieG Posts: 89 Member
    edited January 2016
    WBB55 wrote: »
    If you're on medication, them you don't need a thyroid. Plenty of people function without a thyroid (by taking the meds).

    Much sense here - but if you've only JUST started on thyroxine, remember it can take around 8 weeks to bring yourself up to a 'fully functioning' state. (This is why, when you go for an iodine dye scan on your thyroid you have to stop taking your meds for at least 6 weeks beforehand to get you fully back to 'non functioning' state for them to monitor).

    It's less the thyroid that makes weight loss difficult than the fatigue that goes with it! I've had hashimoto's for over a decade and my weight has gone up and down (mostly up), but I've found that exercise does actually REDUCE fatigue. Taking the 'little and often' approach during difficult thyroid times helps, when you think you really can't do anything today then force yourself to do a five minute walk around the block. You'll feel better for it, I promise!

    I follow a high protein, lower carb diet but that's more for PCOS than the thyroid (PCOS causes insulin resistance). I also found avoiding foods that are known to be poor for thyroid function (raw cruciferous vegetables, soy) seems to help too. Cooked cruciferous is fine, so yay broccoli! I realise many people don't agree that plant chemistry can have an effect on the thyroid, but this is just my own anecdotal experience. I've been following a high protein, lower carb (not low carb) 1500 cal diet since January 1st, with workouts, and have as of today lost 15lbs - so it is possible to lose weight at a decent rate with thyroid issues if you're properly medicated :smile:

    Now you've got the meds, hopefully you'll feel better soon and you'll start to see an increase in energy, which you can put towards exercise. Good luck! :smile:

    ninerbuff wrote: »
    My DW went from 165 to 130 in about 8 months and hypothyroid. She didn't cut carbs (we eat rice), she just ate less and moved more.

    A.C.E. Certified Personal and Group Fitness Trainer
    IDEA Fitness member
    Kickboxing Certified Instructor
    Been in fitness for 30 years and have studied kinesiology and nutrition

    9285851.png

    This. This is why hypothyroidism is so hard to explain to other people. It's not about whether you eat less or move more, it's about whether you are physically capable of moving more due to fatigue, muscle cramps, swollen ankles, and all the rest. It's about being properly medicated - it took 8 years for doctors (in the UK) to agree to put my meds up to push me slightly outside the 'clinically accepted range of normal' because weirdly enough, normal for one person ain't normal for another person. It took a further 3 years for them to realise the meds weren't working because I have the same issue of not converting T4 to T3. Suddenly with the right stuff, and a functioning thyroid, I actually AM able to 'eat less and move more'. But that's a dangerous and frustrating phrase for a clearly very healthy person to bandy around to anyone struggling with hypothyroidism.
  • BigAnnieG
    BigAnnieG Posts: 89 Member
    * the 1500 cal diet is for a lady at 6'2 and originally 252lbs (now 237lbs). Just in case that seems like a high number to other ladies out there! I'm a big 'un.
  • bisky
    bisky Posts: 1,090 Member
    I sympathize. A young friend of mine gained 40 lbs last year until her Dr. figured out she had developed hypothyroidism. This is an extremely active person and she now stays on low sugar but healthy carbs, protein and fats. Sometimes I think low sugar is always linked with low carbs but you can have very healthy carbs without a lot of sugar.
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