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I also have a thyroid issue and have been on medication for this which keeps me in the normal range. With this in check and being honest in the estimates of my food intake as well as vigouous walking exercises (which I measure with a very accurate pedometer) my fitness pal has been 100% accurate! I set a target to lose 1.5…
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Regarding the frequent trips to the rest room, I look at this as an opportunity to force additional exercise.....my pedometer validates that point. In fact, I don't use the closest facilities which adds more steps and burns even more calories!