45: How to Lose Weight with Thyroid Problems

How to Lose Weight with Thyroid Problems

This is the last segment in a podcast series all about thyroid health. In this episode, I continue my conversation with thyroid specialist Dr. Izabella Went. Dr. Wentz’s expertise has been spurred on by her own personal struggle with Hashimoto’s Thyroiditis. Through extensive research as well as trial and error on herself, Dr. Wentz has greatly improved her condition.

How to Lose Weight with Thyroid Problems

Is it possible to lose weight with Hashimoto’s or other thyroid problems? Absolutely!

According to Dr. Wentz, one of the biggest keys to losing weight with thyroid problems is eating a nutrient dense diet. It’s important to realize that a low-calorie diet will actually not be helpful for you. Low-calorie diets, as well as over-exercising, will essentially cause adrenal dysfunction, which only makes things worse for your thyroid. So contrary to what you may have heard, it is important to eat really balanced, glycemic breakfast, lunch and dinner every day.

Medications may also help you lose weight while experiencing thyroid problems. Work with a doctor to see if you are properly converting thyroid hormones T4 to T3. T3 is the more metabolically active thyroid hormone and having medication to supplement that will help you start to lose weight.

Additionally, eating fermented foods and intaking probiotics will also often help. Oftentimes people with Hashimoto’s will have dysbiopsis, an imbalance of gut flora. The bacteria in your gut is critical to extracting proper nutrients from food. When we are not digesting our food properly then we’re not extracting our nutrients properly, making us constantly hungry. An intake of probiotics and supplementing with digestive enzymes can help regulate your gut health, helping you lose weight.

What if you need to gain weight?

If you have hyperthyroidism, also known as overactive thyroid, you may actually need help gaining weight. In this case, it may be helpful to increase your calorie intake for the short term. You may also want to talk to your doctor about natural medications for balancing hyperthyroidism and curing potential gut infections, such as H Pylori.

Whatever the symptoms of your thyroid issue are, the first and most important step is to get a proper diagnoses. Get tests for TSH, thyroid peroxidase antibodies, and thyroglobulin antibodies as well as a thyroid ultrasound test done. That’s a great place to start.

Also, don’t be afraid to try different medication. What worked for your friend may not work for you. In some cases, doing a T4/T3 containing medication like Nature-Throid or WP Thyroid may be the better bet for people who continue to not do well on a medication like Synthroid.

Finally, consider eliminating foods you’re sensitive to from your diet (often gluten, dairy and soy). Addressing nutrient depletions in your diet is a safe and necessary step in helping you deal with weight gain and other symptoms of thyroid problems.

Resources I Mention:

Get the Overcoming Thyroid Fatigue Guide!

If you struggle with thyroid disease or symptoms, get a free copy of Dr. Izabella Wentz’s “Overcoming Thyroid Fatigue Guide” by clicking here.

Thanks for listening!

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Reader Comments

  1. Hello,
    I was wondering if you could name which digestive enzymes?
    Thank you so much !

  2. A very useful post for all those suffering from excessive weight due to thyroid problem. Its a great effort that you are providing a health guide to overcome thyroid problems. I really appreciate the effort. Nice job. Keep posting such articles.

  3. Do you have a certain brand of digestive enzyme to recommend? Or at least what to look for in one?

  4. I have found great success from eating healthy, clean food, staying away from fluoride, bromine and other thyroid hitting things have helped lots. I’m always interested in learning more, so thank you for this post! Good luck to all those struggling, may you find what works for you! God bless!

  5. Please also read these 2 articles by functional medicine practitioner/instructor Chris Kresser: The gluten-thyroid connection & 50 Shades of Gluten (Intolerance). He says there are about 6 proteins in wheat that people can react to, but most Celiac tests only “screen” for 2 of them. Which is why you can have “normal” results from a Celiac test & still be gluten-sensitive. On page 50 of her book The Schwarzbein Principle, endocrinologist Dr. Diana Schwarzbein says “Because the action of the thyroid hormone is to utilize proteins, to protect against malnourishment, your body will decrease thyroid hormone production when you are not eating enough food or are eating an imbalanced diet.”. On pages 44-45 of her book The Schwarzbein Principle II, she says when the body is under stress, it converts T4 into “reverse” T3. Leaky gut can also hinder proper T4 conversion, as well as zinc or selenium deficiencies, according to Chris Kresser.

  6. I have major issues losing weight,had my thyroid function tested and it turned out A okay yet it’s almost impossible for me to lose weight no matter how hard I try!!!! What’s wrong with me?

  7. Wondering if there is any info out there about people who gain weight with Grave’s disease? I have–about 39 lbs in a year–and cannot find any info about it.

  8. Hi I am jia and long time suffering from thyroid and in firtility problem and visit your website and its really helpful for me thanks to all the information

  9. Your podcast feed on iTunes is broken. Please look into resolving the issue. Thanks! (Error code: 0x80090318; “please check that the URL is correct and the connection to the network is active and try again”) All other podcast feeds are working perfectly. I cannot even download your podcasts manually from iTunes.

    • The feed is working correctly on my end. Try unsubscribing then resubscribing again.

  10. I am wondering about gluten and Hashi’s connection. I never feel bad or “off” when I eat gluten and that makes me not be as careful as I should be. I ate a very clean diet for over a year and never felt very different and continued to gain weight. I had no signs of candida overgrowth or any parasites or anything else. Homocysteine levels have been good, bp is always excellent. Just getting super frustrated that nothing seems to work.

  11. I have had h pyloric and am worried I am getting it back. I also have gastropherise and a hernia. Non alcoholic liver disease, watching my kidneys, diabetic, arthritis, eye problems, no thyroid, and much more. Help.

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