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Huge breakdown. Please help me...

Hi...this is completely off topic, but I'm comfortable on this board. I'll also post on Health and Fitness, but thought I should start here.

Here's my history...been on thyroid meds for hypothyroidism for about 1 1/2-2 years. Been on anti-depressants for 6 months.

Here's what's going on...since October, I have gained 30+ lbs. My eating habits haven't gotten worse. They are about the same, if not a little better. I've been better about eating more fruits and veggies than I used to and I rarely eat fast food now. Aside from that, in the last 6 months - year, my eating habits have not gotten worse. Prior to this, at my worst, I weighed 180. I know weigh 207 (as of 2 weeks ago...afraid to weigh again cause it just gets worse).

I exercise 2-4 times/week. 2 of those times is a 1 hour Power Sculpting class at the gym the rest is at home doing cardio machines, hand weights and pilates. I have always been on and off about exercising. But in the last couple months, I've been really good about it cause of the significant increase in my weight. Has it helped? No.

Who do I see? I finally had a breakdown this evening and told my husband what I weigh now (he hasn't noticed a huge change in my body, thought it was just a few lbs) and he couldn't believe it. He says that there must be something wrong with my metabolism or something and that I should see a doctor, dietician, someone. I don't know where to start. that I am on anti-depressants and I think about it...I wonder if I really have a thyroid problem. When I began to think I did, I had all the classic signs, but now that I know the signs of depression, they are quite similar. Was I just in a depression at that time and put on thyroid medicine when I didn't need it? I do get my levels tested and they say they are normal while on meds. The reason they said I needed meds because over 2-3 years (they check every year), they had seen an steady increase in my levels and just before I was put on meds I was on the *high* end of normal. I think this was preventative.

I just feel so lost and confused about this. Any advice? Thanks.

Tue. May 9, 8:23pm

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It sounds like you are doing all the right things. Don't panic. You are taking care of yourself and making great changes. I would definitely see your doctor and get a professional opinion. Hang in there! Don't give up. We all support you and want you to do well. Good luck and keep us updated.

Tuesday, May 09, 2006, 9:16 PM

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Yes, you are taking care of yourself and asking all the right questions. Definitely talk to another doctor and a nutritionist. Do you walk? Try adding a walk to your schedule each day, I mean really each day. It can help with depression and to take off the weight.

Tuesday, May 09, 2006, 9:30 PM

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I am hypothyroid, too. It took about 2 years after I was diagnosed to start feeling like my old self again and get back to regular exercise - I continued to gain weight after being at normal thyrod levels. I had my metabolism checked and despite having my thyroid and TSH levels corrected (hope your docs measure both, the TSH is much more sensitive than only T4 levels), my metabolic rate is nearly off the low end of the scale. I have been reading a lot of the strengthening threads on PT, and am starting to slowly build up my muscles and get 4 - 6 cardio sessions per week, too, in an attempt to try to increase my basal metabolic rate. I really find that the weight lifting has made a wonderful difference in how I feel - a lot more energy, and I can even feel some muscle where I didn't before. So I recommend that you ask your doc to refer you to someplace that can measure your BMR. We'll help you all we can!

Tuesday, May 09, 2006, 10:47 PM

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Your doctor may also be able to tell you if the anti-depressants are contributing to the weight gain (some can) and you might see what their opinion is on switching to an alternative.

Thyroid issues are really tough because levels can change so much over the course of a very short time.

Exercise can help your body regulate itself though - both emotionally and hormonally so if you begin upping the amount make sure you keep track of the effect that has on you so you can report it to your Dr. As the previous poster noted getting your BMR measured could be a good place to start.

Best wishes to you!

Tuesday, May 09, 2006, 11:49 PM

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I also have a thyroid problem. My endo who I have seen for the last 4 years says there is no reason for anyone to gain weight while taking the meds. He says he should be checking my levels (TSH, T4 & T3) every 6 months and he adjusts my meds accordingly. I haven't gained any weight since being in his care. I also had type 2 diabetes but have managed to lose 27 pounds so far in the last 8 months which has gotten me off the diabetes meds. My suggestion to you is this: If your current doctor who handles your thyroid isn't checking your levels at least twice a year and tweaking your med dosage you need to find another doctor. Talk to him first about the weight gain and the new anti-depressants your taking see what he says and then talk to the doctor who gave you the anti-depressants and get their opinion and then get a second opinion from another endocrinologist. If your watching what you eat and exercising like you say you are its the meds. I have a feeling your thyroid meds are too high.

Wednesday, May 10, 2006, 1:51 AM

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All I can say is get to your doctor! Please!

Wednesday, May 10, 2006, 4:53 AM

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I suspect your weight gain is because you are eating more than you admit -- do you log your food regularly? I used to read your logs on spotlight and I seem to remember many, many, blanks. When you did log there were quite a few days when you were giving in to cake and pizza cravings multiple times in a day. If you are going to do that, then you need to be doing at least 30 mins of intense cardio every day...the medical recommendation for people wanting to lose weight is 60 mins a day, and that's when eating normally, not overeating. Power sculpt will probably help you tone muscles and improve metabolism, but it's the intense cardio that's going to significantly increase your calories burnt.

Perhaps the medication is making you overeat, perhaps it's your emotions, but if you don't log every single thing you eat, honestly and regularly, then it is hard to understand the underlying cause or pattern, and it's hard for PT to help.

You've lost weight before and can do it again, but it takes consistency and it's hard work!

Wednesday, May 10, 2006, 6:03 AM

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Which antidepressant are you on? Several have the side effect of weight gain with them and it sounds as if you started gaining weight around the time you went on the antidepressant. I agree with several of the other posters, consult your physician and ask if the weight gain could be a side effect of the meds you are on. Also, how old are you? Hormonal fluctuations in your 40's or earlier can stall your metabolism, despite your efforts in the gym.

Good luck and let us know what you come up with. There is always support here.

Wednesday, May 10, 2006, 7:55 AM

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Thank you everyone for your support. I really, really, appreciate it.

Just to answer some questions that came up and make a few comments...
I'm 23. The anti-depressant I *was* on was Paxil. I was on that from October until just a few weeks ago. I am now on Wellbutrin. I do see an endocrinologist and he does send me in for bloodwork every 6 months (when I first started going it was every 3 months). I like the suggestion of seeing my thyroid doctor, then my therapist (where the anit-depressants come from), then getting a 2nd opinion with another endo. I actually have an appt with my therapist and psychiatrist tomorrow, so I'll bring it up then. I'll have to call my regular doctor for a different endo. The one that I've been going to is one of the *best* in the area, but some doctors work for one person and not another.

I'm the first to admit that my eating habits are far from perfect. But they have *improved* over the past year. I find myself making sure that I eat more fruits and veggies when it used to just be meats and starches/carbs. I'm reaching for mustard instead of miracle whip, and I'm buying fat free cheeses. I know that all of that won't make things change over night, but I was saying that those changes over the last year shouldn't make my weight increase. Yes, my log has blank spots all over it, but it isn't because I'm hiding what I'm eating...I don't intentionally lie in my log...what do I have to lose hear? It's because I just get busy and forget to log in and fill it out or update it.

Thanks again everyone. I really appreciate the ideas and support. I'll make sure to update this as I figure out what I'm going to do for sure. If anyone else has any ideas...please post them. Thanks!

Wednesday, May 10, 2006, 8:21 AM

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I think it sounds like you are doing the right things to improve your diet...when it comes to it, losing weight is best done in moderation and you can alter your diet bit by bit to what feels comfortable. No need to cut things out all together!

About the thyroid thing, my sister went through an issue and the meds helped her a lot. She was sleeping all the time and concerned about her weight, but by exercising and seeing the dr, she's come a long way!

Wednesday, May 10, 2006, 4:10 PM

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