to the one that helped me and he renewed the prescription and then increased the T3 twice (from 5 ug/d to 15 ug/d, keeping the T4 flat at 50 ug/d. I cant seem to find anyone that I trust now. Began consulting with a registered dietician, nutritionist. As an endocrinologist, my goal is to get the patient to a point where they feel like they have control over their condition rather than the condition controlling their life, Cherian says. Hi JeanneI also decided to go to an endocrinologisthe also prescribed levothyroxine I had been taking armour thyroidso I took ithad a terrible experience..I thought I was having heart attack. I am so exhausted and hurt so bad. Get my free thyroid downloads, resources, and PDFs here. Associations of medical conditions, lifestyle and unintentional weight loss in early old age: The 1946 British Birth Cohort. These things make perfect sense to you and you want to give them a try. Finally our latest GP referred her to an endo and he doubled the T4 and reduced the T3 back to 10 ug/d. She did them all, but when all the numbers came back in the normal range (including TSH), and EXCEPT for TPO antibodies, which were very high, she told me I had Hashimotios and prescribed Levothyroxine. No way he could make that serious diagnose of me in 7 minutes time, that takes 5-6 hour visits with a psychologist and also testing verbally and physically. Modest weight loss means 5% to 7% of body weight, just 10 to 14 pounds for a 200-pound person. She made me go through many hoops before allowing me 10mcg liothyronine (T3). This is the type of information which is should be used by people who are new to thyroid management but they arent likely to believe it yet because they havent gone through the thyroid song and dance with their doctor. Never again will I take an antidepressant. Helen Harbord I feel you try the different medications and see which one works the best and before doing this request the testing you suggested. While their name implies that they focus on the endocrine system, most endocrinologists end up treating only hypothyroidism and diabetes, and a few rare diseases here and there. Declining estrogen, adrenal disorders, hormonal resistance, thyroid imbalance, and several other hormonal imbalances can lead to weight gain. Im so incredibly frustrated. The medical community has failed me and countless others. 07631, United States One must be advocate for self which is not always possible. Endocrinologists and other professionals like dietitians can assist with this. I made an appointment with my endo and in the meantime, all natural desecrated thyroid had been recalled. After about 3 years my primary said I should go to an endocrinologist. Endocrinologists are experts in metabolism and hormonal changes. You cant really count on your doctor to give you the best information when it comes to your thyroid: https://www.restartmed.com/normal-thyroid-levels/ If anyone knows of anyone down here, please let me know! But if youre concerned about a smaller amount of weight loss, dont hesitate to reach out to a doctor, either. Exercise, eat right and stay at a healthy weight. Generally, an endocrinologist will advise a patient to lose weight or to maintain a healthy weight. Thank you all for listening and I hope that this helps others out there so they dont end up in the same situation I am. I didnt see any doctors for a few years prior to that. Thank you for being brave enough to shed the light on how horribly wrong most endocrinologists are when treating these thyroid conditions. I have gone to bed at times because I cannot function and have slept 24 hrs or more. I moved on to an integrative doctor who took insurance. I can feel small hard around the larynx and two small softer lower where I think that is my thyroid gland. I had saliva testing done which more accurately pinpointed my thyroid, adrenal and cortisol imbalances and gave me a direction for treatment. If you are questioning when to see an endocrinologist for weight gain, you are in the right place. What kind of doctor is the one that helped you? I would recommend that you read these articles for a better idea of what will be necessary to lose weight and keep it off: https://www.restartmed.com/hypothalamic-obesity-disorder/ WebTwo commonly diagnosed endocrine disorders, polycystic ovary syndrome and type 2 diabetes, are believed to be related to obesity and/or rapid weight gain. I am so glad I found her program. Getting an abnormal free T3 or total T3 or reverse T3 isnt going to change their treatment recommendation of levothyroxine, levothyroxine, and some more levothyroxine. We all now know how to do Zoom meetings and as Dr. Childs says, its worth it to find the right doctor! since am taking lots of calories but its does not reacting to my body. I get more thorough care from my GP because they know me and actually listen. am 24 years old and my weight is 116 lbs . MBBS, MD (Medicine), DM (Endocrinology) Senior Consultant - Endocrinology & Metabolism. WebAn endocrinologist is an expert in treating frequently complex (and often chronic) hormonal conditions which can involve several different systems within the body. An endocrinologist diagnoses and treats hormone imbalances and other problems with your bodys endocrine glands. #1. I am 68 years old and feel great! I broke up with my endocrinologist last week! Even if an endocrinologist doesnt find an underlying contributor to your weight, theyll still be able to rule out various issues and help you manage obesity via medications and lifestyle changes. My numbers are still normal, except for TPO antibodies being anywhere from 161 to 226 or so. Should I make an appt w/endocrinologist or just PCP - symptoms - nails on hand thinning, splitting, fatigue, weight - Answered by a verified Endocrinologist fatigue, weight gain (when trying to LOSE), more daily heart 'flutters' (have mitral valve regurgitation and drink only decaf)? Only through my own knowledge. I am taking the medication I requested but Im not sure that Im feeling that much better. But, if you by chance are new to managing your thyroid and you want to skip out on 5-10 years of hardship and continued symptoms and anger and frustration in trying to get your doctor to listen to you then you should pay attention. Finding the right doctor who is willing to treat your symptoms and not solely labs is who one needs to look for. Symptoms as varied as unexplained WEIGHT GAIN OR LOSS, feelings of DEPRESSION or ANXIETY or EXTREME FATIGUE, its time to check in with an endocrinologist for potential thyroid disorders. This specialist should check for possible indicators of I feel fortunate to have relationships with two good doctors, and I feel great! Youre amazing Dr Childs! Cleveland Clinic is a non-profit academic medical center. I'm actually exercising more but have gained weight. I was diagnosed with Hashimotos late last year. 1 doctor answer 1 doctor weighed in. Unless you have a great income, the percentage of your income needed to pay for care is way, way too high. I did my own research, asked my GP a few questions which immediately put her out of her depth and she referred me to local NHS endo. Im currently using natural supplements to try to help with conversion. Yes I would also like to know about what to do for hyperthyroid! Please see this article for more information and options regarding treating thyroid nodules: https://www.restartmed.com/thyroid-nodule-treatment/. Osteoporosis and bone metabolism. Free T3 2.09 WebThe link between insulin and weight gain. I dont want to go down this road again especially if my cancer has returned. I found this very odd since they are all versions of the same medication desiccated Pig thyroid. I love to write and share what I've learned over the years. Please respond Id really like to know what to do! I now see an integrative doctor but have my labs done through my insurance with the Endo. Ive been treated before, but because we were military, the military drs dont always really care or listen well. Glad to hear you found someone that helped! They might know medicine but give or take I know my body which is why working together is so important. Endocrinologists specialize in glands and the hormones they produce which affect important processes that control metabolism, blood pressure, cholesterol, hunger, thirst, body temperature and more. Within a few months on my new dose, I felt better & levels have remained in check. Request Callback. These fluctuations can cause symptoms such as hot flashes, mood changes, weight gain, changes in sex drive and pleasure, energy fluctuations, and more. Diabetes. Hormones like estrogen and testosterone are crucial to your health, and a hormonal imbalance can cause symptoms like acne and weight gain. I never said that in those words I am much more educated on Water Fluoridation and the what is does chemically to the thyroid, Bones and teeth. WebDo the MWCC doctors see pediatric patients? Prediabetes = Pre vent diabetes. This isnt a universal thing but it absolutely does exist and it is more prominent than you would think. The Dr yesterday didnt even ask me about my diet. At one point I questioned him, are you going to test any of my other thyroid fictions? He replied no just your TSH. Select from the list below to customize your experience: Obstetrics and Gynecology (OB-GYN) Services, Infertility and Reproductive Endocrinology Services, RUSH Copley Endocrinology, a Department of RUSH Copley Medical Center, Former RUSH University Medical Center Employees. I swear to GOD, i changed more than ten endos to treat my thyroid. Too much or too little thyroid hormone can cause several symptoms, including undesirable weight gain or loss. Went to integrative and they are better. Thank you for all your great articles, I can go to my doctor with solid information to back up my requests. He immediately ordered tests for TSH, free T4 and free T3. He will prescribe natural desiccated or T3 if you prefer and hes been very patient and responsive to my thyroid probs. Get answers to endocrinology questions. After trying a number of medications we settled on compounded T3, nothing else. For example, if you weigh 200 pounds (90.7 kilograms), losing 14 pounds (6.4 kilograms) can lower the risk of diabetes. Endocrinologist, Diabetes Specialist. The Endos seem to be more diabetic driven, always wanting to check for diabetes, which I did and do not have. You are spot on with my experience with endos. I go to obgyn Dr Bradley Axline in Flower Mound. Am now on my second one, have had to increase my dosage again myself, and have now been referred to an endo. WebWould You Like to See an Endocrinologist? Last year i was searching for help. I went through 7 Endocrinologist and it was all the same. Treating your thyroid is a bunch of experiments and trial and error until you find out what works for you. I was so upset when I left his office, I took matters into my own hands. Hormonal weight gain can cause an increased risk for a multitude of other health conditions which can increase morbidity and mortality. Heavy drinking may activate hormones that signal appetite, hunger, Its a constant battle for me as well as Im sure LOTS of others. I came away with a more appropriate dose of Levothyroxine and an additional Rx for my T3. I saw a family doctor a couple of years before that but wasnt getting more extensive care. Apovian CM, et al. The Dr who I saw yesterday said that high antibodies are not important????? The best way to deal with them is taking an antihistamine every day, such as Claritin or Zyrtec. However, the researchers also, White tea may help reduce the risk of heart disease, combat skin aging and even help with weight loss. Keep reading to I wont go into this any further because anyone that has thyroid issues knows this is a serious problem. Additionally, improving dietary choices, increasing physical activity, getting more sleep, managing stress levels effectively, quitting smoking, and limiting alcohol are all ways to decrease and avoid hormonal weight gain. My antibodies now show 472. I have information on how to manage your thyroid with medications, supplements, etc. We avoid using tertiary references. I have struggled with leveling my medication to fit ME. Diabetes Mellitus; Hormonal Weight Gain; Obesity & Insulin Resistance; Congenital Adrenal Hyperplasia; Our Locations. And dropping your calories will almost certainly damage your metabolism and make your weight loss efforts more difficult which is why this method should be avoided at all costs. Not saying yours will not work just spent alot of money. Heres how. My pulse rate seemed to increased but more importantly my body had the shakes. In the beginning he laughed every time I gave him a list of what I want tested. If the TSH comes back in the normal range then a free T4 will not be ordered. He wanted to hear nothing of what was incorrect instead he blamed everything on me. I also have Graves Disease and my Endo isnt doing much to help! This happens in people who don't have diabetes, too. Would You Like to See an Endocrinologist? For example, they might recommend eating slower to give digestive hormones time to signal to the brain that youre full. Because Im not kidding when I say this could help save you those years. Hes a really good doctor and I would highly recommend him to anyone who is looking for a endocrinologist in Northeast Ohio. He also has a plan in place for optimizing my levels. WebWhen to See an Endocrinologist for Weight Gain and Obesity. 1 doctor answer 5 doctors weighed in I found a local doctor in my small town who practices mainstream medicine during the day and functional medicine in her spare time (but doesnt take insurance). Children who are not growing as tall as their peers may need to see an endocrinologist to determine if they have a growth hormone deficiency. polycystic ovary syndrome (PCOS) genetic conditions, like Prader-Willi syndrome If you havent already received a diagnosis, an endocrinologist can determine This article examines natural and medical treatments that can help. This is all well and good but you have to realize a few very important points: #1. Go see your family practice doctor or your local endocrinologist and talk to them. My resting HR was in the 90s and when up moving around went up to 130s at the highest it was 137. If you find that this happens to you then its often best to just seek out a new physician who is more willing to work with you and who will listen to you. Web(see Section 3 5) the second a systematic literature search (see Section 3 6) obesity and /or rapid weight gain and candidates for bariatric surgery [PDF] Endocrinology - Children's Specialty Group Please see the Endocrinology Referral Guidelines if you are referring a or if growth failure if present despite rapid weight gain (i e hypothyroidism So I went to the appointment with my endo armed with all the knowledge that I had gained. I wasted 8 years seeing an Endocrinologist in Fredericksburg, Virginia (Dr. Zavadil). Thanks, Dr Westin. Lauren Sharkey is a U.K.-based journalist and author specializing in womens issues. If I go through another prolonged shedding period, I will no longer be able to hide it. He did blood work of course and when I went to see him, the first thing he asked was if Id been feeling pretty run down. And Im not even sure why they would look at your free T4 anyway because its not like the value of that lab test will influence their treatment decision. An evaluation with an endocrinologist can help determine if a hormonal condition is the underlying.. Belly fat is the most harmful fat in your body, linked to many diseases. Her T4 was centered in the ref range and her T3 was a bit below center at her last labs, but now she is showing hypo symptoms again. Yes I know I need to lose weight but I'd like to know WHY I've gained it all of a sudden. For example, excess cortisol its important to talk to your healthcare provider. If I am so normal, why do I feel like crap? (more details in text!) I went back to my doctor and asked for a Reverse T3 test and a number of others. EXCEPT that I have a lung condition that has been slowly developing and worsening since I was first treated with levothyroxine. About 3 months ago my radiation oncologist suggested I meet with an endocrinologist to help with my raging hormones. Im in similar situation. Most patients who go down this path end up on anti-depressants as a treatment instead of changes to their thyroid medication! My PCP now thinks out of the box but lost about my cortisol. Only need TSH. I didnt pick up the prescription as of yet. . Moved to Europe but continued to visit the Phx Dr when back on business trips. Have you heard of RedRiver Health and Wellness Center? Essentially, that means they can help diagnose and treat hormone-related conditions, which can have a wide-reaching impact on the body. In a new study, the people with a higher genetic risk of obesity were more likely to have a higher body-mass index. So my Medicare coverage does me no good for thyroidMedicare wont pay for the progressive docs and meds that really work. I had already started an AIP diet and was feeling better, but this put me on the road to recovery, added Cytomel to the Synthroid and it has made a difference. The key is taking it everyday. This is probably the single most important thing that you understand if your thyroid has been removed. My primary has expressed willingness to treat my thyroid, so what should I ask her? Learn More. When it comes to exercise, you may not need to aim for a long gym workout each day. Any or none of these may be seen with Hormonal Weight Gain: Thyroid goiter Fatigue Proximal muscle weakness Moon faces pardon the harsh words but Ive been to plenty of them.worthless. P.S. Just praying something will be positive soon. An endocrinologist can help identify hormonal imbalances by reviewing your symptoms and performing laboratory tests when necessary. Changes in weight. Maca is a great supplement but typically doesnt have a huge impact on hot flashes. She is young and ignorant and is unfortunately leading others down her path of ignorance. After reading so very many comments from under treated thyroid patients, you must be exceedingly frustratedand it shows in this blog! Talk to your provider about how much weight is healthy for you to gain during pregnancy. Doctor's Assistant: The Endocrinologist can help. All physicians featured on this website are on the medical faculty of RUSH University Medical Center, RUSH Copley Medical Center or RUSH Oak Park Hospital. Even though I am on Medicare I probably should try to scrape together the money to find a functional medical doctor although I worry that the experience could lead into thousands of extra dollars because I have so many other non-hormonal things wrong with me. People with diabetes indeed often struggle with weight gain due to medications plus a Now, thanks to technology and to doctors like you, I am more informed of what I might have, and what I can tryout for my hypothyroidism and probably Hashimotos. So I stayed fatigued, gaining weight, depressed, irritable, and awful feeling. Ive tried3 others and decided to drive over an hour this time so far worth it. Call us at (201) 567-8999 or click to request a regular or telehealth appointment. I was hyper and then I went to hypothyroidism after they gave me radiation treatments on my thyroid the only really problem I have is the weight loss plus Im do not have a lot Energy and I get you what you say about specialist because Ive been going for 20 years and asking the same thing over and over with no answer, so I told my doctor I want to try tirosint and she said okay . WebAn endocrinologist is a medical doctor who specializes in the treatment of hormone-related conditions. So Im still paying cash for good alternative, progressive thyroid doctors, but its well worth it they know what theyre doing and it works! Even though I asked him to test for T3 which came back as insufficient, he refused to prescribe Cytomel. Thank you Dr Westin Childs for such a great article and it is very very true. I am 38 and was on a large dose of methimazole for hyperthyroidism for over 15 years. Youve been diagnosed with low thyroid or hypothyroidism by your current doctor because you started to experience fatigue, weight gain, hair loss, and maybe even some depression or anxiety. Thanks for giving words of encouragement to seek treatment from more understanding doctors! I am frustrated myself at how I am being treated by my endo specialist. The list includes optimal ranges, normal ranges, and the complete list of tests you need to diagnose and manage thyroid disease correctly! At least im convinced there is someone could support you out of this crash. I was told that the thermometers that they used to take your temperature on your head are not accurate. I been reading a lot of your information, part of me is just a little afraid and I dont know really why Im. Dr. Chalisa So like any parent, my mother found an endocrinologist and took me to him. I said could be worse with a little snicker but I knew why I was feeling this way. Does TSH have any meaning when one is on T3 therapy? I suggest for those who cannot seem to function, or, who struggle with weight issues to ask your physician to try this. I am like you. Eventually I found a wonderful private doctor in Integrated Medicine in Bristol, a specialist in bio-identical hormones just as you say. Many thyroid patients read information like this and they think that they can take this information to their doctor and they will be both happy to learn something new and eager to implement the new changes. I am 100 pounds heavier than Ive ever been in my life. In the face of this new wave of information, most endocrinologists are doubling down on the current treatment paradigm. Increased risk for development of Type 2 Diabetes, infertility, mood disturbances, hypertension, high cholesterol, heart disease (heart attacks), stroke, sleep apnea, asthma and cancer. I moved again and took this prescription to a new NP who was just starting to dive in to naturopathic medicine..hes kept me on the naltrexone(I test tomorrow for a full thyroid panel including antibodies)and, when I asked about 16 months ago, he prescribed Armour Thyroid..I really have found nurse practitioners listen and try to learn from each patient. Read & studying the does help. It makes me happy to see an educated physician coming out about the truth! The endocrinologist was over $400 every office visit 10 years or so ago. He, also, knowing that my thyroid medication has been recalled did not prescribe me a different medication. WebPituitary adenomas are benign tumors of the pituitary gland. This morning I am feeling better and was thinking about seeing an endocrinologist when your article caught my attention. Its definitely hard to find a doctor who thinks there is an alternative to meds. Diabetes Mellitus; Hormonal Weight Gain; Obesity & Insulin Resistance; Congenital Adrenal Hyperplasia; Our Locations. Endocrine disorders tend to be complex Unfortunately that was exactly my experience with my Endo. My weight was constantly increasing. Still looking for a solution to my intermittent hair loss. Hormonal weight gain can also shorten your lifespan. Who is your doctor in Northeast Ohio please? Because you simply arent getting better youve started to do some research on your own and youve found some interesting information that you think could be the reason you arent feeling better. Went to a few doctors years ago. I have only been with them for about 6 weeks and there is already a big improvement. At first, weight gain with insulin is a sign that diabetes is getting under control. Have had a different history. When the body does not have sugar for energy it starts using fat for energy. I recently was able to finally lose 13 lbs with my goal of 12 more. My general doctor thinks I have Central Thyroidism. Diabetes is a disease that can again make you feel very tired most of the day. Maintaining a healthy lifestyle through a balanced diet, regular physical activity, proper sleep, and stress modification can help with managing and reversing hormonal weight gain and decreasing the associated health risks that may result if it is not addressed. But what cracks me up about comments like these is why would the lab tests exist if not to provide more information? We are experts in evaluating and managing genetic obesity disorders, including Prader-Willi syndrome and other conditions that cause severe weight gain in My results were as follows: Free T4 0.60 Yet, I found this funny since his own nurse had used that method to take my temperature when I entered his office. Unfortunately that doctor has passed and now I live in Florida. At most, your endocrinologist is likely to order what is called a TSH with reflex to free T4. I learned pretty quickly that most doctors are really not interested in learning more or trying new things and they even feel threatened when they find someone who has more success than they do. He had escalated the visit to a level 5 to F22 Delusional disorder he said reason was she believes the gov. He thought that was just insane. From what I had found, only about 50% of people who this hairs to will survive. WebAn evaluation with an endocrinologist can help determine if a hormonal condition is the underlying cause of weight gain. My hope is that this changes in the coming 5-10 years when the burden of new clinical studies which support the sort of thyroid management that I talk about here(1) becomes so heavy that it will be impossible to ignore. I would like to know how to loose the weight though. Doctors dont listen to you which is extremely frustrating especially since I was a therapist, where listening was an integral part of my job when trying to help people. Weight gain. Its trial and error, hit or miss as decades pass by. Saw him yesterday, left the office crying I told him about the gain weight, being cold all the time chronic constipation and anemia, swollen legs, and so many other symptoms.. Instead, a brisk walk can be a good starting point that you can build on. CONTRIBUTIONS TO PCOS AWARENESS ASSOCIATION ARE TAX-DEDUCTIBLE Your levels are in range, therefore your anxiety isnt being caused from your thyroid. So, unfortunately, the people most likely to agree with this are those who have already found that their endocrinologist is largely unhelpful. PCOS AWARENESS ASSOCIATION IS REGISTERED AS A 501(C)(3) NON-PROFIT ORGANIZATION. Declining estrogen, adrenal disorders, hormonal resistance, thyroid imbalance, and several other hormonal imbalances can lead to Because literally in 3 days of being on the t3/t4, I felt 100% better. Spoken like someone who lives in a larger city where these providers actually exist. If youve struggled with weight loss despite diet and exercise or have been diagnosed with conditions such as It could also be related to other factors, though, such as poor sleep, lack of exercise, and so on. January 24, 2022 Obesity is a chronic (long-term) medical disease whereby the body carries too much body fat. I have gained 25lbs of that weight over the last 5 years, mostly in the last 18 months. WebYou should see an endocrinologist when you have a medical issue that is due to, or heavily affects, the hormones in the body. She increased my T3 dosage and has me on combination T4/T3 therapy (100/30mcg) and I feel much better generally and mentally. Decreased thyroid hormone production and activation in your body by blocking thyroid function. Obesity is when body fat is above a certain level. I am on combination therapy (Cytomel/Levoxyl) T3/T4. Potentially useful interventions include lifestyle changes such as exercise, diet modification, or stress management, as well as treatments such as testosterone or thyroid hormone replacement. My alternative practitioner says, the proof is in the pudding the most important indicator of whether your medication works for you or not is how you feel on it. That sounds spot on to me. By the way, Im not saying that all specialists dont know more than general practitioners because that simply isnt true. Not everyone will be prescribed weight loss medication. I am glad we can share with each other because some of the doctors out there are just crap. They wont order the right tests. WebBook appointment with Best Endocrinologist (Hormones) for Weight Gain in Saudi Arabia. He did not order rT3 or any antibody tests, and he talks exactly as you describe above. I have tried levothyroxine and after 4 weeks got symptoms of over treatment and stopped. Losing weight can be a complex process that takes time and requires more than one approach. I am getting worse and missing alot of work. My cortisol was up. I have changed my diet, practised mindfulness, cut coffee, gluten, soy, canola etc .