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Dr. Mark
Dr. Mark, Board Certified Physician
Category: Medical
Satisfied Customers: 8352
Experience:  board certified internal medicine
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I have been exercising regularly and eat a healthy diet, but

Customer Question

I have been exercising regularly and eat a healthy diet, but I never loose weight. I drink plenty of water etc. do everything right. I went to the doctors last year and had a test for underactive thyroid as many symptoms I have would indicate that was the issue. Underactive thyroid also runs in my family. When I got the results back my thyroid was normal. I don't understand why I cannot shift this extra weight.
JA: Have you seen a doctor about this yet? What medications are you taking?
Customer: I saw a doctor last year and when the results came back normal they didn't want to help me further. I am not taking any medication.
JA: What medications do you take daily? Are you allergic to any medications?
Customer: None and no
JA: Anything else in your medical history you think the Doctor should know?
Customer: No, Nothing.
Submitted: 18 days ago.
Category: Medical
Dr. Mark
Expert:  Dr. Mark replied 18 days ago.
Hi. I’m Dr. Mark. I’m a board certified physician and happy to assist you. I need some additional information. Your age and gender? Current weight and height.
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Customer: replied 18 days ago.
Female, Age 27 and I am 5ft2 weighing 94kg
Expert:  Dr. Mark replied 18 days ago.
Let me calculate your BMI.
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Customer: replied 18 days ago.
Okay, thank you
Expert:  Dr. Mark replied 18 days ago.
The BMI is 37.9. That is considered obese. Do you have any underlying medical conditions such as diabetes or hypertension?
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Customer: replied 18 days ago.
No, when i was tested for underactive thyroid, i was also tested for diabetes and ovarian cancer. All came back clear
Customer: replied 18 days ago.
I have never had high blood pressure
Expert:  Dr. Mark replied 18 days ago.
Does obesity run in the family?
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Expert:  Dr. Mark replied 18 days ago.
Weight loss down to a normal BMI can be achieved but is extremely difficult. Results of studies have proven this for many years. But it is possible with intense dieting and caloric restriction and regular daily exercise. It take 3500 calorie deficit to lose one pound or half a kg.
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Customer: replied 18 days ago.
No, everyone in the family is relatively active and none are overweight. My mum, my aunt and my grandma all have underactive thyroids, for which they take medication for. No one has diabetes or any other underlying health conditions. This is why I am a little stumped. I am the only one over weight and despite all efforts I cannot shift it.
Customer: replied 18 days ago.
I lead a very active lifestyle, dog walks twice a day. Daily exercise routine, when the gyms are open I go every weekday morning for at least an hour. With the lockdowns I have been doing body weight exercises at home. I eat healthy single ingredient foods. Nothing processed.
Expert:  Dr. Mark replied 18 days ago.
Hypothyroidism only causes a slight weight gain . Your options are a vigorous exercise program along with caloric restriction. When there’s no weight loss then it’s due to eating too many calories. Most people don’t accurately calculate their daily calorie intake. Bariatric surgery is an option for you.
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Expert:  Dr. Mark replied 18 days ago.
https://www.nhs.uk/conditions/weight-loss-surgery/
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Customer: replied 18 days ago.
The only thing is I don't gain or loose weight. I have stayed at this weight for at least a year. I normally eat around 1600 - 1800 calories a day, with regular exercise. I have ten of the thirteen symptoms of underactive thyroid, surely that isn't a coincidence?
Expert:  Dr. Mark replied 18 days ago.
If your thyroid hormones were normal then hypothyroidism is ruled out. And hypothyroidism never causes obesity.
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