Thyroidectomy weight loss and old, bad habits

Commented on January 09, 2013
Created January 04, 2013 at 3:23 AM

I am new to paleo and started reading about it when I was diagnosed Graves' disease about 2 years ago. I had lost about 50 pounds (when I needed to lose about 25). I had gained muscle again but had to have a thyroidectomy 3 months ago when I started having issues.

Now I am heavier than I have ever been, have no energy and am slogging through workouts. My endo said to cut carbs and wait and see how things "settle out" after surgery. I am taking lrvothyroxine and 3600mg of calcium with Vitamin D added.

Are there any tips for thyroidless paleo folks? I just want to feel better again.



on January 09, 2013
at 09:57 PM

Hi Paula, I had a thyroidectomy in 2009, I put on 25lbs. immediately following my surgery. I don't use a scale but my clothes are fitting much better since I started paleo. I also crossfit so I have kept carbs in my diet. Thanks for the tip on the Calcium! I'm glad to know I'm not the only thyroidless paleo lady around here!



on January 05, 2013
at 12:54 AM

Thank you so much! I was starting to look to the carbs for energy only to crash and feel worse.



on January 04, 2013
at 03:25 AM

Dr Brownstein is someone I'd recommend looking into.

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3 Answers


on January 09, 2013
at 06:47 PM

I agree with what everyone has posted so far. I am still figuring out my thyroid issues and am scheduled for a partial thyroidectomy in less than a week.

I am also on replacement hormone in the mean time. I have been doing Paleo for over 6 months now and largely credit it for helping me maintain my weight and not gain anymore than I have. I average about 50-100 carbs a day, but I cycle it based on how I feel when I get up in the AM + how I feel after I take my dose of meds in the morning. If its a sluggish day I definitely don't eat a lot of carbs because I know I will be bloated and see the scale go up.

I also agree with the cortisol issue as adrenal fatigue can be a secondary problem with thyroid patients. So I make sure I get enough rest at night and keep my stress levels low.

I am still hopeful I will lose this 20lbs I have gained since I figured out I had thyroid issues, and yes I know it will take time. A lot of it will be focusing my energy and increasing my workouts. I have found youtube to be a Godsend for workouts I can do at home and in 10-15 minute spurts (when I don't have the energy to do long workouts).

Good luck and keep at it!


on January 04, 2013
at 06:37 AM

The basic rule of thumb on "maintaining" a weight (which means you may gain a pound or 5 or even 10 until you balance your actual T3 metobolic rate) ( BUT it will not skyrocket as many patients have happen) is to limit your carb intake along with consumption of sugar. These two components usually in healthy thyroid people can "burn" off and give that person energy. While in hypoT patients it is completely the opposite.

We tend to "store" these two and hense gain fat. Sugar is stored in hypoT patients and in return since we are so inclinded to develop more than one autoimmune disease after a Dx with thyroid disease - Diabeties is next usually.

It is about maintaing our insulin levels- both carbs and sugars change our hyperglycemic (sp) levels and change our insulin. Also cortisol levels are effected and fat is stored in areas we tend to dread.

Energy Food Tips for Fast Weight Loss Workouts


on January 04, 2013
at 04:27 AM

I also have no functioning thyroid to speak of and am on thyroid replacement therapy. I have found the dessicated thyroid more helpful, as the T4 only just did not alleviate enough hypothyroid symptoms. The T3 in the dessicated gives you a much needed instant energy boost.

Be patient it can take a long time for your body to recover from hypo. It is still a bit of an ongoing struggle but I have found a paleo diet really helps with stopping weight gain and also not resorting to high carb fixes for energy, something I did a great deal and it only made the weight gain worse (then insulan resistance etc etc etc). The paleo has also stabilised blood sugars, as like many hypothyroid people I am a risk for diabetes.

Be mindful that your body has been through so much so think about implementing gradual dietary changes so your poor adrenals are not more stressed. Finding a good doctor that thinks outside the square can help too, someone that listens to symptoms not just blood results. If I could have a dollar for every doctor that has said "your bloods look fine", so don't worry and I'll see you in 3 months, despite crippling persisting hypothyroid symptoms and infertility (have 2 beautiful children now). You really need to be your own advocate, get educated, get more educated and get loud, clean up your diet, avoid high carbs for energy, minimal alcohol and I think a paleo healthy approach does help. Good luck!

ps Dr Brownstein is a good tip I agree



on January 05, 2013
at 12:54 AM

Thank you so much! I was starting to look to the carbs for energy only to crash and feel worse.

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