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Re: hypothyroidism - rapid weight gain after twin pregnancyFrom: Audrey (anonymous@obgyn.net)Fri, 27 Oct 2000 00:12:51 -0500 (CDT)
At Thu, 26 Oct 2000, R. Daniel Braun, MD wrote: > >At Thu, 26 Oct 2000, Audrey wrote: >> >>At Thu, 26 Oct 2000, R. Daniel Braun, MD wrote: >>> >>>At Thu, 26 Oct 2000, Audrey wrote: >>>> >>>>I'm 26 yrs old and have been diagnosed with hypothyroidism for a little >>>>over a year now. I had previously used Depo as a BC method, but gained >>>>60 pounds within 9 months and stopped using it. There were also lots of >>>>other miserable symptoms which added to my discomfort. That was what >>>>prompted me to go to a doctor 9/99 for help losing weight. My TSH level >>>>was tested which led to the diagnosis of hypothyroidism and I began >>>>taking synthroid (.75 mg). >>>> >>>>I then became pregnant in October with twins and gave birth 5/00. I >>>>started the pregnancy weighing 330 lbs. I had my TSH tested twice >>>>during the pregnancy and once postpartum. I've been at 0.1 mg strength >>>>for a year now. The pregnancy was pretty uneventful for a twin >>>>pregnancy. I lost 40 lbs during the first trimester, but then started >>>>slowly gaining again. I was 316 when they were born and 270 at my five >>>>week postpartum checkup. >>>> >>>>I thought my weight loss would continue, but it hasn't. In fact, I've >>>>started gaining weight more rapidly than before. My most recent TSH >>>>test was 7/00 and I was kept at the same dosage level, but I feel >>>>terrible. I am now back at 330 and still gaining. This means that I >>>>have gained 60 pounds in 5 months. I also started using >>>>orthotri-cyclene as a BC method in July just a week before my last TSH >>>>test. I take my synthroid in the morning and I take my BC pill at >>>>night. >>>> >>>>Okay my 2 questions are: >>>> >>>>Should I go to a doctor who specializes in thyroid disorders or a >>>>gynecologist? My main goal is to lose weight and start feeling better. >>>>When I first began treatment, I had large amounts of energy and felt >>>>wonderful. However, since starting orthotri-cyclene, I haven't been >>>>feeling the same physically. I'm feeling very much the same as I did >>>>when I took Depo but not as severe. I've never been on BC pills before >>>>and think this may be a factor. I have taken into consideration that >>>>I'm a new mom to two babies, but things have been going wonderfully. We >>>>have an established routine and they both sleep through the night. I >>>>was actually under more stress last year finishing my last year of >>>>college and applying to grad school. >>>> >>>>My second question has to do with finances. Am I correct in assuming >>>>that visits to an endocrinologist would cost much more than a >>>>gynecologist? >>>> >>>>Thanks for any advice, Audrey >>> >>>The endocrinologist is probably the best place to start. Cost either >>>place will depend on what is done. >>>The second place to go is to Weight Watchers. They have the best plan >>>that I am aware of that does not cost $1000/ month. >>> >>>They teach you to eat a balanced diet of the right number of calories >>>and work with you on exercise and behavior modification. The only >>>effective methods of weight loss all consist fo DIET, EXERCISE, and >>>BEHAVIOR MODIFICATION. >>>I own no stock in weight watchers. I have been a client. >>> >>>RDB >>> >>>-- >>>R. Daniel Braun, MD FACOG FOG >>> >>>This is for educational purposes only, and is not intended to be replacement or substitute for consultation and examination by an appropriate medical professional. Due to time constraints, private e-mails cannot be answered. >>> >>I appreciate the reply, but I'm a little confused. Don't I need to go >>to a doctor for thyroid meds and a possible change in birth control >>method? I've never used Weight Watchers, but I didn't think they offered >>medical help. Maybe I misunderstood your advice. I'm just not sure how >>behavior modification is going to help me with my thyroid condition or >>with my reaction to BC pills. Is there possibly another forum which >>deals with these more specific issues? >> >>Thanks again, Audrey > >I said Weight Watchers was the SECOND place to go after you have been to >the Endocrinologist. They will help with the weight problem. >Hypothyroidism won't cause you to gain 60 pounds in 5 months. > >RDB > >-- >R. Daniel Braun, MD FACOG FOG > >This is for educational purposes only, and is not intended to be replacement or substitute for consultation and examination by an appropriate medical professional. Due to time constraints, private e-mails cannot be answered. > Thank you Dr. Braun for replying so quickly. I'm planning to find an endocrinologist as soon as I'm added to my husband's health insurance. Since you have suggested that hypothyroidism hasn't caused my rapid weight gain, I will find out more about the BC pills I'm taking. The last time I had such a rapid weight gain was when taking Depo, so maybe my body is reacting to BC pills in a similar way. I'm sorry if it seems that I'm making this sound more complicated than it is. It just seemed that you might have been pointing a finger towards overeating as the cause of my problems. I know that I do not get enough exercise, but I do eat balanced meals. Before I had my twins, I swam for an hour everyday. But until I can afford a babysitter, I will have to settle for the amount of exercise I get around my house. I think this is a wonderful service which provides useful advice. And I will definitely seek further help from a doctor in town. I've learned lots just from browsing the list of topics. I appreciate the time all our doctors take from their busy schedules to contribute to this forum. Audrey
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