HomeAnswersFamily Physicianpaleo dietI have hypothyroidism and PCOD. Can I start paleo?

How can a patient with a medical history of hypothyroidism and PCOD follow a paleo diet?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At January 13, 2023
Reviewed AtOctober 6, 2023

Patient's Query

Hi doctor,

I am 266 lbs, and I have been taking homeopathy treatment for hypothyroidism and PCOD for the past three months. I was diagnosed with hypothyroidism two years back. I started taking Thyroxine 100 mcg for that. I discontinued Thyroxine three months back and started homeopathy treatment for the same. I was also diagnosed with PCOD. I would like to start a paleo diet. I have undergone the paleo beginner test and attached the reports. I have done my blood investigations. Kindly guide me to proceed with the diet.

Hi,

Welcome to icliniq.com.

I thoroughly read your query and understand your concern.

Four years before, you had the following problems:

  • Weight 121 kg (overweight by 55 kg).
  • High HbA1c (hemoglobin A1c).
  • High TLC (total leukocyte count).
  • High LP(a) (lipoprotein A).
  • Low vitamin D.
  • Low iron.
  • High hsCRP (high sensitivity C-reactive protein).
  • High TC (total count of white blood cells).
  • High LDL (low-density lipoprotein).
  • High FBS (fasting blood sugar).

I suggest you, please take the following drugs for one month:

1. Capsule Neuro D3 (Vitamin D) 60000 IU every Sunday, Tuesday, and Thursday after breakfast.

2. Tablet Thyroxine 100 mcg of before breakfast every day.

3. Tablet Coltro 5 mg or RV5 (Rosuvastatin 5 mg) after breakfast and supper.

4. Tablet Nuhenz (Vitamins B1, B6, B12, folic acid, Myo inositol, and Chromium polynicotinate) after breakfast and supper.

5. Tablet Ferrizac (Ferrous ascorbate 100 mg + Folic acid 1.5 mg) after breakfast and supper.

6. Tablet Corus (multivitamin tablet) after breakfast and supper.

I suggest you to please follow a low-carbohydrate and high-fat diet:

  • Breakfast: Eggs.
  • Lunch and Supper: Vegetables, greens, pulses, non-vegetarian foods, mushrooms, and paneer.
  • Fruits: Unripe guava, lime, gooseberry, and butter fruit (avocado) can be taken.
  • Snacks: Coconut, tender coconut, almonds, pistachio, walnut, butter, cheese, milk, curd, coffee, and tea without sugar.
  • Oil: Ghee, coconut oil, sesame oil or gingelly oil, groundnut oil.

The above schedule is indicative. You can swap the components at your convenience.

  • Eggs: Both white and yellow can be taken in any form, boiled, half-boiled, omelet, plain omelet, masala omelet, cheese omelet, gravy, etc.
  • Almonds, walnut, pistachio, or a combination of all these. They can be taken in any form, plain, roasted, ghee roasted, masala, salted, or soaked.
  • Vegetables: Vegetables other than potato, sweet potato, yam, mushrooms, and tapioca can be taken.
  • Butter: It will be difficult to take this on day one. Start with one spoon. Gradually increase the amount every day.
  • Non-vegetarian foods: Fish, chicken, mutton, crab, and prawns can be taken. They can be taken in any form. With or without masala, fried, boiled, tandoori, or any form. If your social customs permit, beef and pork can also be taken.
  • Coffee and tea can be taken without sugar.
  • Pulses (dal) should be less than 50 gms per day.
  • Milk and curd: Should be less than 100 ml per day. Buttermilk comes under this category.

Avoid hunger. Please do not have large intervals between diets. Always keep roasted almonds, walnuts, pistachio, etc., in a bag and eat them even when you feel slight hunger. Eat till you there is no hunger. Avoid sugar, honey, jaggery, palm sugar, etc. Avoid cold beverages. Avoid cakes, bread, biscuits, chips, puffs, wafers, mixtures, sweets, pizza, burgers, etc. Avoid rice, wheat, maida, millet, oats, corn, and all cereals. Avoid potato, sweet potato, yam, and tapioca. Avoid fruits other than butter fruit, unripe guava, lime, and gooseberry.

Repeat Thyrocare Arogyam B profile of blood tests after one month and send the report to me for further modification in diet. Please note that this diet chart is valid for one month only, and you have to repeat the blood tests and change the chart accordingly after one month.

Hope this helps.

Regards.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. J. Mariano Anto Bruno Mascarenhas
Dr. J. Mariano Anto Bruno Mascarenhas

Neurosurgery

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