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Being hypothyroid, I have gained more weight. Why?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

Is this something I should worry about? I have been hypothyroid for 25 years and have recently gained about 25 lbs. Thyroid ultrasound states, history of goiter. We have no previous examination available for comparison. Both thyroid lobes are diminished in size. The right thyroid lobe measures 0.9 inch in length, 6.4 mm in depth and 9.4 mm in width. The left thyroid lobe measures 1.2 inch in length, 6.5 mm in depth and 0.3 inch in width. Each thyroid lobe is diffusely heterogeneous and without visible nodularity. No parenchymal calcifications are visible. The impression is diffusely heterogeneous and small thyroid lobes. No evidence of dominant nodule on either side.

Answered by Dr. Divakara. P

Hello,

Welcome to icliniq.com.

Your weight gain is due to hypothyroidism and probable physical inactivity. I need to know what is your recent TSH (thyroid-stimulating hormone) level if it is not in a reasonable range, your medication dose needs to be adjusted. Also, do 30 minutes of aerobic exercise daily, avoid sweets, carbonated beverages, and nonveg food. As of your scan report is concerned it is suggestive of atrophic thyroiditis where the thyroid gland shrinks and later becomes inactive. So you may require thyroid hormone supplement. But your scan finding is nothing to worry about.

Any doubts or queries feel free to ask.

Answered byDr. Divakara. P

Medically reviewed byDr. Nithila. A

Published At September 16, 2019
Reviewed AtJune 7, 2023

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