Dr. Westin hit another out of the park article to help US thyroidless folks fight weight and diabetes issues.
Simply said; of the best thyroid specialist I have seen anywhere after a three fight and 54 pounds weight gain I feel I am finally heading in the right direction keep you posted.
There are several strategies that you can take and I've listed several below:
Optimize your thyroid medication - What I mean here is that you need to make sure that your thyroid medication is optimized for your body. For most of you, that means you will probably need to take more than you are currently taking. For some that may mean lowering your dose. When optimizing your medication for blood sugar, you'll want to focus less on the TSH and more on your free thyroid hormones (free T3and free t4). As you optimize both of these numbers you will probably find that your blood sugar will drop naturally. Avoid increasing these numbers outside of the reference range while trying to optimize them in the top percentile of the "normal" range. You can learn more about this concept here.Take insulin sensitizing supplements - There are several supplements (which are available over the counter) which you can take in conjunction with all of the therapies I've listed here, which can help improve your blood sugar. Some of my favorites include Berberine, fish oil, Alpha lipoic acid, and chromium. These supplements all have scientific studies which show that they are effective at reducing both blood sugar and insulin resistance. And the best part is that they can be taken or used in conjunction with medications and other lifestyle modifications.Take insulin-sensitizing medications - If you really want to kick things up a notch you can also try the use of insulin-sensitizing medications. These medications are particularly useful if you are struggling with weight loss resistance which you believe is secondary to insulin resistance/high blood sugar. These medications can be used temporarily (to reverse the condition) and don't necessarily have to be taken long-term for you to realize their benefits. Medications which fit into this category include Victoza, Saxenda, and Metformin. There are others, but these should serve as a good basic framework for you to look at. Victoza and Saxenda are quite expensive if insurance doesn't cover them while metformin is incredibly cheap at around $4.00 per month. The downside to using Metformin is that it's not quite as effective as the others, but it's a great medication to use in many people. Metformin (and the others) can also be used in conjunction with supplements with may enhance their potency and effects!Exercise correctly - We didn't talk much about exercise in this post, but it's certainly an important aspect if you are trying to lower your blood sugar. Exercises which put a temporary high strain on the body over a short period of time tend to be best at improving insulin sensitivity. Exercises that fit into the high-intensity interval training spectrum are often ideal. The good news is that you don't need to spend hours on a treadmill but the bad news is you will need to push yourself to get results.Clean up your diet - Another thing you'll want to do no matter which therapies you use is adjusting your diet. Taking all the supplements, medications, and thyroid hormone in the world will not be enough to counteract the negative effects of a bad diet. Most people know what 'healthy' foods are, but even if you aren't sure then look to a diet such as Whole-30 as a guide. Diets which are high in real, whole foods are your best bet.Consider other medications such as LDN - Lastly, some other medications can also be used to help sensitive your body to insulin. Medications like LDN (low dose naltrexone) can also potentially help autoimmune disease states such as Hashimoto's thyroiditis (a major cause of hypothyroidism). These medications are often prescribed off-label though, so you may need a willing physician to help you out.
As you consider these therapies just keep in mind that the more therapies you add on top of each other the more likely you are to see your desired results.