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Doctor insights on: Suppressed Tsh And Weight Gain

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Does suppressing TSH - high T4 cause weight gain?

Does suppressing TSH - high T4 cause weight gain?

No weight loss: High T4 and low TSH means the thyroid gland is overactive and producing more thyroid hormone.That speeds up your metabolism and you end up losing weight.Reverse is true if your TSH is high and T4 is low, in that case you end up gaining weight. ...Read more

Dr. Michael Rothman
1,333 Doctors shared insights

Weight Gain (Definition)

Weight gain is an increase in body weight. This can be a result of increases to muscle mass, increases in body fat, or increases in body fluids like water. Occasionally, weight gain can be a symptom of ...Read more


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Could a TSH level of 2.6 on a TSH ultra test explain unexpected weight gain?

Could a TSH level of 2.6 on a TSH ultra test explain unexpected weight gain?

TSH: Not likely but you really need to look at your T3 (liothyronine) and T4 levels as well.
High tsh, normal T3 (liothyronine) & T4 = mild (subclinical) hypothyroidism. High tsh, low t4, low or normal T3 (liothyronine) = hypothyroidism. If you truly have hypothyroidism, that may be the cause of your weight gain. ...Read more

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8 yr/o having rapid weight gain eating habits haven't changed and TSH is normal. What are some other possible causes? 48.5in and 80 pounds

8 yr/o having rapid weight gain eating habits haven't changed and TSH is normal. What are some other possible causes? 48.5in and 80 pounds

Weight: Please have your child's pediatrician give you a copy of the growth curves. Share the charts with your child and begin reworking diet and exercise. Be patient and admire the benefits over time. ...Read more

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Are high TSH and rapid weight gain related?

Are high TSH and rapid weight gain related?

It can be: High TSH means your thyroid is not able to produce enough thyroid hormone and pitutary gland which controls thyroid gland and produces more thyroid stimulating hormone, and is usually associated with low t4 (thyroid hormone) which in turn slows down your metabolism and can often cause weight gain along with other symptoms. ...Read more

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No weight gain ever previously. Stable at 53k for 1+ years. Suddenly, in 2 weeks went from 53 to 56kilos. Nothing has changed, diet, sleep, stress. Exercise 30min everyday. Tsh 2.2 in 12/2013. Nervous

No weight gain ever previously. Stable at 53k for 1+ years. Suddenly, in 2 weeks went from 53 to 56kilos. Nothing has changed, diet, sleep, stress. Exercise 30min everyday. Tsh 2.2 in 12/2013. Nervous

Need to be checked: Thanks for asking as this suggests something is changing in your body. It helps that you have already considered many things that can affect weight. Other things can as well, including some medical problems like thyroid disease, and even heart failure. But likely you would have some other things happening as well, and thyroid disease does not usually cause rapid weight gain. Best to get good exam. ...Read more

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High TSH of 28 after complete thyroidectomy four months ago, but I don't feel any hypothyroid symptoms beyond a little weight gain. What is going on?

High TSH of 28 after complete thyroidectomy four months ago, but I don't feel any hypothyroid symptoms beyond a little weight gain. What is going on?

TSH 28: You can be surprisingly asymtomatic with hypothyroidism but on a cellular level the body is not at optimal performance and over a long time it will take its toll. Please f/u w/ you endocrinologist and take your thyroid medicine. ...Read more

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Weight gain, now 82kg, and I am 35 week pregnant, increased TSH level, suggest some methods to reduce my weight. Is any problems during delivery?

Weight gain, now 82kg, and I am 35 week pregnant, increased TSH level, suggest some methods to reduce my weight. Is any problems during delivery?

Weight in Pregnancy: If your TSH is elevated then it needs to be treated with Synthroid (thyroxine) or the equivalent. Your increased weight gain is likely due to hypothyroidism. I never encourage dieting in pregnancy but do encourage proper diet, sometimes with the help of a dietician. Remember to eat for one not two. At this point try not to worry, your delivery will be fine. Lets just have a healthy mom and baby. ...Read more

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Elevated tSH but normal thyroid hormones? Will this cause weight gain?

Elevated tSH but normal thyroid hormones? Will this cause weight gain?

May be: An elevated TSH with normal free T4 indicates that you at risk of being hypothyroid and that can lead to weight gain. It would be prudent to consult your doctor to ascertain if you should be taking replacement thyroid medication.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex.
Get HPV vaccine. ...Read more

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Can hypothyroidism be a reason for lot of weight gain for men? TSH, FT3, FT4 are they good indicators & do they need fasting for testing?

Can hypothyroidism be a reason for lot of weight gain for men? TSH, FT3, FT4 are they good indicators & do they need fasting for testing?

Yes, decent, no: Yes. Many who are hypothyroid have "normal" TSH, FT3 and FT4 but that is a good place to start. See http://tinyurl. Com/pxz8mkd and http://tinyurl. Com/koyamo5 for more on testing and diagnosis.
You do not need to have a prolonged fast before doing these tests but it is probably best to not eat for 3-4 hours prior. ...Read more

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I have not felt good in about 6 months being fatigued weight gain my TSH level came back in range but my WBC is 14. Is there any causes for this.?

I have not felt good in about 6 months being fatigued weight gain my TSH level came back in range but my WBC is 14. Is there any causes for this.?

Elevated WBC: Elevation of the white blood cell count suggests infection. Thorough physical examination and history. I would be thinking occult infection or abscess as cause for your symptoms. ...Read more

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F T3 (liothyronine) - 2.76pg/mL 2.60 - 5.40; F T4 - 1, 22 ng/dL 0.82 - 1.50; TSH - 0, 99? UI/mL 0.25 - 5.00, Low BG, weight gain, BG drops exercising, post workout ill?

F T3 (liothyronine) - 2.76pg/mL 2.60 - 5.40; F T4 - 1, 22 ng/dL 0.82 - 1.50; TSH - 0, 99? UI/mL 0.25 - 5.00, Low BG, weight gain, BG drops exercising, post workout ill?

Complicated.: Several possibilities. Why on metformin? Dizzy-low BP? CT scan of what? Show anything? 4 hr. GTT with Insulin levels, ACTH, 24 hr. urine cortisol, may help define. Could have hypopituitarism. Rapid GI transit possible. Antispasmodic [Bentyl or similar] may help. ...Read more

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Hyperthyroidism and weight gain, can a low TSH level cause weight gain? And how would menopause effect TSH level?

No: Rarely hyperthyroidism manifested by a low TSH and elevated thyroid hormones can cause increased hunger leading to weight gain. Most hyperthyroids lose (muscle) weight. Menopause has no effect on TSH levels, but as we age hypothyroidism with increased TSH becomes more likely. 20% of women on medicare have elevated TSH and have frank or subclinical hypothyroidism. ...Read more

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Can you have hyperthyroidism and weight gain? Tsh <0.01, ft3 & ft4 very high. Rapid heartrate, but I am very overweight, and cannot lose weight.

Can you have hyperthyroidism and weight gain? Tsh <0.01, ft3 & ft4 very high. Rapid heartrate, but I am very overweight, and cannot lose weight.

Yes: Hyperthyroidism increases your metabolism. Most people will lose weight with hyperthyroidism but some will be able to overeat to compensate and will gain weight. Your level is quite high and need to be treated. Please see your doc. ...Read more

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Had my thyroid removed in 2010 due to papillary cancer. Current levels r TSH. 15 ft4 1.2...Why can I not loose weight? Gain 20lbs since operation.

Had my thyroid removed in 2010 due to papillary cancer. Current levels r TSH. 15 ft4 1.2...Why can I not loose weight? Gain 20lbs since operation.

Probably not: Due to thyroid. What is free t3 (liothyronine). That is hormone free to act in body. If it is low then you are still low. But doubt it. You are just taking in more calories than your body needs to function. Either eat less or exercise more. ...Read more

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2 TSH tests showed 6 (while pregnant) and 5.2 (6 mo. Post pg).Is that enough to diagnose hypothyroidism? Icy hands/weight gain. Transient or permanent?

Need more lab: You Ob/gyn may have already done the following work up while you were pregnant since your TSH was 6 but if not your doctor can repeat TSH and also getting free T4 and T3. ...Read more

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Why Levothy. Not increasing my FT4. 9 or T3 (liothyronine) 88, but only lowering TSH 7 to 3.7? Have been taking for 3 mo. Weight gain & fatigue. 50 mcg mwf, 25 tts

Why Levothy. Not increasing my FT4. 9 or T3 (liothyronine) 88, but only lowering TSH 7 to 3.7? Have been taking for 3 mo. Weight gain & fatigue. 50 mcg mwf, 25 tts

Protein bound: While on therapy, typically physicians will monitor TSH. T4 is mostly protein bound. T3 is converted from T4 in tissues that require it. If you still have hypothyroidism symptoms, you should talk to your doctor so that synthroid (thyroxine) can be titrated properly. ...Read more

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I went to the doctor for weight gain n fatigue. My tests show freet4 11.1 and TSH 1.20. I'm so confused because it looks like hyperthyroid?

I went to the doctor for weight gain n fatigue. My tests show freet4 11.1 and TSH 1.20. I'm so confused because it looks like hyperthyroid?

Difficult to say: Tsh has a longer half life than ft4, so if the increase in T4 is more acute, then you might not see a change in TSH yet. It would be important to repeat the lab tests to confirm them. This can be caused from subclinical thyroiditis, postpartum thyroiditis, hashitoxicosis, graves disease, a toxic nodule (s) or certain medications. ...Read more

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My recent TSH is 3.54. Have fatigue, lack of concentration but no weight gain. Can I still have hypothyroid? Also I might be vit d deficient.

Yes.: Not exactly common, but you could have a problem with your TSH production - or the test could be wrong. Should have your free T3 (liothyronine) and Free T4 measured along with a repeat TSH to sort this out.

Vit D deficiency remains controversial... ...Read more

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Can a TSH level of 6.4u/ml and free T4 of 10pmol/l cause severe hypothyroid symptoms such as weight gain, extreme fatigue, aches, intolerance to cold?

Both results in the: Abnromal range but not by too much. In any case the levels are indicative of thyroid deficiency and could lead to your symptoms. Please see your doctor for replacement therapy. ...Read more

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T4 Free Level of 067 and TSH of 1.3- would this be considered normal range even though having symptons- massive hair loss, weight gain, fatigue, etc.

Thyroid.: While your TSH looks fine, your free T4 maybe a tiny bit low on this one report. It would be worth repeating these two values along with the remainder of a full thyroid function panel. If you thyroid function numbers are normal, you may want to consider that your symptoms are due to something other than thyroid dysfunction. ...Read more

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Fatigue and weight gain. Blood work shows mild hypothyroidism (TSH slightly over 5) but no cold intolerance. Are my symptoms still related to thyroid?

Fatigue and weight gain. Blood work shows mild hypothyroidism (TSH slightly over 5) but no cold intolerance. Are my symptoms still related to thyroid?

Likely: The information you provided is consistent with thyroid deficiency and you should consult your doctor for replacement therapy.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex.
Get HPV vaccine. ...Read more

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Dear sir, my TSH is 0.741 uIU/ml. I have the all symptoms of hypothyroidism, like weakness, tremor, fatigue, weight gain and cold intolerance?

Dear sir, my TSH is 0.741 uIU/ml. I have the all symptoms of hypothyroidism, like weakness, tremor, fatigue, weight gain and cold intolerance?

Normal TSH Level: Your Blood Test for TSH is normal low range. Normal Level range From 0.5 to 4.5/5.0
This blood test does not suggest that you have Hypothyroidism
Consult your doctor and if he/she still suspects Hypothyroidism, repeat the full Thyroid profile including TSH, T3, T4and FreeT4
There may be some other cause of your symptoms. Tremors are usually caused by Hyperthyroidism ...Read more

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TSH 1.15 uIU/ml - T4 1.24 ng/dl but l've all symptoms of Hypothyroid: chronic fatigue, low temp (36°≥), severe constipation, easy weight gain, etc?

Hypothyroid sx: Is that a Free T4? A FT4 of 1.24 would be normal in most assays, as would a TSH of 1.15. If these tests are indeed normal, then your symptoms are not from hypothyroidism, which is too bad, since thyroid would be easy to treat. Best to talk to your doctor about what else this can be. ...Read more

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Facing problem hair lose & weight gain. Have done thyroid test and result is t3-99.22, t4-3.98, TSH-20.21. What medicine I should take & for how long?

Thyroid: Those thyroid numbers do not make sense to me. The TSH is high and usually the T3 (liothyronine) and T4 are low causing the TSH to work hard to get your thyroid working properly.

Call your doctor to see if those numbers are correct. If he says yes ask for a referral to an Endocrinologist. ...Read more

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My TSH is 0.741 uIU/ml, T3 (liothyronine) is 1.33 ng/ml, T4 is 7.61 ug/dl I have fatigue. Weight gain. Depression Help me?

It's not thyroid: Hi. Fatigue, weight gain, and depression are very general symptoms. Your thyroid tests are normal, so your thyroid is excluded as the cause. You have anxiety; depression can be associated. Some schizophrenia meds can cause weight gain. And everything or nothing can cause fatigue. Now you know it's NOT your thyroid. Good luck! ...Read more

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My TSH is 0.741 uIU/ml, T3 (liothyronine) is 1.33 ng/ml, T4 is 7.61 ug/dl I have fatigue. Weight gain. Depression Help me?

My TSH is 0.741 uIU/ml, T3 (liothyronine) is 1.33 ng/ml, T4 is 7.61 ug/dl I have fatigue. Weight gain. Depression Help me?

TSH, depression: Your thyroid levels aren't bad.

Your depression needs attention.
Please have your doctor set up an appointment with both a Psychiatrist and a Psychologist.

Depression is painful but manageable with the correct care. ...Read more

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Have raised TSH levels. Multiple nodules in thyroid and a positive ANA titre 160 (neg 3 yrs ago). Feeling tired, weight gain and mood swings.

Have raised TSH levels. Multiple nodules in thyroid and a positive ANA titre 160 (neg 3 yrs ago). Feeling tired, weight gain and mood swings.

Hypothyroidism: If your TSH is significantly elevated, your thyroid level is likely to be low (hypothyroidism). This is associated with fatigue and weight gain, and requires treatment with thyroid hormone. Having multiple nodules on your thyroid may or may not be related. You likely have hashimoto's thyroiditis. This can cause the appearance of multiple small thyroid nodules (heterogeneous texture) on ultrasound. ...Read more

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My free T4 is 1.2 my TSH is 0.655. My doctor says it is normal, but I have bad symptoms. Brain fog can't drive extreme tired weight gain weak.

Thyroid disease: Even if the levels of thyroid hormone are normal, your physical and mental condition may not be adequate. Usually psychiatrists are the specialists working with medical practitioners to make the adjustments in medications to provide better quality of life. Request a referral to an experienced psychiatrist. ...Read more

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My TSH is 0.99 but the Dr said that I have a goiter. I have cold feet. Unexpected weight gain. Dry skin. Palpitations. Carpal tunnel. 29 yr old female?

Non-specific: Tsh of 0.99 suggests normal thyroid function. I don't have your free thyroxine level to confirm this. Your symptoms are non-specific. Unfortunately, when patients have the classic symptoms of hypothyroidism they only actually have it 30% of the time. That speaks to the lack of specificity of the symptoms you are having. Again though a T4 level would be needed to rule out central hypothyroidism. ...Read more

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Joint pain throughout body, can't sleep more 2-4 hr weight gain lack appetite on Synthroid (thyroxine). 75 TSH 3.17@nite pain wake me up. Otc pain med no good?

Joint pain throughout body, can't sleep more 2-4 hr weight gain lack appetite on Synthroid (thyroxine). 75 TSH 3.17@nite pain wake me up. Otc pain med no good?

You need a medical e: A medical exam is what you need. Please go see your primary care doctor and let him/her examine you and find out what is wrong. At your age there is high risk of serious medical ailments which can cause bone pains. Only an examination and check of blood tests and x-ray check ups can help to make a correct diagnosis. ...Read more

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My TSH had increased by more than a point in the last two years, my T3 (liothyronine) is low, I have had fatigue, weight gain, hair loss, moody, 2 sibs hypo. Could i?

My TSH had increased by more than a point in the last two years, my T3 (liothyronine) is low, I have had fatigue, weight gain, hair loss, moody, 2 sibs hypo. Could i?

Thyroid: You do not stated the TSH levels. When the T3 (liothyronine) is low you can have fatigue, weaknes, low energy... Check with your dr thyroid us, antigens, cortisol, dhea, vit d, . .. Possible you need to chance or increase med. See a family doctor or endoc. Check hormone too. ...Read more

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My TSH is point 4 (.4) free T3 (liothyronine) is 2.3 free T4 is 1.0 reverse T3 (liothyronine) is 286. I take 200mcg levothyroxine. No enerdgy, hair falling out, weight gain?

My TSH is point 4 (.4) free T3 (liothyronine) is 2.3 free T4 is 1.0 reverse T3 (liothyronine) is 286. I take 200mcg levothyroxine. No enerdgy, hair falling out, weight gain?

Wrong medication?: Levothyroxine may not be the correct medication for you, hence more of the same will not help. You probably could use a few more tests. More info on: DrFairchild. Org/endo/thyroid. Htm ...Read more

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THIS IS MY LAB RESULT FREE T3 (liothyronine) 4.58 FREE T4 13.74 TSH 8.45 should I be taken medications or not? , main symptoms are hair shedding and weight gain

THIS IS MY LAB RESULT FREE T3 (liothyronine) 4.58 FREE T4 13.74 TSH 8.45 should I be taken medications or not? , main symptoms are hair shedding and weight gain

Take levothyroxine: Hi. You may want to repeat the labs for confirmation and check thyroid autoantibodies for etiology, but yes, those labs taken at face value suggest you should be taking levothyroxine. It is possible, however, that your symptoms are not caused by this mild hypothyroidism. Only by taking l-thyroxine and normalizing your TSH for a few months will you know. Good luck! ...Read more

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My TSH is point 4 (.4) free T3 (liothyronine) is 2.3 free T4 is 1.0 reverse T3 (liothyronine) is 286. I take 200mcg levothyroxine. No enerdgy, hair falling out, weight gain?

My TSH is point 4 (.4) free T3 (liothyronine) is 2.3 free T4 is 1.0 reverse T3 (liothyronine) is 286. I take 200mcg levothyroxine. No enerdgy, hair falling out, weight gain?

Reverse T3 (liothyronine): Normally yourt4 is deioidonated in your liver to T3 (liothyronine) to produce the active thyroid hormone. However the presence of high cortisol, high estrogen or high Insulin impairs this process. Instead of making t3 (liothyronine), (liothyronine) your liver makes reverse t3 (liothyronine). The TSH and ft4 are nl b/c the thyroid itself works fine, it is the liver that is not ok. Pure T4 makes this worse, you need some T3 (liothyronine) supplentation. ...Read more

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My mother TSH value is 18.9 and T3 (liothyronine) and T4 are normal. Doctor gave her thyroxin but there is no weight gain in her case. Is it still hypothyroidism?

Yes: Hi. Your mom has subclinical hypothyroidism (elevated TSH is pushing the remaining thyroid cells hard enough to keep T4 and T3 (liothyronine) in the normal range), but it's definitely hypothyroidism (assuming no lab error).I agree with her doc...I would treat her also. Good luck to her! ...Read more

Dr. Quang Nguyen
943 Doctors shared insights

Thyroid Stimulating Hormone (Definition)

A TSH test measures the amount of thyroid stimulating hormone (TSH) in your blood. TSH is produced by the pituitary gland and tells the thyroid gland to make and release the hormones thyroxine ...Read more