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Release Week on June 6, 2022 (COL. 5)
Byline: Keith Roach, MD
Title: Rapid weight loss doesn’t mean it can’t last forever
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Dear Dr. Roach: Does losing weight fast when you’re trying for the first time mean you always get it back? –LRS
Answer: Previously, we thought that rapid weight loss would lead to a universal recovery, but more careful studies show that weight loss of at least £ 5 in the first four weeks of trying to lose weight is not a failure, but a future. Has been shown to be a marker of success. By losing weight.
The key to a successful weight management plan is long-term changes in diet and exercise. Since the body is more likely to return to the “set value”, it is imperative to continue to adhere to plans to significantly change the lifestyle associated with weight gain.
Many people regain weight. In such cases, treatment with medication or weight loss surgery may be appropriate for some people at high risk. However, some people find that maintaining changes to lose weight becomes a second property after a while. Getting help from a professional weight loss program can definitely help people lose weight and lose weight successfully.
Dear Dr. Roach: I’m a 71-year-old woman with a history of several thyroid symptoms, but TSH, T3, and T4 are normal. However, my TPO antibody has continued to rise and is now over 13,000. Both my doctor and endocrinologist refuse to admit this.
Imaging shows that my thyroid gland has become smaller and “beaten and hurt”, but I no longer discuss or test TPO Ab. I have already switched doctors several times. Why are autoimmune diseases rejected? How can I find out what medical support I feel is needed? –MA
Answer: Antibodies to thyroid peroxidase are found in about 20% of healthy women, up to 40% of people with type 1 diabetes, and 90% to 100% of patients with autoimmune thyroiditis (Hashimoto’s thyroiditis). The very high levels of antibodies you have and the ultrasound findings of your thyroid gland almost certainly make Hashimoto’s diagnosis.
However, not all people with autoimmune thyroid disease need treatment. If thyroid hormone levels are normal (T3 and T4 are thyroid hormones) and thyroid control also shows normal hormone levels, thyroid hormone treatment is not required. The thyroid-stimulating hormone TSH is made by the pituitary gland and becomes abnormally high when the brain feels low hormone levels and abnormally low when the brain feels high thyroid levels.
Due to the high risk of developing hypothyroidism, thyroid hormone levels should be carefully monitored. In that case, treatment is required. Some specialists treat people in your situation when TSH levels are moderately elevated but T3 and T4 levels are still normal.
What I’m not sure is what the thyroid symptoms mean. Many symptoms of low thyroid hormone levels (malaise, low energy, weight gain) are non-specific and may be due to another condition. Autoimmune diseases often occur together, and your endocrinologist may want to consider other conditions such as low cortisone levels caused by an autoimmune disease (Addison) that can cause similar symptoms.
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Dr. Roach regrets not being able to answer the individual letters, but incorporate them into the column as much as possible. Readers can email their questions to ToYourGoodHealth@med.cornell.edu or email 628 Virginia Dr., Orlando, FL32803.
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