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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Weight Gain And Fatigue?

I have nodules on my thyroid and have taken radio-active iodine treatments about 5 years ago and have my thyroid checked by sonogram yearly by an endochronologist.. My T3 and T4 and my TSH levels have been normal for several years but I am tired in the afternoons and have been going to water aerobics 4-5 days a week for an hour a day eating a healthy diet and tracking intake of food and still have not lost one pound. It is totally frustrating. I am 77 years old and feel I need to lose the weight around my middle as it is unhealthy and contributes to my being tired and lack of energy. Is there another test that should be done that could more accurately pinpoint the problem with my thyroid as I believe I am now hypothyroid.
Thu, 20 Feb 2014
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Endocrinologist 's  Response
HI Dear,

If your thyroid hormone levels are normal, then the symptoms may not be due to hypothyroidism. Having said this, i must say that, some people continue to have few symptoms of hypothyroidism despite having normal levels of Thyroid hormones. This may be due to reduced sensitivity of some tissues to thyroid hormone.

However, at your age, tiredness could be due to many other reasons and get a complete check up including check up for anemia and a full body examination. You havent mentioned your gender. But if you are a male, it may be worth checking a fasting testosterone level as well. An internist can surely decide what test is appropriate for you. By the way, do you think you are depressed?? That is another thing to consider
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What Causes Weight Gain And Fatigue?

HI Dear, If your thyroid hormone levels are normal, then the symptoms may not be due to hypothyroidism. Having said this, i must say that, some people continue to have few symptoms of hypothyroidism despite having normal levels of Thyroid hormones. This may be due to reduced sensitivity of some tissues to thyroid hormone. However, at your age, tiredness could be due to many other reasons and get a complete check up including check up for anemia and a full body examination. You havent mentioned your gender. But if you are a male, it may be worth checking a fasting testosterone level as well. An internist can surely decide what test is appropriate for you. By the way, do you think you are depressed?? That is another thing to consider