Hi sir/ mam, I am a hypothyroid patient from past eight years. I have been continuously taking thyronorm and the dose has increased always. I have reduced 12-13 kgs in the past one and a half years. Recently my tsh level has gone to 0.14 and I am taking 125 mcg. I regularly do gym and playing squash. I intend to reduce 5-7 kgs more. My current weight is 72 kg and even doing everything i'm not able to reduce. I take fruits and veggies as I am a vegetarian. I don't take eggs even. Tea in the morning and coffee in the evening. Alcohol consumption is almost nil. So please help me what should be my protocol? Thank you.

Dr. Prabhakar Laxman JatharEndocrinologist48yrs exp

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lybrate-user., I have seen the details given. Your present tsh (0.14 mu/l) is in fact a bit lower than the recommended lower limit. This may be due to a slightly higher dosage of levothyroxine by about 12.5 mcg. As regards weight reduction, madam with vegetarian food, usually our overall intake is very high quantity of carbs (rice, wheat, jowar, other grains, many tuberous vegetables etc). You have mentioned the weight, but height is not given, so it is difficult to calculate your ideal body weight. I am sure you are aware that ideal body weight (ibw = height in cms - 100 = kgs). Plus your BMI (body mass index) has to be < 23 kgs/sq meter. So looking at these facts, your caloric intake has to be ibw x 20 k calories. Since you want to further reduce the weight, then there has to be a reduction of another 500 calories in the intake. So please look at your total intake and then decide. Thanks.  

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