Very low levels of thyroid hormone usually indicate an autoimmune reaction to the thyroid gland itself. This means you’ll have to take thyroid hormone supplements orally, usually the stable form T4 (Levaxin), which your doctor can prescribe for you. Your body will transform this into the active T3 hormone when necessary. The supplement dose should be adjusted so that you reach normal hormone levels (TSH, T3, T4) and sufficiently alleviate symptoms – though a few people feel best when keeping TSH slightly below normal.
"Order without looking at the menu. Almost every restaurant has the basics—veggies, grains, and protein. If you go in knowing what you want, I guarantee you'll be able to make a meal. If you're too uncomfortable to ask for what you need, tell a white lie: Say you're allergic. I know it's controversial to suggest this, but women in particular can really have trouble standing up for their own needs. So if you want the broccoli soup puréed without cream, tell the waiter you're lactose intolerant."
The Academy of Nutrition and Dietetics (AKA the top nutrition authority in America) released a revised paper this year saying that both vegetarian and vegan diets are best for people's health as well as the environment. If you're not ready to make a complete shift to meatless and cheese-less, consider "part-time" vegan and vegetarian plans, where you eat mostly plant-based at breakfast and lunch or on weekdays, and then eat fish, meat, dairy, and eggs only during designated times.
They should help keep you from feeling deprived and bingeing on higher-calorie foods. For instance: honey has just 64 fat-releasing calories in one tablespoon. Eggs have just 70 calories in one hard-boiled egg, loaded with fat-releasing protein. Part-skim ricotta cheese has just 39 calories in one ounce, packed with fat-releasing calcium. Dark chocolate has about 168 calories in a one-ounce square, but it’s packed with fat releasers. And a University of Tennessee study found that people who cut 500 calories a day and ate yogurt three times a day for 12 weeks lost more weight and body fat than a group that only cut the calories. The researchers concluded that the calcium in low-fat dairy foods triggers a hormonal response that inhibits the body’s production of fat cells and boosts the breakdown of fat.
"You also can gain up to several pounds, depending on where you are in your menstrual cycle," Zied says. Estrogen encourages bloating by stimulating the kidneys to retain sodium. If you're taking oral contraceptives, note that older prescriptions containing higher doses of estrogen can cause more bloating than the new, lower-dose pills. (Some studies show no difference in water-weight gain between a low-dose oral contraceptive and a placebo.)
If you’ve been eating fast food for years, get real about your approach: You’re probably not going to stick to an organic, gluten-free, paleo overhaul for very long. "You want to change as little as possible to create calorie deficit," says Dr. Seltzer, who insists the best way to support sustainable weight loss is to incorporate small changes into existing habits. So instead of giving up your daily BLT bagels in favor of an egg-white wrap, try ordering your sandwich on a lighter English muffin. Or say you eat a snack bar every afternoon: Swap your 300-calorie bar for a 150-calorie alternative. "Your brain will feel the same way about it, so you won’t feel deprived," he says.
The sad truth is that conventional ideas – eat less, run more – do not work long term. Counting calories, exercising for hours every day and trying to ignore your hunger? That’s needless suffering and it wastes your time and precious willpower. It’s weight loss for masochists. Eventually almost everyone gives up. That’s why we have an obesity epidemic. Fortunately there’s a better way.
"Sleep is a cornerstone of weight management because of the impact it has on your hormones that control how you burn fat, how you store fat, and how you're maintaining muscle. The better your hormone balance, the better your weight management. I work my butt off to get eight hours a night, but right now I'm at six—the show is murdering me! Even if I go to bed early my son wakes up."
Nuts, the second food to watch, contain a fair amount of carbohydrate, and it’s very easy to unwittingly scarf down large quantities. Cashew nuts are among the worst carb-wise – you’ll find that they contain around 20% carbohydrate by weight. For someone following a strict keto diet with a 20 grams of carbs per day allowance, this means that consuming 100 grams (which happens in a flash!) will have filled their daily quota. Peanuts tend to be around 10-15% carbohydrate – not putting them in the clear either.
Chronic stress may increase levels of stress hormones such as cortisol in your body. This can cause increased hunger and result in weight gain. If you’re looking to lose weight, you should review possible ways to decrease or better handle excessive stress in your life. Although this often demands substantial changes, even altering small things – such as posture – may immediately affect your stress hormone levels, and perhaps your weight.
Drinking plenty of water is essential for overall health, and is a great way to boost your weight-loss efforts. But if you’re getting your H2O from cheap bottled water, the bottle itself could pose a problem; Bisphenol A, commonly referred to as BPA, has been linked to obesity, and it’s still found in many cheap plastics. A 2011 Harvard study found that adults with the highest concentration of BPA in their urine had significantly larger waists and a chance of being obese than those without as much of the chemical in their systems. So if you must drink store-bought bottled water, check to see if the bottle is BPA-free. And whatever you do, don’t reuse the same bottle; constantly refilling the same plastic bottle can cause BPA to leak into the water.
“A lot of people think the foundation of a paleo diet is high-fat meat, but I suggest that it’s vegetables,” says Hultin. The concept is to eat only foods — including meat, fish, poultry, eggs, fruits, and vegetables — that would have been available to our Paleolithic ancestors. This means grains, dairy, legumes, added sugar, and salt are all no-no’s.
One of the easiest ways to burn some extra calories is to get up from your chair at work; standing burns 50 more calories per hour than sitting, according to a British study. If you are lucky enough to have a standing desk, make sure you utilize it. If not, you can easily make your own by stacking books or boxes on your desk and standing up to work. At the very least, make sure you’re taking a break every hour to stand up and stretch, and possibly go for a walk around the office. Every bit of movement counts!