Thanks for the questions! The maximum daily dose of thyroid described in the medical literature is 12 grains per day. "Thyroid hormone resistance" causes patients to need more than the "usual dose" and quite often, "more than what your doctor is willing to prescribe.
There are other causes for "trouble losing fat weight" in addition to an under treated thyroid condition. Though you didn't provide a full diet diary, I will assume your "Paleo-type diet" is clean enough that there is minimal excess calories there. Lack of lean body mass (muscle) is another cause for a slow metabolism. Other causes include insulin resistance, adrenal fatigue, bad bacteria in your gut, food sensitivities, low testosterone, etc. In addition to being more aggressive with thyroid treatment, you and your physician should look at those other causes.
thanks for your response.Yes I am on a Paleo diet. I recently elimnated Wine from my diet and I really think thats the key. I believe my problem is T4 T3 conversion. My numbers are going in the right direction, so knowing that the T3 T4 conversion is out of Liver I believe alcohol is just slowing it down.
I will talk to my doctor about dosage.
Glad to see you are on the right track!
Also I am going to get the MTHFR tested. I am doing all the right things but staying at 218lbs! Very frustrating!
Have you and your doctor looked into the other issues that Dr Woliner mentioned above? I've had a lot of trouble with weight, as well, and we finally pinned it down to insulin resistance and metabolic syndrome.
with the exception of food sensitivites my doctor has tested for everything. I have the AIP handbook and I will try going off eggs for 2 weeks.
A related discussion, thyroid levels