Gained 10 lbs without changing diet

[Jenn1302]

I’ve gained 10 lbs over the past year even though I eat the same and work out a lot. My clothes fit the same but I’m a bit concerned. I've had Hashimotos antibodies for years now and I was borderline hypo 3 years ago. 4-5 years ago when I was hyperthyroid I lost 10 lbs. Now I gained 10 lbs without changing anything and I suspect that I may be hypo.

This weight is not normal for me and some of my other conditions have been flaring to the point where they’re worse than they’ve ever been. My heart PVCs and stomach symptoms have gotten worse than ever as of late. Last time my thyroid was checked my TSH was over 3 but no one seemed to care because it was under 4. I’m not sure what to do.

[gimel]

From the following list of symptoms, which ones do you have, if any?  
    Mental and psychological ailments such as depression
    Faintness and dizziness
    Weakness and fatigue
    Heart palpitations
    Emotional hypersensitivity
    Inability to cope with stress
    Social anxiety
    Muscle weakness
    Headache, scalp ache, or general body ache
    Severe or dull lower back pain
    Extremely sensitive skin
    Nausea, diarrhea, and vomiting
    Abdominal pain and hunger pain despite an empty stomach
    Extreme craving for salty foods
    Anxiety and jitters
    Clumsiness and confusion
    Motion sickness
    Insomnia and dark circles under the eyes
    Low bladder capacity and symptoms of IBS
    Irregular or non-existent menstrual period

[Jenn1302]

Saliva Cortisol:
7   AM - 9 AM  0.7 (0.3 - 1.2)
11  AM - 1 PM   0.56 (0.1 - 0.4) I was really stressed here (I was getting tested for thyroid cancer - it came back negative btw).
3   PM -  5 PM  0.1 (0.05 - 0.3)
10 AM - 12 AM  0.04  (0.03 - 0.13)

[gimel]

What was your cortisol result and reference range shown on the lab report?

[gimel]

If that is what it takes to get your doctor on board with the thyroid related testing needed, then why not go ahead with cardiac testing,  as long as it can be done right away?   You might ask them if the cardiac tests are okay, will they commit to doing the thyroid related tests:  Free T4, Free T3, cortisol, Vitamin D, B12 and ferritin?  

[Jenn1302]

My cortisol was checked around the time I was diagnosed with Hashimoto's. It was perfectly fine. My doctors told me that they would consider checking my Free T3 and Free T4 if the cardiac tests come back negative. My GI ordered a bunch of tests (Vit D, Selenium, etc) a few weeks ago but the results are not available online. I have so many doctors. I feel like a 90 year old right now.

[Jenn1302]

Thank you so much for your help. I'm going to try, but it seems like my doctors want me to see a cardiologist first. They said they'd get me an urgent appointment for next week and that the cardiologist would run some tests (labs, echo, etc).

[gimel]

Well, according to the scale, that is just into the severe hypothyroidism category.   I think you can make good use of that info by giving a copy to your PCP.