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All of those things can contribute to or cause weight gain. But in medicine, there's a rule: "when you hear hoofbeats, think horses not zebras."
That means - rule out the obvious first. The most obvious, AND the most common - is a thyroid issue. If thyroid is the problem, there's no need to search elsewhere.
If it's not the problem, then you test for other things.
Start with the thyroid panel. Let the doctor decide if there's anything further to do, once the results of that come back.
I think keeping an honest food diary for a week should come first with calories counted as well as exercise performed. That would be the horse to me. Plus its helpful to give that information to doctors who then know what you are eating.
The second would be thyroid, which is usually an easy fix.
I think keeping an honest food diary for a week should come first with calories counted as well as exercise performed. That would be the horse to me. Plus its helpful to give that information to doctors who then know what you are eating.
The second would be thyroid, which is usually an easy fix.
The OP has already decided that he eats mostly healthy, gets enough exercise, and all of the things that are in his personal control are - accurately controlled.
So I'm ruling that out.
He might be 100% wrong, or lying, or padding the numbers, or miscalculating. But he's made that conscious decision that he's ruling those things out, and wants the next step. The next step is a thyroid panel.
I know from personal experience it’s easy to under estimate how much you eat. When I got serious about my weight I bought a food scale and literally measured, weighed or counted everything I ate. I know that you get plenty of exercise with hiking so just be positive about your food intake.
Terry and Lucky hit the nail on the head. Most people grossly underestimate their calorie intake and over estimate their activity levels.
Calorie excess is way out in front as the cause of weight gain, and "hormone problems" are so rare as the cause that they can be ignored unless there are other symptoms of endocrine problems.
Hypothyroidism does not really make you gain weight, but it can make it harder to lose weight. Subtle difference....Cushing's Disease affects fat distribution (centripetal obesity)....Meonopause and the usual weight gain of aging occur coincidentally, but are not related by cause an effect. (If they were, then taking BCPs should make you lose weight, right?)
The OP has already decided that he eats mostly healthy, gets enough exercise, and all of the things that are in his personal control are - accurately controlled.
So I'm ruling that out.
He might be 100% wrong, or lying, or padding the numbers, or miscalculating. But he's made that conscious decision that he's ruling those things out, and wants the next step. The next step is a thyroid panel.
She has posted before that she is thinking this might be related to menopause.
And what some people believe is healthy might be a food that someone else limits because too much causes weight gain.
I was talking with 2 of my friends (we're all 64) at the New Year's Eve pot luck table and we were all pointing out which foods we limit or ban entirely to keep from gaining weight. Each of us had a little different strategy.
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