By You Desk
Tue, 09, 23

This week Zainab Sarwar, a Dubai-based Nutritionist, tells us how to lose weight with hypothyroidism, considering both medical and lifestyle factors…



Hypothyroidism is a medical condition characterised by an underactive thyroid gland, which results in a slower metabolism. This condition can make it challenging for individuals to lose or maintain a healthy weight. However, with the right strategies and a comprehensive approach to diet, lifestyle, and medical management, it is possible to achieve weight loss goals and improved well-being. This week we will explore how to lose weight with hypothyroidism, considering both medical and lifestyle factors.

What is Hypothyroidism’s impact on body weight?


The thyroid gland plays a crucial role in regulating metabolism by producing hormones that control the body’s energy expenditure. When the thyroid gland is underactive, as in the case of hypothyroidism, several metabolic processes slow down. This includes a reduction in the basal metabolic rate (BMR), the number of calories the body needs to function at rest. As a result, individuals with hypothyroidism may experience weight gain or struggle to lose weight.

Medical management: Before embarking on a weight loss journey with hypothyroidism, it’s essential to ensure your condition is properly diagnosed and managed by a healthcare professional. The following medical strategies are crucial:

Hormone Replacement Therapy: The standard treatment for hypothyroidism involves hormone replacement therapy, typically with synthetic thyroxine (T4). It’s crucial to take your medication as prescribed by your doctor to optimise thyroid hormone levels.

Regular monitoring: Regular check-ups and thyroid function tests are essential to ensure that your medication dosage is adequate. Thyroid hormone levels may need adjustment over time.

Addressing other health conditions: Hypothyroidism often coexists with other health issues, such as insulin resistance, which can affect weight management. Managing these conditions simultaneously can improve your chances of successful weight loss.

Diet and nutrition: A well-balanced diet is fundamental for weight management, especially for individuals with hypothyroidism. Here are some dietary considerations:


a. Caloric intake: Since individuals with hypothyroidism have a lower BMR, they may need fewer calories to maintain their weight. It’s essential to calculate your daily caloric needs accurately to avoid excess calorie consumption.

b. Nutrient-rich foods: Focus on a diet rich in nutrient-dense foods like fruits, vegetables, lean proteins, and whole grains. These foods provide essential vitamins and minerals that support overall health.

c. Portion control: Pay attention to portion sizes to avoid overeating. Smaller, more frequent meals throughout the day can help stabilise blood sugar levels and prevent excessive hunger.

d. Avoid processed foods: Highly processed and sugary foods can lead to blood sugar spikes and crashes, making weight management more challenging. Minimise your intake of these foods.

e. Monitor iodine intake: In some cases, hypothyroidism may be caused by iodine deficiency. It is essential to ensure you’re meeting your iodine requirements.

Exercise and physical activity: Regular physical activity is vital for both weight management and overall health. Individuals with hypothyroidism should aim for a well-rounded fitness routine:

Aerobic exercise: Incorporate aerobic activities like walking, swimming, or cycling to help boost metabolism and burn calories.

Strength training: Building lean muscle through strength training can help increase BMR, even at rest. Include weight lifting or resistance exercises in your routine.

Flexibility and stress reduction: Practices like yoga or meditation can help reduce stress, which can be particularly beneficial for individuals with hypothyroidism.

Sleep and stress management: Adequate sleep and stress management are often overlooked aspects of weight management with hypothyroidism:

a. Prioritise sleep: Ensure you get enough restful sleep, as poor sleep can disrupt hormones that regulate appetite and metabolism.

b. Stress reduction: Chronic stress can negatively impact thyroid function and weight management. Incorporate stress reduction techniques such as mindfulness, deep breathing, yoga or hobbies you enjoy.

c. Medication considerations: Some individuals with hypothyroidism may be prescribed additional medications to address specific symptoms or comorbid conditions. Discuss these options with your healthcare provider, as certain medications can influence weight.

d. Thyroid-Friendly Supplements: Some supplements, such as selenium and zinc, may support thyroid health. However, it’s crucial to consult with a healthcare professional before adding any supplements to your regimen.

What would you advice hypothyroid patients looking to shed some weight?

Losing weight with hypothyroidism requires a holistic approach that combines medical management, diet, exercise, and lifestyle adjustments. It is essential to work closely with a healthcare provider who can monitor your thyroid function and adjust medication as needed. While weight loss may be more challenging with hypothyroidism, it is achievable with dedication, patience, and a focus on overall health and well-being. Remember that everyone’s journey is unique, and progress may be gradual, but small, sustainable changes can lead to significant improvements in weight and overall quality of life.

Zainab Sarwar can be reached out

Official Instagram handle: LifestylebyZainabSarwar

Official Website: