Why Can’t I Lose Weight after 50? Hormone Imbalance, Weight Gain and What We Can Do About It!

January 15, 2020 0 By Jose Scott

yeah it’s very it’s discouraging when
you are exercising when you’re trying to do everything right and you just can’t
seem to lose weight and you feel crappy all the time you don’t want to work out thanks so much for tuning in again to
our second act with Paige and Silke I’m happy that dr. Laurie is staying over
for another segment today focusing our conversation back on hormones and just
how important balanced hormones are especially at this point in our lives
when we’re struggling with so many things already so thanks for staying
over dr. Laurie I’m glad to give more information and help you know the one of
the big topics of course is weight gain and the ability to not lose weight or it
seems like it’s so hard to lose weight after 50 you know as we go into
menopause and it’s not just women I mean men struggle with these with these
issues as well so I really wanted to touch on that in this segment today is
what do we need to understand about how hormones affect our ability to gain and
well I guess we can gain weight but but to lose weight correct yeah yeah hormone
balance can help you lose so it’s really understanding that the hormone
balancing is like look at an orchestra and when all the instruments are playing
correctly it sounds beautiful same thing with your body when the hormones are
balanced correctly your body is able to lose weight when you give it the correct
exercise and nutrition of course but the hormones are a mad kind of key that hold
it all together well let’s talk about which what lot of people don’t
understand is that the thyroid and cortisol and what talked to me about
that okay so thyroid in a lot of some people
know some people don’t but thyroid is really responsible for overall
metabolism kind of the rate that you burned fat it
also in signs of low thyroid can be constipation dry skin dry hair kind of a
foggy brain fatigue you know especially in the afternoon or first thing in the
morning so in a sluggish metabolism and what a lot of people come to me they’ve
been told they had normal thyroid but it’s not optimal and I think we talked
about this before but I will revisit this because this is so important that
labs that say you’re normal are based on testing a variety of people most of whom
don’t feel good and then they factor and they take an average including all those
sick people and then they say that’s normal
optimal it has crazy optimal is when you take people who feel great look great
and they take those levels take an average and it’s a whole different
number and that’s what I look at you and I of course I’ve talked about this
before but that is that just strikes me as so just stupid why would a normal I
would a measurement that doctors are told to to treat on or make decisions on
for a patient be based on a bunch of sick people or include a bunch of sick
people yeah because so many of the signs are subclinical meaning they’re not
overtly hypothyroid low thyroid they’re just subtly what we call subclinical
where they’re suffering with those symptoms we talked about and they’re
just missed so it is crazy the bottom line is labs are human made they can be
an error and you don’t want to just rely on them you want to think about how you
feel so you look at what’s going on in your body so number one you look at how
you feel the labs are kind of a parameter but they’re not the whole
picture mm-hmm well so so I’m told that my
thyroid somebody’s listening I’m told my thyroid is normal but I I have all those
symptoms that you just said is there a number that well I mean I guess these
are standard numbers so what what ranges would do I want to be and to be optimal
typically what doctors are testing as the thyroid stimulating hormone which is
the TSH on your lap and normal value for a regular lab can be anywhere from it
will say 0.5 to maybe even up to five but it’s a reverse hormone so the higher
that number is the harder your body’s working to make thyroid hormone
I like to see that number under two so you could be a 3.0 and your doctor says
you’re fine and I’ve also had people that were even under 2 they had the
symptoms and I’ve treated them and they feel better and their numbers don’t
change so it’s not always perfect but if you have the symptoms and you can
google search symptoms of low thyroid and we mentioned the main ones but if
you have those symptoms and your TSH is above 2 by all means I would try
treating ya you know and below it depends after discussing with the
patient yeah so if I’m talking to my doctor about
this and you know and indeed he or she poo-poos what we what we just said
what is there a downside for treating your thyroid I mean that is a great
question because if you over treat thyroid what will happen so number one I
always start slow and go up when I’m not sure and but if you over treat which I
do not have this problem but if you go too high you can get palpitations and if
you get a little palpitations a few is fine but if you get more than you stop
it it’s not no harm if you stayed in that range for a long time then yeah
it could stress your heart but and it could affect your bones where it could cause
any but you don’t stay there so again I’ve had patients where the levels
showed high but their heart rate was normal they felt great and when you
lower their dose they felt terrible so it’s all a variety so if it’s too high
for you yes it could cause a problem over time but you’re going on symptoms
yeah well and in the you know again we’re not trying to give medical advice
to somebody that we don’t even know but but – to really have a conversation
what to be aware of and maybe ask your doctor or get get more of an explanation
on that because yeah it’s very it’s discouraging when you are exercising
when you do everything right and you just can’t
seem to lose weight and you feel crappy all the time you don’t want to work out
so that’s certainly thyroid very important and then your cortisol levels
right and so cortisol is related to our adrenal glands and those are two little
glands that are on top of the kidney very important for life and they produce
quite a variety of things that are critical for life and one of those
things being cortisol and cortisol is an anti-inflammatory so it’s kind of our
natural steroid really and we know that steroids for reducing inflammation what
happens is we have if we have too much cortisol or an extended time it can tell
your body to store fat and it can affect blood sugar and really help you to not
feel good you know so the way to help that is supporting your adrenal glands
which you know is complex and we did a whole segment on that know it is and and
that also holds true for men and women I mean women I think experienced it like
all hormone changes are a lot more extreme would you agree but women have
more fluctuations men definitely show it but there are more usually a steady
decline they don’t have the ups and downs we get but they definitely decline
yeah well when it comes then to thyroid your cortisol levels and how they affect
our ability to you know lose weight what are some common mistakes that you see
people do or is there something you know if people just knew to do this you would
feel so much better or could potentially feel so much better in a relatively
short period of time yeah I would say number one get your hormones evaluated
by somebody who’s trained in optimal and if your doctor doesn’t understand
the difference between optimal normal go somewhere else and we also miss talking
about testosterone because testosterone is critical for helping you build muscle
tone and it helps your body to burn fat when you’re exercising properly so that
is another one that can affect weight as well thank you I’m gonna throw that in
yeah thank you for bringing it up specially for women and yes I don’t have
to tell me doctors still today don’t believe in testosterone for women
but look at women that are in their 80s that have not gotten hormone replacement
and a lot of them they have no muscle tone their fat even if they’re skinny
they’re called skinny fat people or they’re overweight and have no muscle
and they just are frail unhealthy and that’s part of the lack of the
testosterone but yeah really getting back to your question on what to tell
people’s get evaluated properly and really pay attention to of course food
and what you drink you know and getting sleep people don’t realize you need
sleep and if you don’t sleep right your body will want to gain weight and
store that well and your I think you’re prone to snack more it’s what I’ve heard
and and you know there’s lots of fat stuff fad diets you know the keto I hear
all the time you know same good some bad but I guess when you say what you drink
what you eat you do mean cut out the sugars right right yeah I mean as much
as I love chocolate you know I stick to a dark chocolate 70%
or above and and really stay away from processed food so your pastas your breads
your baked goods you know man-made stuff you know stick with your vegetables you
know it fruits and again you have to tailor it to your specifics but Whole
Foods things that are from nature tend to be the way to go now yeah there are a
lot of ways we can go with diet but but as a rule that’s the big thing is
focused on Whole Foods and then drink water yeah you know and stay away from
the other stuff well and you know most people have heard all that before it but
it does need to be reemphasized you know we we are focusing on this segment
you know trying to bring a little bit more education a little bit more
awareness about the importance of balancing the you know that the hormone
thyroid controlling your cortisol etc but not forgetting that your lifestyle
choices ultimately work together with anything you do so and we are already
getting to the end these these segments go by so fast Dr. Laurie how would
you like to close us out any last words of advice
I would say if you are doing what you think you should be doing and you’re
struggling with weight definitely get help because there’s so many factors we
touched upon with hormones but there’s also other behaviors and believes and
there’s deep-seated issues that that we can uncover so seek somebody who really
is going to look past just eat better and exercise yeah that’s a great great
point matter of fact I just interviewed a guy an old friend of mine back from
high school she just came out with a great weight loss it’s ultimately
weight loss but it’s a lifestyle program that really addresses like trauma in
your life I’ll link to that as well because it’s so important but yes it you
know going back to again using that integrative approach to taking care of
yourself and I’m so lucky to have dr. Lori as my personal physician so thank
you for also coming on second act sharing your advice with everybody and
we’ll get will see you next time on our second act with Paige and Silke sounds
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