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I Struggle with My Weight: Does That Mean I Have a Thyroid Disorder?

May 09, 2025

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I Struggle with My Weight: Does That Mean I Have a Thyroid Disorder?

Unexplained weight gain or the inability to lose weight can be incredibly discouraging. It's especially puzzling that you don't shed pounds when you exercise right. It's tempting to look for a reason, like a sluggish thyroid, that's keeping your weight from budging.

While your thyroid plays an important role in regulating metabolism, weight gain or difficulty losing weight isn't always caused by thyroid disorders. Our Evolve MD Wellness & Aesthetics Med Spa team wants you to understand the connection between weight and thyroid health and other factors that might influence your body's balance.

Understanding your thyroid’s role in metabolism

The thyroid is a small, butterfly-shaped gland at your neck's base. It produces hormones that help regulate metabolism, energy levels, and overall bodily functions. When your thyroid is underactive (hypothyroidism), your metabolism slows down, potentially leading to weight gain, fatigue, and other symptoms. For those with an overactive thyroid (hyperthyroidism), the gland speeds up metabolism, often causing unintentional weight loss.

Weight gain: Could your thyroid be to blame?

If you’re struggling with weight gain despite a healthy lifestyle, your thyroid is one potential cause. Consider if you also have symptoms like:

  • Fatigue
  • Dry skin and hair thinning
  • Sensitivity to cold
  • Brain fog or difficulty concentrating
  • Depression or mood changes

The Evolve MD Wellness & Aesthetics Med Spa team thoroughly evaluates to determine if you're experiencing any of these symptoms alongside weight changes. If you are, we may recommend a simple blood test measuring TSH (thyroid-stimulating hormone) and thyroid hormone levels to help determine if your thyroid is functioning properly.

Other factors affecting weight management

While thyroid health is important, multiple other factors affect weight gain, including:

1. Hormonal imbalances

Beyond the thyroid, hormones like insulin, cortisol, and estrogen can affect weight regulation. Chronic stress can increase cortisol levels, possibly contributing to fat storage, particularly around your midsection. Bioidentical hormone replacement therapy can help if hormone imbalances are to blame. 

2. Dietary habits

Despite good intentions, hidden factors like processed foods, excess sugar, and inflammation-triggering ingredients can impact weight. A personalized nutrition plan that emphasizes portion sizes may be what you need for long-term success.

3. Aging and your metabolic rate

As you age, your metabolism naturally slows down. Muscle mass also decreases, affecting calorie burning and overall energy expenditure.

4. Sleep quality and stress levels

Poor sleep and chronic stress can disrupt hormones that regulate hunger and metabolism. Prioritizing rest techniques, such as yoga and mindfulness, can support a healthy weight.

5. Physical activity and muscle mass

Even if you eat well, a sedentary lifestyle can contribute to weight gain. Strength training and regular movement help maintain muscle mass and boost metabolism. The Centers for Disease Control and Prevention recommend a minimum of 150 hours of moderate-intensity exercise per week for good health; weight loss often requires more.

Weight loss struggles and professional guidance

If you're struggling with weight and suspect an underlying issue, set up a consultation at our office to get clarity. We offer comprehensive health services at Evolve MD Wellness & Aesthetics Med Spa, including thyroid function testing, hormone evaluations, and body rejuvenation to help you understand your weight and achieve optimal well-being.

Book a consultation today by phone or use the online tool to take the next step toward balanced health and lasting wellness.