Emphasize exercise, not weight loss, new health care direction for Hashimoto’s hypothyroidism

If you have Hashimoto’s hypothyroidism, then chances are you know what’s it like to struggle with weight gain.

Do you dread going to the doctor because you know they will pin your health problems on your weight? Or maybe you quit going to the doctor all together to avoid feeling embarrassed and ashamed.

Because the stigma attached to body size has been shown to cause weight gain, researchers are calling for doctors to emphasize exercise rather than weight loss.

The last thing a Hashimoto’s hypothyroidism patient struggling to manage their autoimmune thyroid condition needs is to be made to feel bad about weight.

Although it’s true obesity is linked to myriad inflammatory health conditions, it’s also true that diets fail the majority of people and often lead to weight gain. Also, some people are overweight due to genetic predisposition, numerous starvation diets, a history of an eating disorder in response to childhood trauma, and so on.

Hashimoto’s hypothyroidism also causes weight gain and many thyroid patients know first hand a low calorie diet does not work.

For those people who have spent a lifetime battling their weight and the stigma associated with it, a visit to the doctor simply opens a Pandora’s box of shame, despair, hopelessness, and self-loathing. Many decide it’s simply healthier not to go.

For the person with Hashimoto’s hypothyroidism, this can mean neglecting to manage a thyroid condition that affects every aspect of health.

Policy may shift to taking the emphasis off weight

Fortunately, the Centers for Disease Control and Prevention is aware of the ineffectiveness of shaming patients.

A recent essay published by the CDC called for doctors to lay off patients who don’t meet the body mass index (BMI) guidelines and instead shift the focus to helping a patient exercise regularly.

The essay argues that avoiding “fat shaming” will go a long way to establishing better doctor-patient rapport and trust, thus facilitating a patient’s sense of positivity and willingness to adapt healthier habits.

Likewise, doctors need to learn more about hypothyroidism and the various factors that can cause it, the most common being the autoimmune thyroid disease Hashimoto’s.

Diets and thinking you are fat lead to obesity

Studies consistently show diets actually lead to long-term weight gain and obesity.

What’s even more shocking is that the perception you are overweight also leads to long term weight gain, even if your original BMI was in the normal range.

In other words, telling a patient they are too fat can actually make them gain weight, not lose it.

And telling yourself you are too fat will do the same.

Don’t beat yourself up if you are overweight. The most important thing is to manage your thyroid condition and autoimmunity if you have Hashimoto’s.

Addressing obesity and health without stigma

Clearly, telling people they are too heavy and need to lose weight isn’t working.

The key, say researchers, is to promote the idea that a person can be healthy at any weight. This requires decreasing the stigma, establishing trust and rapport, and encouraging exercise and healthy behaviors. It also requires taking into consideration the patient’s social and financial situation.

It also requires taking into consideration whether the patient is struggling with an autoimmune condition such as Hashimoto’s hypothyroidism.

According to recent studies, regular exercise improves health at any weight. It also reduces the risk of chronic diseases such as diabetes, heart disease, and Alzheimer’s.

Focusing on regular exercise also shifts the focus away from judging the person’s body and instead puts it on behaviors that can be influenced, barriers that can be addressed, and progress that can be measured at follow-up visits, regardless of weight.

Diets have a terrible track record for the majority of people. However, exercise is an area where most people can succeed, regardless of their body size or fitness level.

If you have Hashimoto’s hypothyroidism and it’s not being properly managed, you may have issues with exhaustion making it difficult to get regular physical activity.

Ask my office how we can help you better manage your Hashimoto’s hypothyroidism so you can have more energy and a more active life.

Tags: Hashimoto's, hypothyroidism