"Recent studies have conservatively estimated that as many as 20 million people have a thyroid problem, the majority of them undiagnosed." (3)
"One study found that as many as 40% of overweight people had evidence of a dysfunctional thyroid." (4)
Causes and Risk Factors
- family history of thyroid problems
- smoking
- history of stomach infection or food poisoning
- allergies or sensitivity to gluten
- exposure to radiation (??)
- iodine deficiency
- exposure to metals, such as mercury or other toxins
- use of fluoridated water/dental fluoride treatments
- eating "goitrogenic" foods -- brussels sprouts, rutabagas, turnips, kohlabi, radishes, cauliflower, African cassava, millet, cabbage, and kale
- age over 60
- female
- hormonal variance such as perimenopause, menopause, pregnancy, or postpartum
- serious trauma to the neck
- past diagnosis with a variety of conditions
In addition to what I listed in my previous post, here are a few more:
- sensitive to cold
- muscle and/or joint pain
- carpal tunnel syndrome or tendonitis
- painful soles of feet
- face, eyes, arms, or legs are abnormally swollen or puffy
- menstrual period is heavier than normal, longer than it used to be, or comes more frequently
- fuzzy thinking (haha, I thought that was age)
- "a full or sensitive feeling in the neck"
- raspy/hoarse voice
- periodic heart palpitations
- high cholesterol
- allergies have gotten worse
- regular infections (such as yeast or sinus infections)
- shortness of breath
There is a lot of information about various thyroid hormone levels, which I will leave to a future post.
For now, the real question upon wakening on Day 1, is What kind of diet?
Skipping ahead to Chapter 9 of the book, I learn that Shomon recommends one of three plans:
The Free-Form Plan
- eat 3 meals a day
- protein -- each meal should include 1-2 portions of lean protein
- low-glycemic veges (eat all you want, at least 6 servings per day)
- low-glycemic fruits (1-2 servings max per day)
- low-glycemic starches (2-3 servings max)
- good fat -- small serving with each meal/snack
- snacks -- 1-2 per day if needed (but avoid eating after 8 pm)
- treats -- very sparingly (1-2 per week max)
- water -- 64 oz min
- supplements (subject of a future post)
- fiber -- 25 grams min.
- 3 meals per day
- protein -- 1-2 portions in each meal
- low-glycemic veges (eat all you want, at least 6 servings per day)
- low-glycemic fruits (1 serving max per day)
- low-glycemic starches (1-2 servings max)
- good fat -- small serving with each meal/snack
- snacks -- 1-2 per day if needed (but avoid eating after 8 pm)
- treats -- very sparingly (1-2 per week max, avoid carbohydrate snacks)
- water -- 64 oz min
- supplements (subject of a future post)
- fiber -- 30 grams min.
Calorie-Sensitive Plan
This one is a little complicated, so bear with me. The aim of the plan is to "stay within your calorie target, getting approximately 35% of your calories from lean protein, 20% from low-glycemic veges, 15% from low-glycemic fruits and starches, and 30% from good fats." My observation: I hate it already; I don't have a PDA to carry around to keep track of everything, and it's not realistic to carry around a notebook to do a good job of this, I know from experience. But let me at least present her formula for how to compute the number of calories allowed (I am limiting the formula to women):
BMR (basal metabolic rate), per Harris-Benedict equation:
BMR = 655 + (9.6 x weight in kilograms) + (1.8 x height in centimeters) - (4.7 x age in years)
Gag. Here goes.
1. Weight in kilograms. Divide weight in pounds by 2.2, so my weight in kg would be 155/2.2, or 70.5.
2. Height in centimeters. Multiply height in inches by 2.54, so my height in cm would be 61x2.54, or 155.
= 655 + (9.6 x 70.5) + (1.8 x 155) - (4.7 x 50)
= 655 + 676.8 + 279 - 235
= 1,846 calories
Hmm. I think 1800 calories is way too much for me, given past dieting experience. True, I haven't carefully allocated calories as Shomon describes into the categories of protein, fruits/starches, etc. But I am being realistic here: this diet sounds harder to follow due to all the record-keeping. I pass.
So, it's between the Free Form Plan and the Carb-Sensitive Plan. I just think it's hard to get enough fiber with an especially low-carb diet unless one is sprinkling fiber on one's salad, so I think I'm going to give the Free Form Plan a trial.
OK, so some meal planning is in order:
Breakfast:
1 cup of coffee plus 1 T sugar-free French vanilla creamer
1 scrambled egg with 1 T shredded cheddar cheese (according to the pkg, 1/4 cup of shredded cheese is 1 oz, which is one serving, so this is a little less than a serving)
1 medium banana
Lunch:
Sandwich with 2 slices of pumpernickel bread (= 2 servings of low-glycemic starch, but I'm biking with my kids to the beach today and we are bringing a picnic), 2 oz. of processed lunchmeat (brown sugar ham, not a great choice, but I haven't been to the store yet to buy lean, unprocessed turkey), 1 slice of cheddar cheese, a leaf of lettuce, and a T of honey mustard.
4 celery stalks with about 2 T of smooth peanut butter smeared sparingly
About 1/2 cup of baby carrots, raw
Afternoon snack:
2 cups of air-popped popcorn with light sprinkle of Land-o-Lakes Sharp Cheddar seasoning (5 calories, according to label, but mostly salt.)
Dinner:
Not sure yet. Doing some research in the book, and then off to the store. I definitely need to buy a small scale to weigh portions. I need more low-glycemic veges & fruits for the fridge. I need lean, unprocessed turkey.
Well, there's my start. The other thing is, that I spend a lot of time on my computer, writing and researching. So from now on, here's my rule: Every time I sit down to the computer, I have to do 5 minutes of exercises (situps, leg lifts, stretches, etc.) FIRST. I am interrupted a lot (kids), so I should be able to get in some exercise that way!
Yep, can agree with the, "One possible sign of thyroid abnormality is a low basal body temperature..." statement. Been a sub 98.6 person my entire life, easy to tell when I'm sick, temps get above "Normal".
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