Please be sure to grab my free THYROID GUIDE to make sure your doctor is not missing your thyroid issue   The Question I work out and watch what I eat but every year, I gain weight. I can’t get rid of it. Is there anything I can do?  Inna’s Response  Yes. There is absolutely something that you can do! The first step is to get a clear picture of what’s going on with your thyroid levels. Make sure you get the full thyroid panel including TSH (which is where most tests stop), T 3, free T4, Free T3, and reverse T3. I also recommend testing thyroid antibodies and T3 uptake. For more on these tests and how to understand your results, you can download my FREE THYROID GUIDE   This has to do with unexplained weight gain because your levels may not be optimal (even if your doctor doesn’t note it). If you have Hashimoto’s, you may experience thyroid destruction so you need to make sure your levels are optimal To improve weight loss, you will also want to balance inflammation and support your immune system. This could include eating anti-inflammatory foods and balancing blood sugar.  Resist the urge to skip meals and avoid carb-loading. If you eat regular, balanced meals and your blood sugar is balanced you will have much more success.    The Question Is it true that if you have Hashimoto’s, you can easily develop other autoimmune diseases?  Inna’s Response  Sadly, this is true. When we have an autoimmune disease like Hashimoto’s, the immune system has become confused about what it should be fighting against. In the case of Hashimoto’s the immune system is attacking the thyroid.  If the immune system stays confused and nothing is done to help balance and calm the system then it can attack other organs. And there's something called cross-reactivity where antibodies of the thyroid can cross-react with other tissues and potentially cause another autoimmune disease. This is all the more reason to balance inflammation and support the immune system, not just the thyroid with medication. I dive a little deeper into this in this episode but you can also find more information about solving the autoimmune mystery by listening to episode 32 of Health Mysteries Solved.    The Question Can I have thyroid symptoms if my TSH is just a little bit outside of the reference range?  Inna’s Response  The answer is yes, especially if your other thyroid hormones (like T4 and T3) are low. This is why I always say that you have to look at the full thyroid panel because the TSH is not a clear enough indication of what’s really going on with your thyroid. You need thyroid hormone for everything in your body so you can definitely have symptoms if your levels are outside of optimal.  If you have Hashimoto’s, some symptoms could be due to the inflammation or your immune systems struggle to regulate.    The Question How do you know if Synthroid is working or if you need to switch?   Inna’s Response  There are two key things you need to look at.  The first is to check your thyroid levels. If this is a new medication, you want to check all of your thyroid levels within the first 4-6 weeks to see how it is working. Synthroid isT4 so it does not give you any T3, the active hormone which your body needs so you want to check t3 to make sure you are able to convert it properly. For some people, this conversion is an issue. So, they may be taking Synthroid but the body is not converting it properly and they continue to have symptoms. This is why it’s so important to not rely solely on the TSH levels.  The second key thing is how you actually feel. Sometimes the labs are picture perfect but the person still doesn’t feel well.  This could be for a couple of different reasons. One is that medications have fillers, excipients or colorings which can cause a reaction. There are other options and brands that are slightly different. For example, one is called Tirosint which is easy to absorb (it’s a gel cap) and it doesn’t contain any excipients or desiccated thyroid which works a li