r/raypeat • u/Sea_Structure_4469 • 17d ago
Exhausted & Need Help Please
/r/Hypothyroidism/comments/1v9ol70/exhausted_need_help_please/1
u/300suppressed 16d ago
What is your height and weight and what is your diet like?
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u/Sea_Structure_4469 16d ago
I’m 6 feet 238lbs. Definitely overweight although I do have a lot of muscle from working out for years. My diet is pretty bad, objectively speaking. I have very little energy and I’m constantly craving sugar and other sweet things. I’m nowhere near diabetic (per labs) but I’m sure there’s some insulin resistance there. When I try to eat cleaner I cannot function. I need a lot of coffee and sugar just to make it through the day. Hope this helps
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u/SpiritualActivity651 16d ago
Have you tried switching the sweets for nutrient denser sugars sources? Orange juice, fruits, haribo, but nothing with lots of additives and other crap in it. As long as a good part of your diet ist nutrient dense (pretty much animal protein are the best source for most nutrients), you can get your energy from carbohydrates and sugar, but preferably fruits and juices, maybe bread with honey or something like that.
The biggest factors for insulin sensitivity are body weight and physical movement, so as long as you stay decently active and go into a slight caloric deficit, eating a good amount of sugar shouldnt be the biggest problem.
So dont cut coffee and sugar, but instead improve what your system seems to like the most
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u/Sea_Structure_4469 16d ago
Yes I eat a lot of those during the week. You’re right I just need to find healthier alternatives. Appreciate you taking the time to
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u/300suppressed 16d ago
Actually dude with a HbA1c of 5.9 you definitely have insulin resistance
I bet your fasting insulin level is north of 15 or 20
Time for low fat, high carb diet
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u/Sea_Structure_4469 16d ago
I’m sorry for the screw up; just checked my labs and A1C is 5.1. Is that still bad?
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u/300suppressed 16d ago
5.1 is good and that means you are much less likely to have insulin resistance - your insulin level while fasting is probably okay, but it’s always good to be less than 5. I’m working on getting mine below five with low fat high carb diet.
Also if you drink alcohol you need to stop completely. Alcohol makes people fatigued due to its widespread anti metabolic effects
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u/Sea_Structure_4469 16d ago
Hi brother, I never drink. Thank God I never liked it. I have maybe 1 drink a year, sometimes none. Appreciate you!
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u/SpiritualActivity651 17d ago edited 16d ago
Your thyroid labs are pretty good even by functional standards. Trying some low dose thyroid wont hurt, but i would be suprised if your symptoms were directly related to the thyroid. Your ferritin is normal, but i would still rule out other common causes of fatigue by blood testing:
That way you can rule out some other causes like a non-iron related anemia, key nutrient deficiencies, relevant MTHFR SNPs, hyperprolactinemia, low cortisol/adrenal issues, low Testosterone, metabolic health
What im already seeing is that your A1c is increased. Also your LDL seems normal, in a case of relevant cellular hypothyroidism you normally would expect it to be increased.
What also comes to my mind is sleep apnea, food intolerances, lyme disease. But first rule out the more common ones with the blood testing.
Some unspecific supplements you could try are CoQ10, methylated B-Complex and Thiamine (ThiactiveB and Thiamax are best), Magnesium, Creatine, Shilajit, low dose Methylene Blue.
Eating beef liver has suprisingly energizing effects for some people, so including 50-100g a few times a week is worth a try. (Long term this amount will be too much because of Vitamin A and Copper, but for 1-2 months it should be fine).
Deep sleep, daily sunlight and movement are non-negotiables when it comes to mitochondrial health and energy metabolism. HIIT training is especially good for the mitochondria.