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"   Question I was diagnosed with ACTH deficiency and hypothyroidism 18 months ago.  Although I have been put on medication I have continued to gain weight (I have gone from 51kg to 63kg in under a year).  I find that at some points in the day I feel hyperactive and full of energy, and then suddenly I become lethargic and emotional.  I have tried to chart the times of these occurrences but there is little pattern present.  I want to know how to control my weight and also to be able to control the changes in energy levels so I can lead a normal day.  I am currently unable to work although I would very much like to return to my job.  I find travelling difficult and I also am unable to drive as I tend to lose concentration easily and cannot keep my eyes open.  I was tested for epilepsy and this is not present.   Answer I can appreciate your concern about gaining weight and fluctuating energy levels and mood swings. Generally speaking, your well-being will depend upon striking the correct balance between your steroid replacement, thyroid replacement and dietary intake. It may be that you are being prescribed too little thyroid supplement, or too much steroid treatment, or a combination of the two.  How much you eat on top of these other factors, the balance of your diet (carbohydrate, protein, fat and fibre) and your ability to exercise will all play a part in the end result. I suggest that you arrange for blood tests to assess your progress in relation to your medication.  This will enable your doctor to adjust your treatment if necessary and give the opportunity for appropriate physical examination to exclude other reasons for your symptoms, as not every new symptom need be related to your known diagnosis. Yours sincerely The NetDoctor Medical Team  Other Qs &amp;amp;amp; As Can an underactive thyroid exacerbate allergies? Can some vegetables interfere with thyroxine? Confused over thyroid test results Dealing with hair loss caused by thyroid medication Do I have an underactive thyroid? Goitre Grave&amp;#039;s disease How is Cushing&amp;#039;s disease treated? Hypothyroidism in athletes I have oedema and lowered metabolism which is getting worse I&amp;#039;d like to know more about Cushing&amp;#039;s disease I&amp;#039;m so tired of being tired Iodine for thyroid problem Is hypothyroidism familial? My mum&amp;#039;s got an overactive thyroid and I&amp;#039;m worried My twin sister has an underactive thyroid Overactive thyroid Puzzled about thyroid problems Side effects of hypothyroidism treatment Thyroid medication during pregnancy Vitamin E and thyroxine What are the benefits of iodine treatment? What are the implications of thyroid surgery? What can go wrong with the thyroid gland? What is hemihypertrophy? What is the link between thyroid problems and miscarriage? Worried about metabolic condition  Last updated 04.05.2011 "^^<http://www.w3.org/2001/XMLSchema#string>
<http://www.netdoctor.co.uk/ask-the-expert/a3970/hypothyroidism-and-weight-gain/>