Patients with hypothyroidism are generally not recommended to take weight loss pills on their own. Patients with hypothyroidism have a reduced metabolic rate, and blind use of weight loss drugs may exacerbate endocrine disorders. A weight loss plan should be developed under the guidance of a doctor in combination with thyroid hormone replacement therapy.
Hypothyroidism patients have lower basal metabolic rates than the general population, and relying solely on weight loss drugs may not effectively reduce weight, but may even interfere with thyroid function. Some weight loss drugs contain diuretics or stimulants, which may increase the cardiovascular burden of hypothyroidism patients. When thyroid hormone levels do not meet the standard, taking weight loss pills can easily cause adverse reactions such as palpitations and insomnia. Clinical advice is to first control TSH within the normal range through drugs such as levothyroxine sodium, and then consider weight management. A small number of patients with stable thyroid function after standardized treatment can use non central weight loss drugs such as orlistat for a short period of time under the supervision of a doctor. This type of medication works by inhibiting fat absorption and has a minor impact on thyroid function, but requires a personalized dietary plan. Regular thyroid function check ups are required during use to avoid drug interactions. Patients with hypothyroidism should prioritize adjusting their diet structure and exercise habits for weight loss. Ensuring daily intake of high-quality protein and choosing foods rich in selenium such as salmon and eggs can help restore thyroid function. It is recommended to start with low-intensity aerobic exercise, such as brisk walking or swimming for 30 minutes every day, to avoid aggravating fatigue caused by intense exercise. Weight management requires communication with endocrinologists, and thyroid function and body fat percentage changes should be rechecked every 3 months. Do not take any weight loss drugs on your own.
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