The other night I dug out some old photo boxes looking for baby pictures of my daughters to compare to my five-month old grandson to how much he looks like us. Conclusion, he very much takes after his momma, my youngest daughter. Opening those boxes is like going down a rabbit hole of memories. I spent quite a bit of time sorting through photos that went back to the time I was just 21 years old. As I hold each photo that captures my attention, I am transported back 30 or so years (how can it be that long?) remembering the moment and how I felt.
Much as we do, when we look back at old photos of ourselves, we might think but I wasn’t fat, I wasn’t unattractive, why did I think that? I imagine the majority of us humans do so. One photo is from when I was twenty-three holding my second daughter at dinner at her first Christmas with my mom’s family. I’m dressed in a muted gold turtleneck sweater, a black wool skirt that came to just my knees, black tights and a pair of comfy flats. I remember feeling so fat and uncomfortable, unhappy with myself for gaining weight during my first two pregnancies. I thought I was a whale. Now, in hindsight and close to thirty years later, I see a pretty young mom who wasn’t a petite twig but not a whale by any means.
We are just so hard on ourselves trying to live up to some heralded idea of how we should look or be. I always felt bad because I hadn’t completed my planned college path, that I ended up falling in love (or so I thought) and getting married at 20. Nothing quite works out the way we plan and for some reason, our tendency is to think we are the only ones this happens to, that everyone else is on track and we just went off the rails. That’s really not true, there are probably a select few people who everything goes as they plan it but for most of us, our path is a winding road that doubles back on itself, criss-crosses, dead-ends and is frequently under construction. And that’s perfectly fine.
As I kept going through photo after photo, chronologically creeping closer to the present day, of course my children changed dramatically but I saw the changes in myself as well. Most of my youth, I thought I was fat and ugly but now I know I wasn’t. But most interestingly to me is I see physical evidence of when my hypothyroidism started or became more prevalent. Hypothyroidism runs in the women on both sides of my family. Several of my aunts, both my grandmothers and my mother were all diagnosed with hypothyroidism with the majority of it being later in life but like me, I was finally diagnosed at 40 though I started having symptoms in my mid-thirties about the time I also started peri-menopausal symptoms. All of the sudden without any significant change to my diet or activity, I started gaining weight.
This threw me into panic mode and I upped the dieting craziness. But to no avail. To lose weight, I all the sudden had to starve myself. I decided this was due to aging. I was going into mid-life, well I guess midlife is actually for women around 35 if you go by the average age of death for women in the US. Eventually, my symptoms got worse. My hair was falling out and breaking like crazy, my skin so dry I couldn’t use enough moisturizer and I was essentially a slug. This is also the time my chronic depression kicked in and brought me to the point of being suicidal. I didn’t want to live, I didn’t want to do anything, I could barely get myself out of bed. Part of this also was a bad marriage which in a few years, I got a divorce but physically, I was a mess in my mid 30’s.
There is a photo of my mom and I sitting in camp chairs when I was thirty-six that I was so heavy and bloated looking that I didn’t recognize myself. It was around this time that my depression had gotten so severe that I went to my family doctor for medication. Zoloft was prescribed and within a week I felt as if I had been resurrected out of a dark tunnel into the light. I also bought my first mountain bike and started riding. I went to the gym to weight train and I felt a lot better overall. Eventually that marriage ended and my life change significantly for the better. But the other symptoms got worse. So as I did some research, I found that hypothyroidism had the same symptoms assigned to it. My grandmothers had both been hypo and recently my one aunt had been diagnosed.
Unfortunately, my family doctor only ran a TSH and not a full panel. You can be hypothyroid and your TSH will read within normal limits. His advice was the same, diet and exercise. Except diets fail 95% of the time. It took several years before my OB diagnosed it by running a T4 free and a few other parameters because my periods were crazy heavy. My TSH was still normal but she started me on a lower dose of Synthroid and low and behold, my symptoms were alleviated to a more manageable level. Did I lose weight? No. There is this misnomer that once your hypothyroidism is treated, that you magically lose all the weight you gained. Everyone I know who is hypo has not lost weight when they were finally treated.
A few years ago, my hair stylist recommended that I take biotin to help my hair grow better. What I didn’t know or research myself was how biotin may affect my TSH readings. I had been taking it for a few months and then had my yearly doctor’s visit which includes blood work and my TSH. The biotin skewed the TSH results making it appear that it I needed a higher dose of Synthroid. After a few days of taking the higher dose, I felt awful. I started trying to figure out why. Eventually, I found the biotin-hypothyroid connection and went back to my doctor who again dismissed me and said come back in 3 months. Yes, I need a new family physician and have been searching for one in the area taking new patients. The hard part is finding one that doesn’t believe that diets and weight loss are the magic cure for every ailment of a fat person.
So I took matters into my own hands and figured out how much to cut off my Synthroid pill to get close to the dose I was taking before this past blood test. This is not an exact science and while it helped me feel better, I wasn’t quite where I needed to be. During this time without changing my eating habits or activity levels, I frustratingly gained about 25 pounds. All because I had the wrong dosage. And of course, it has stubbornly stuck to me. For me to lose weight right now, I have to essentially starve myself. Starving oneself is just another way to fuck up your metabolism more than I had already with yo-yo diets, food restriction, eating disorders and so on and so forth.
Staring at the progressing of photos I set aside of myself from age twenty-one to my late 30’s, I realized that I had dismissed hypothyroidism as an actual medical issue. People joke about fat people always blaming their thyroid so I had bought into that I was the problem without even realizing it. The fact is, that I have a real medical condition. One that makes it extremely hard to lose weight. I remembered that I had used to keep a food journal in my late 20’s and early 30’s before I believe I started to become hypo. I dug one out yesterday morning and skimmed through the entries. On the average, I ate more then than I do now. I ate more fast food, more junk food, and so on. I could eat a bunch of junk food over a day or two and not gain anything. Now if I did that, I’d have to go buy the next size up pants just so I had something to wear. On the whole, I’m way more active now than then as well. So I’ve improved my eating and activity habits but I’m several sizes bigger than I was at that time.
I spent some time yesterday morning looking up medical studies on hypothyroidism especially in women (very little data) and in relation to weight gain or loss. One study completely excluded a female group from the results because they were perimenopausal. WTF? A study run by men felt that perimenopause was the only reason these women were having symptoms. Again, women are dismissed due to their natural hormonal cycles. I would think that this should be studied closer because of how perimenopause affects so much in women’s bodies, not dismissed. “Oh, Bob, they are going through the change, that’s their problem.”
A lot of studies referred back to a 1940’s study which was all men that stated that weight gain was only from water retention which subsided when the subjects were treated with medication. But the interesting fact here is that women are more likely to be hypo than men. Plus, I doubt that 25lb weight gain when my dosage amount was off, was water weight. If so, when I started getting the correct dosage, shouldn’t I had spent a day or two in the bathroom and then been right as rain?
The thing is weight stigma had gotten so lodged into my brain that I have been beating myself up that I don’t weigh what I did in my 20’s. There was something wrong with me, the way I eat, I had to exercise more (I already clock in 65-70 minutes a day on average of activity) and so on. Except what is really happening is between years of dieting which has screwed up my metabolism coupled with hypothyroidism, means that this may be just where my body is happy now. Unless I want to starve myself for the rest of my life. There are recent studies which look at people who never dieted against those who have a long history of dieting and guess who weighs more and has more eating disorders? Not the people who had never dieted.
So what to do? I have to let it all go which is easier said than done. Every day, I catch myself in some unconscious diet culture thought. Every day, I work at stopping those thoughts. It is so ingrained in me that it happens without me noticing it. But I want to be free of this crap. I’ve come a long way and my last leg of the journey is mostly eradicating diet culture thoughts and restrictive eating from my life. To gently accept that I have a legit medical condition that affects my metabolic system that isn’t an excuse, it’s a reality. That I don’t have to control what I eat, my body will tell me what to eat, how much it needs as long as I quit trying to mentally override its wisdom. My biology always wins anyway. I restrict and starve my body, it fights back by slowing down my metabolism even more. Maybe, when my body no longer is in fear of being starved to death, it will relax but no one really has studied if this is the case.
I also need to accept I have body dysmorphia and have had that for a very long time. Being in my 50’s looking back at me in my 20’s, this is clearly evident. On the flip side of that, I need to acknowledge that most likely if I’m lucky to live to my 80’s, I will look back on my 50-something self and think, WTF were you thinking? You were perfect just as you are. How I wish I had those years back, I wouldn’t waste them on worrying about how I look or what my clothing size was.
Bottom line is that I want to be free of all of this crap I’ve carried for decades and I want to just enjoy my life, what I have left. All this I worry about, it means nothing at the end.