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How to overcome leptin resistance and lose weight

You’ve probably heard of the so-called “fat” hormone, leptin. Leptin is produced in fat cells. It sends a signal to the brain’s control center, the hypothalamus, about our nutritional status. High levels mean we have enough fat stores. All is well. No need to eat. Falling leptin levels, on the other hand, send the opposite message: Uh oh. Fat stores are depleted. Time to eat. At least, that is the way it is supposed to work.

Here is the catch. Most overweight people have higher blood leptin levels than normal weight people. And they have a condition called leptin resistance. That means that the cells in their brain that would get the leptin signal of “enough” aren’t receiving it. Their bodies think they are starving. That does two things: it makes them hungry, so they eat more, and it slows their metabolism, as their body shifts into starvation mode and starts to conserve energy.

The slowed metabolism happens via slowed thyroid hormone function in cells. It is not detected by standard thyroid function tests, including the most common one, TSH. It includes diminished TSH secretion, suppressed T4 to T3 conversion, increased appetite and insulin resistance and inhibited fat breakdown. Thus, it’s possible to have leptin resistance and Wilson’s Temperature Syndrome despite the fact that standard thyroid tests look “normal”. If you are not able to lose weight despite dieting, there may be a problem with your body temperature and leptin resistance that might respond to treatment.

I believe there is a way to override this leptin-thyroid feedback loop. First, take your body temperature. (For instructions on how to do this correctly, see “How are body temperatures measured” on our website.) If your body temperature is consistently low—below 98.5 F., or 36.94 C, but typically lower than 97.8 F, or 36.56 C.— there’s a good chance that you have low metabolism and low thyroid hormone function.

That is something you can correct, usually with a course of the natural, active form of thyroid hormone, T3. This is different than the usual prescription form of thyroid, T4 (Synthroid or levothyroxine) and for some people, it works better. Like T4, however, T3 requires a prescription and medical supervision.

Correcting your body temperature with T3 will make everything work better. It will restore your metabolism to normal and help you to lose weight, which in turn will reduce leptin resistance. That, in turn, will help your body naturally to use thyroid hormone more effectively.

You can discuss using T3 with your doctor and we will be happy to discuss your case with your doctor. Your doctor can call 800.420.5801 to find out more about T3 therapy. Our website can also help you locate a doctor closest to you who has been trained in thyroid issues.

REFERENCES
Groba C, Mayerl S, van Mullem AA, et. al. Hypothyroidism compromises hypothalamic leptin signaling in mice. Mol Endocrinol. 2013 Apr;27(4):586-97.

Jéquier E. Leptin signaling, adiposity, and energy balance. Ann N Y Acad Sci. 2002 Jun;967:379-88.

Kozłowska L, Rosołowska-Huszcz D. Leptin, thyrotropin, and thyroid hormones in obese/overweight women before and after two levels of energy deficit. Endocrine. 2004 Jul;24(2):147-53.

“Weight loss” at http://www.holtorfmed.com/weight-loss/

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9 Comments

  1. Mickey Luberto Cummings September 11, 2015 at 3:51 pm - Reply

    For years I have had thyroid issues..I take 125 mcg of Synthroid daily but I can’t remember the last time I have actually felt good…I have no energy and now that I am retired it’s an effort for me to do my daily chores….I am seriously overweight, I diet all the time….I don’t eat a lot at a meal….right now I am on weight Watchers and have had some success but right now I am at a plateau and I’m getting disgusted and close to giving up as usual…I have followed your page and would certainly be interested in getting additional help with my issues…my body temp is never 98.6 it’s usually around 96…any info would be appreciated..Thank you

    • Dr. Denis Wilson September 13, 2015 at 12:38 pm - Reply

      Hi Mickey :) Low temps can easily contribute to easy weight gain. Many people on Synthroid still have low body temperatures. You can consider visiting a doctor listed on our website to help you normalize your body temperature and see if you don’t feel much better.
      http://www.wilsonssyndrome.com/doctors/doctor-area/
      Best :)

  2. Lynn Bishop September 11, 2015 at 9:51 pm - Reply

    Thank you for your work helping hypothyroid patients further understand the implications of leptin and low body temperature. I’m in the process of working with a doctor to correct my own low body temperature of at least 25 years duration, much of that time on thyroid hormone (T4). I want to share with you my own experience with weight gain and the difficulty losing it. My family history includes hypothyroidism, obesity, depression, Type 2 Diabetes, pregnancy-onset insulin-dependent diabetes, and Type 2 Diabetes that progressed to insulin dependency. My personal history includes reactive hypoglycemia, hypothyroidism, food cravings (for both sweet and salty foods), 40 years of cluster headaches, chronic fatigue, fluid retention, irritable bowel syndrome/leaky gut, and a marked sensitivity to carbohydrates – if I so much as look at a carbohydrate, I gain weight. However, I’ve been able to control most of these problems over the years by eating more fat and protein and significantly fewer carbohydrates. But it has been a constant struggle to keep my weight down to an acceptable level, even though I sometimes ate less than 1,000 calories a day for long stretches. In the late 1980s I discovered the Atkins diet and it worked for me; however, I eventually fell back into old habits of eating because I simply didn’t want to admit that I could not eat the foods everybody else ate. I did stop eating bread many years ago but couldn’t resist tasty carbohydrate-rich desserts. I restricted them but couldn’t eliminate them entirely, although in other respects I kept improving my diet, adding more vegetables, using appropriate supplements and cutting down on carbs to the best of my ability. My headaches and digestive upsets became less frequent and my health generally improved.
    But I couldn’t figure out the last piece of the puzzle and couldn’t lose those stubborn 15 pounds. But in November 2014 I came across two books that changed my life forever: Dr. David Perlmutter’s “Grain Brain” and Dr. William Davis’ “Wheat Belly.” Dr. Perlmutter helped me understand that gluten, which causes life-threatening celiac disease, is now known to also cause “non-celiac gluten sensitivity,” which may not kill you but might make you wish it had because it has such damaging effects on the whole body, including the brain. Dr. Davis helped me understand the literally addictive effects of wheat (and other gluten-containing grains), which create the cravings that made me reach for anything sweet. Thanks to the information in these two books, I went cold-turkey and stopped eating ANYTHING with wheat or gluten and adopted a low carbohydrate/high fat/moderate protein diet. My food cravings have disappeared; I lost 16 pounds and am down to my lowest adult weight ever (except for one time when 5 weeks of diarrhea reduced me to a very svelte 111#) and am able to maintain 115.5# with little effort because I no longer crave nor eat the sweet things that stimulate my appetite and result in increased leptin production. It took me 27 years to realize that Dr. Atkins was right: it’s not calories or saturated fats that are the problem, it’s the carbohydrates. Eliminate the highly concentrated grains, particularly the addictive wheat and other gluten-containing grains, replace them with healthy fats, including saturated fats, and weight control becomes almost effortless because the constant hunger and cravings disappear.
    Getting the carbohydrate/fat/protein ratios right revealed that I can readily lose weight by eliminating concentrated carbohydrates but it also revealed the underlying fact that my body is still not functioning correctly. I still have metabolic sensitivity to even the small amount of carbohydrates in the vegetables and little bit of fruit I eat. This is because my metabolism is sluggish: my thyroid gland, possibly my entire endocrine system, is out of whack. My body temperature has been low for a long time in spite of being on thyroid medication. So I am very excited to learn about Dr. Wilson’s Low Temperature Syndrome protocol. I’m now on natural desiccated thyroid and will soon be working with a doctor who is experienced in the use of NDT and T3-only therapy and is aware of the need to make sure my adrenal and female hormones are also adequate. My hope is that getting T3 levels up will improve and possibly even reverse my hypothyroidism.
    Leptin is important, but even more important is recognizing what causes increased leptin levels. Eliminating wheat, gluten and most grains was the first step for me: it stopped the leptin yo-yo ride and made it possible to lose those few stubborn pounds. Now I’m working to improve my overall endocrine health so thyroid, adrenal and female hormones can do their jobs. Our bodies are very intelligent. They send us messages all the time about whether the foods we eat are making us healthy or ill. But we don’t listen very well because we don’t make the connection between what we put in our mouths and how we feel. However, once we finally understand that we really are what we eat and choose to eat what makes us healthy, our bodies are quite capable of restoring our health as much as possible.

  3. Sharon September 14, 2015 at 4:54 am - Reply

    Hi Dr do u no of a Dr in UK Iv got constant low temperatures and am on t3 I was on 6 x 20mcg a day now it’s been cut to 3 I do t25 work out everyday and am on herbalife I lose 6lb then following week I put 4 on I have asked my specialist bout Wilson’s and he just talks over me need help

    • Jen Palmer September 14, 2015 at 5:40 am - Reply

      Hi Sharon,
      I’m sorry we don’t have any listings for UK doctors at this time, but keep checking back. You may want to look for a new doctor who will listen to you. We give this advice on how to talk to your doctor- http://www.wilsonssyndrome.com/patients/recruiting-a-doctor/
      I hope that helps a bit!

  4. Paudor September 14, 2015 at 6:34 am - Reply

    I have been under the care of a wonderful dr. who is currently treating me with T3 for my low temperature and thyroid problems including my weight problems, tiredness, moodiness, etc. Although I’ve been on T3 for 6 months now and have lost weight and feel better, I’m still unable to get my temperature to stay at 98.6. I feel like I can’t live without it now…as I don’t want to go back to feeling the way I did before and certainly don’t want to gain back all the weight I’ve lost. Life is much better today! My question is how long can I take T3 if my temperature refuses to stick at 98.6? Is it safe long term?
    Thank-you Dr. Wilson for allowing me to know there’s another way to live life besides the one I was living. I feel so much better!

  5. Millie October 9, 2015 at 9:05 am - Reply

    Hi, I had graves for years and was able to get it to go into remission with herbs and acupuncture. About 2 years ago I ended up really sick with edema, heart failure, leaky valve (in my heart), blood backing up into my heart, Afib, enlarged heart, spleen and liver. I was really sick. Anyhow, the doctors were afraid I was going to have a heart attach since my heart at a relaxed rate was beating at 172 per min. I started taking meds for hyperthyroid. I started to gain weight and still felt really sick. The docs talked me into RAI which I regret. I slowly transitioned into being hypothyroid. I started gaining 1-3 lbs a week and have never felt worse. They gave me 125 levothyroid, I had a new set of symptoms I don’t know how to live with and haven’t felt worse in my life. I was able to get my meds switched to Armour and my symptoms are improving, but I am still freezing all the time. I stopped gaining weight, but I can’t lose any. I work out for an hour every day and eat healthy. Since I don’t have my thyroid and I have to be on Armour for the rest of my life how does the t3 long term treatment affect me? Thanks for your help!

    • Dr. Denis Wilson October 15, 2015 at 3:07 pm - Reply

      Hi Millie, though it’s usually fine for people to take T3 alone for many years, that’s usually not necessary. What is generally helpful to patients in your condition is for them to be weaned off T4 containing medicine (like Armour and Synthroid and levothroid) for a time and have them on T3 alone. This clears out the thyroid hormone pathways (reduces TSH, T4, and RT3) and gives the deiodinase enzyme a chance to recover by upregulation. I’d be happy to discuss the process for free with your doctors.

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