My tsh came 0.54 and free t4 is 1.07 and I had lot problem in fat loss not lose even 1 kg in 20 days despite low calorie diet ans daily 1.5 hrs walk is my thyroid function normal or any evaluation needed
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Hello,
Your thyroid profile shows:
• TSH: 0.54 mIU/L
• Free T4: 1.07 ng/dL
These values are within the normal range, indicating Normal thyroid function (euthyroid state). Based on this, your thyroid is not the cause of difficulty in weight loss.
Why weight loss may be slow
Even with good effort, weight loss can take time. Possible reasons include:
• Calorie underestimation (hidden calories in diet)
• Body adaptation (metabolic slowdown with dieting)
• Lack of strength training (only walking may not be sufficient)
• Sleep issues or stress
• Hormonal factors other than thyroid (if symptoms suggest)
What you can do
• Continue your walking, but consider adding strength/resistance training
• Ensure adequate protein intake
• Maintain consistency for at least 4–6 weeks before judging results
• Track calories accurately
When to evaluate further
• If you have symptoms like irregular periods, excessive hair fall, acne, or fatigue → consider evaluation for Polycystic Ovary Syndrome or metabolic issues
• If weight still does not change after sustained efforts → consult a physician for a detailed metabolic assessment
Your thyroid levels are within normal range, so it’s unlikely to be the reason for weight loss difficulty.
Weight changes depend on multiple factors like diet pattern, metabolism, and lifestyle.
I can help you identify the exact cause and guide you with a more effective plan feel free to book a consultation.
It is very common to feel frustrated when the scale doesn't move despite hard work, but your blood tests give us some very helpful information.
Is your thyroid normal?
Yes, your thyroid function is within the normal range. Interestingly, your TSH (0.54) is actually on the lower side of normal. If your thyroid were causing weight gain, that number would typically be very high (Hypothyroidism). A low number like yours usually suggests a fast metabolism, not a slow one. So, in your case, the thyroid is likely not the reason you aren't losing weight.
Why aren't you losing weight?
Since your hormones are fine, the 'stall' in your progress is likely due to other factors:
The 20-Day Rule: 20 days is often too short to see a major change on the scale. Your body may be losing fat but holding onto water as your muscles adjust to 1.5 hours of daily walking.
Muscle vs. Fat: If you are exercising consistently, you may be gaining slight muscle mass while losing fat. The scale stays the same, but your body composition is improving.
Hidden Calories: Sometimes 'low calorie diets' can be missing enough protein or healthy fats, which actually makes the body hold onto weight.
My Recommendation:
Stop weighing yourself daily: Check once a week or use a measuring tape to track inches lost around your waist instead.
Focus on Protein: Ensure you are getting enough protein to support your 1.5-hour walks.
Give it 6-8 weeks: True fat loss takes time. Since your thyroid labs are healthy, you don't need medication. You just need to stay consistent with your current plan, and the results will eventually show.
Thyroid profile is normal.
Aim for a slow and consistent weight reduction by diet control and regular exercise.
You can consult a nutritional to guide you regarding diet, based on your height, weight and level of physical activity.
I can understand your concern
Thyroid profile are within normal limits
If you want to loose weight- give it some time
Next Steps
Monitor your calories
Don’t starve yourself
Do physical exercise
Try intermittent fasting (only if it suits you)
Weight loss is a long process, have patience.
All the best
Your thyroid reports (TSH 0.54, Free T4 1.07) are within the normal range, so thyroid is not the reason for difficulty in weight loss.
Also, not seeing weight loss over 20 days is quite common. The body does not always respond immediately, and sometimes there can be water retention or metabolic adaptation, which may delay visible changes despite efforts.
Next Steps
1) Continue a consistent calorie deficit for at least 6–8 weeks (not just 2–3 weeks)
2) Add strength training or resistance exercises along with walking to improve fat loss
3) Ensure adequate protein intake (helps in fat loss and maintaining muscle)
4) Track diet carefully, as hidden calories (oils, snacks, beverages) can affect results
5) Check basic tests if needed: fasting blood sugar, HbA1c, lipid profile
Health Tips
-Focus on inch loss, energy levels, and fitness, not just weight on the scale
-Avoid very low-calorie diets, as they can slow metabolism
-Ensure good sleep and stress control, as both affect weight loss
-Be patient and consistent—healthy weight loss is gradual
Hi, your TSH 0.54 and Free T4 1.07 are generally within normal range, so thyroid is unlikely to be the reason for poor weight loss.
Not losing weight in 20 days is not uncommon. Weight loss depends on actual calorie deficit, sleep, stress, water retention, body composition and exercise type. Walking helps, but adding strength training + accurate diet tracking + protein intake often works better.
Health Tips
Please book a video consultation with me for a personalized fat-loss plan and proper assessment.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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