​Yes, your long-standing constipation and difficulty losing weight are closely connected. Your TSH (5.7) points to a sluggish thyroid that slows your metabolism and digestion, while your HbA1c (5.8%) indicates mild insulin resistance, making weight loss difficult ​Because your gut is too sensitive for standard high-protein diets, you need a highly customized, gut-first approach. ​​ ​ ​

Consult personally for better management

Better consult once for better treatment

Consult ayurveda physician for proper diagnosis and root cause of ailments before consuming any medicine

Iron tab for low Hb, triflachurnwith lukewarm water at night before sleep for constipation.

This is because of chronic imbalance in Vata Dosha (specifically Apana Vata), combined with a weakened metabolic fire (Agni) and the accumulation of metabolic toxins (Ama).Ayurveda strongly aligns with modern science here as your pregnancy 8 years ago as the initial triggering event that deeply disturbed vatta and Agni.When Agni is weak, your body cannot properly digest or metabolize food, regardless of how healthy or light your diet is. Instead of converting food into healthy tissue (Dhatus), a sluggish Agni converts food directly into excess Medas Dhatu (fat tissue), leading to your unexplained weight gain. And weak Agni cannot digest protein that's why you are not able to digest it. And your TSH is also mildly raised which can also slow your Agni power.

Namastey Your symptoms of chronic constipation, incomplete bowel evacuation, bloating, gas, and gradual weight gain are likely interconnected. While constipation itself does not directly cause significant fat gain, long-standing digestive dysfunction can contribute to abdominal distension, a feeling of heaviness, sluggish metabolism, reduced physical activity, and difficulty achieving weight loss despite sincere efforts. Your reports provide some important clues: HbA1c of 5.8% indicates a prediabetic tendency, which can make weight management more challenging. TSH of 5.7 with normal T3 and T4 suggests mild thyroid dysfunction (subclinical hypothyroid tendency), which may contribute to constipation, bloating, fatigue, and slower weight loss. Low iron levels can affect energy levels and overall well-being. Normal abdominal and pelvic scans are reassuring and suggest there is no major structural abnormality causing your symptoms. From an Ayurvedic perspective, an 8-year history of constipation and bloating following pregnancy often points toward a chronic digestive imbalance that requires correction at the root level rather than temporary symptom relief.

Consult for treatment plan.

You have mandagni+ Aam dosha Involved, your problem is Totally manageable with Ayurveda, You can personally consult me or any Ayurveda Consultant for further management.

Long-standing constipation can cause bloating and a feeling of heaviness, but by itself it is usually not the main cause of weight gain. Your mildly elevated TSH, prediabetes (HbA1c 5.8%) and low iron may also be contributing to difficulty losing weight. Since your symptoms started after pregnancy and have persisted despite treatment, a detailed evaluation is needed to identify the underlying cause. Ayurveda can support digestion, bowel regularity and metabolism with a personalized approach, along with appropriate diet and lifestyle changes. Please consult me so I can assess your condition and guide a safe, individualized treatment plan.