check your TSH,T4, HbA1c, and Vitamin D levels, as deficiencies in these are common causes of fatigue and body pain.

Need few more details for proper understanding of your issue. You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management

There are other components also .please consult.

You are describing a classic metabolic + hormonal profile: • Diabetes • Thyroid disorder • Weight gain despite effort • Fatigue + body pain

Hello, I am Dr. Romain Rajan, General Physician (Ex Govt Medical Officer at RML Hospital, New Delhi), and your case has been allotted to me. Thank you for sharing your situation so honestly. What you are experiencing is very common in women with thyroid issues + diabetes, and importantly, this is medically manageable with the right approach. First, what is happening in your body Your symptoms of: • Weight gain despite effort • Low energy and body pain • Difficulty continuing exercise 👉 strongly suggest metabolic imbalance, likely due to: • Suboptimal thyroid control • Insulin resistance from diabetes • Possible vitamin deficiencies (very common) • Chronic inflammation (as you already mentioned earlier) Which specialist should you consult 👉 The BEST doctor for your case is an Endocrinologist Why: • They handle thyroid + diabetes + weight together • They can adjust medications properly • They are the only ones who can safely prescribe new weight loss drugs You can also add: • Dietician (for structured plan) • Physiotherapist (if pain limiting activity) About NEW weight loss medications (important for you) Yes, you may be a candidate for modern weight loss medicines, especially since: • You have diabetes + weight gain • Lifestyle efforts are already ongoing Latest options available in India • Semaglutide (Wegovy / Ozempic) • Tirzepatide (Mounjaro) 👉 These are GLP-1 based injections that: • Reduce appetite • Improve insulin control • Help lose 10–20% body weight • Are approved for use in India under medical supervision 👉 Tirzepatide may even give greater weight loss compared to semaglutide VERY IMPORTANT before starting these medicines These are not cosmetic drugs. They are prescribed only if: • BMI is high (usually >27 with diabetes) • Lifestyle measures alone are insufficient • No contraindications (pancreatitis, severe GI issues etc.) Also: • They are long term therapies • Weight can come back if stopped suddenly What you should do next (practical plan) Step 1 Consult Endocrinologist with: • Thyroid reports • HbA1c • Weight history Step 2 Get these checked: • TSH, Free T3, Free T4 • Vitamin D, B12, Iron • HbA1c Step 3 Discuss: • Whether you are eligible for GLP-1 therapy • Dose titration plan • Cost and long term plan Important reassurance 👉 You are not failing your efforts 👉 Your body is working against you hormonally right now 👉 With proper treatment, patients like you often: • Regain energy • Lose weight • Feel normal again Bottom line • Consult Endocrinologist first • Yes, new weight loss injections are an option for you • But only after proper evaluation and under supervision For a personalised step-by-step plan (medicines + diet + realistic weight loss strategy), you can reach out to me on WhatsApp at 85271646 seven seven. You’re very close to getting this under control — just need the right medical direction now. Dr. Romain Rajan General Physician

Consult an endocrinologist. Weight gain can be due to uncontrolled thyroid/diabetes or low metabolism. New weight loss meds (like GLP-1) may help if suitable. Check TSH, sugar control, and diet/exercise plan. Consult doctor for proper evaluation and treatment.

If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed discussion

You are likely in perimenopause phase. Get Haemoglobin,  sugar, thyroid function tests,  serum calcium,  vit d3, b12, proteins tested and share results. Take syp Tonoferron 5m.l morning and one evening. Tab ostocalcium one morning and one evening. Take more of proteins in diet.

Assessment of vitamin d3 b12 mg. Crp, esr. Weight gain is a feature of hypothyroidism. Add exercise  yoga, walk. Weight loss medicine under doctor

Get your anti _tpo,thyroid profile test done and consult endrocrinelogist

Yep you can try semaglutide but before that once check your thyroid profile .. your history is still indicating hypothyroidism soo treat it first .

You need to consult with endocrinologist physically for better evaluation.

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Need further detailz

Need a few more details please consult for further evaluation and treatment