I am a 42-year-old female with thyroid issues and diabetes, along with a family history of higher body weight. I have always tried to stay active and exercised regularly, but at this stage I am facing constant body pain and very low energy, making it difficult to continue physical activity. Despite my efforts, my weight is increasing. I would like guidance on which specialist doctor I should consult and whether I can be considered for new weight loss medications available in India.
Answers (15)
Get your queries answered instantly with Care AI
FREE
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
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
ð 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
ð 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)
ð These are GLP-1 based injections that:
⢠Reduce appetite
⢠Improve insulin control
⢠Help lose 10â20% body weight
⢠Are approved for use in India under medical supervision
ð 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
ð You are not failing your efforts
ð Your body is working against you hormonally right now
ð 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.
Youâre very close to getting this under control â 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.
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.
Flu
Reasons for flagging
Hateful or abusive contentSpam or misleadingAdvertisement