Need to reduce weight
Hello Doctor, I am a 32-year-old female (156 cm, 58 kg) seeking help for weight loss and metabolic evaluation. My goal is to lose 8 kg naturally without regaining it. I have been suffering from chronic constipation for the past 8 years after pregnancy, along with incomplete bowel emptying, bloating, gas, and anal fissure. My recent blood tests showed HbA1c 5.8%, TSH 5.7 mIU/L with normal T3 and T4, and low iron levels. My liver, kidney, cholesterol, CBC, abdominal scan, and pelvic scan are normal. Despite following diets, Siddha treatment, home remedies, and exercise, I am unable to lose weight. High-protein diets worsen my bloating. Could insulin resistance, mild hypothyroidism, or iron deficiency be affecting my metabolism and weight loss? What additional tests or treatment would you recommend, and am I a suitable candidate for medical weight-loss therapy? I would appreciate a personalized plan to improve my metabolism, constipation, and achieve sustainable weight loss.
