4 months on levo: normalized labs, stuck weight

dunno. it’s been four months on 75mcg levothyroxine now. my TSH finally settled, free T3 stopped dipping below that 60 range like it was doing before. on paper, my labs look normalized.

the endocrinologist is happy. but the weight piece? that hasn’t shifted an inch. i’m still doing the same workouts i was doing last year when i was actually losing naturally, eating clean, and my A1C is solid.

biochemically, things seem improved. my body just isn’t getting the memo. i keep thinking about how the system kinda misses the daily pattern. like my fasting glucose numbers always look fine, but what’s actually happening throughout the day?

i’ve been seriously considering a CGM, even without a diabetes diagnosis, just to actually see the full picture of what my metabolism is doing. feels like there’s a disconnect between what the tests are catching and what’s going on under the surface. has anyone gone that route when their labs look ‘good’ but the body isn’t cooperating?

it’s so frustrating when your body just isn’t getting the memo, i’ve been there too

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that feeling of your body not getting the memo even when labs are ‘normalized’ is so familiar. what specific patterns are you hoping a cgm would actually show you day-to-day?

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what exactly does “eating clean” look like for you?

that ‘disconnect between what the tests are catching and what’s going on under the surface’ is a familiar feeling. a cgm could definitely show you a lot about glucose patterns throughout the day, which can be eye-opening.

that ‘labs look good’ but the body isn’t cooperating is exactly where i’m at. i’ve been asking my endo for a CGM too, because my fasting glucose is always fine but i swear my blood sugar spikes hard after certain meals, even healthy ones, and i think that’s part of why the weight just doesn’t move. have you tracked your cortisol throughout the day at all with those labs?

your endo might be happy with those ‘normalized labs,’ but the weight not shifting means it’s not actually optimized for you yet. a cgm seems like the logical next step if your fasting glucose is fine.

four months is a decent chunk of time to see some movement on the weight front, but “my body just isn’t getting the memo” - what’s your take on the role of leptin in this equation, considering your thyroid meds seem to be doing their job on paper?

a cgm for sure shows the actual daily pattern, not just fasting numbers. what specific glucose peaks or valleys are you hoping to catch that your A1C and workouts aren’t already reflecting?

four months in is a good test of levothyroxine’s effect, but “my body just isn’t getting the memo” resonates with me. i’ve seen similar disconnects in my own fibromyalgia experience, where labs look fine but daily life doesn’t match. you mentioned considering a CGM to see the full picture of your metabolism, which might be useful in identifying patterns that aren’t showing up in standard tests.

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four months is a decent chunk of time to see some movement on the weight front, especially with labs looking “normalized” . when you say “my body just isn’t getting the memo” i wonder if there’s something else at play that the tests aren’t catching, like a daily pattern issue with glucose or something

that “disconnected between what the tests are catching and what’s going on under the surface” hits hard, i’ve lived that with my own pain numbers where my rheum sees a 4-5 on a "good day

my A1C was 5.7 in Feb and I still use a Libre 3 because “fasting glucose numbers always look fine” only tells you one piece of the story. a CGM is exactly how you address that “disconnect between what the tests are catching and what’s going on under the surface.” it’s the only way to map daily patterns against what you’re eating and doing, hormone shifts included. 🔥

that ‘disconnect’ you’re feeling is exactly what CGM catches. fasting glucose and A1c smooth over the postprandial excursions that often explain why your body isn’t getting the memo, even with ‘normalized’ labs.

Understand that feeling of “my body just isn’t getting the memo” when the labs look good on paper. A CGM can definitely surface some of that metabolic heterogeneity that standard panels miss, which is a different category of information than a single fasting glucose.