QUOTE (Littlepistol @ Jan 15 2009, 11:23 AM)

You keep hearing all sorts of advice on calories. Over years I'm like everyone else and been on every diet out there. But lately it's even more confusing. Back in 2004 I stopped dieting after 20 years and reaching 300 pounds. I used my head instead and lost over 100 pounds. I've maintained that loss without diets etc.
So what is my problem? I have no thyroid and even though I take replacements I'm stuck. The MD says I'm so lucky to have maintained my loss and should be happy. But I still am too big needing to lose about 60 more for health reasons. I know the thyroid controls many body functions including the metabolism. So for my questions, and sincerely hoping someone has some answers that make sense.
How do you rev up a metabolism when you have no thyroid and the MD says he can't up your replacements?
If a calorie is a calorie, why can't I lose when I am always burning more than I eat? At least that is what the figures show since I eat around 1200-1400 a day and basil is supposedly about 2300 a day acording to the charts. (Yes I dearly need a bodybug) And are colorful calories (greens etc) really better than a white (pasta) calorie as long as they are equal (meaning 100 cals per serving)?
I've read and the "trend" now is Acai Berry and Colon Cleasing. Ok maybe the Acai Berry could offer some help with energy but isn't this Colon Cleasing thing just a new twist on abuse of laxatives?
I'm sure someone will say I'm some silly old lady (yes I'm 62) but I'd like some easy to understand answers to what I feel are often confusing questions.
Granny
As someone with beloved thyroid problems too, I can hopefully address some of this as well. First, Ryan is right that calories themselves represent units of energy, and nutritional value is somewhat a different animal. My experience, and that of MANY others with hormone imbalances, is that in terms of impact on the various hormonal systems, different foods have dramatically different effects.
As a rule, and new research is continuing to bear this out, the less refined the food, the better it is, both in terms of nutrients and the food's impact on blood sugar. Those of us with hormone issues can be exquisitely vulnerable to blood sugar imbalances, so foods with lower glycemic loads (almost always foods that are not white, for example) are much more conducive to weight loss.
You also mention that you are eating 1200-1400 calories/day, with a basal metabolism of 2300. I'm not sure where you got your metabolic rate and if it's accurate, but an intake of 50% of your body's basal need can cause the body to pack on whatever weight it possibly can. (See the Ancel Keys Minnesota Starvation Study as a classic illustration of this.) In other words, you may need to eat MORE! I am NOT an expert on this and know nothing about your size, weight history, etc., but this is something to consider.
You might also consider a second look at your meds, actual thyroid numbers and, if needed, your doc. In my experience, internists and GPs know NOTHING about thyroid issues unless your TSH is off the charts. If your doc doesn't run TSH, free T4 and total T3 EVERY time you get a checkup, and if those numbers aren't above the 50th percentile of the range, you may in fact need a second opinion. You definitely need all three numbers, as TSH, while a sensitive test, doesn't necessarily give you the whole picture. The book Living Well with Hypothyroidism is a great resource.
Finally, does all this mean you should eat as many calories as you feel like and just hit the gym? No! For what it's worth, I have found that trusting my hunger (if my stomach is sending the message, it's time to eat) and eating
unrefined foods as much as possible, along with plenty of exercise, is really helping me take off the pounds. Bob's continual reference to getting enough rest/sleep is key also!
I hope this helps!