Expert Q&A

How I feel after 180lbs gone for those with hypothyroidism or Hashimoto's

My Journey Losing 180 Pounds with Hypothyroidism

When I dropped 180 pounds while managing hypothyroidism and Hashimoto's, the transformation went far beyond the scale. As someone in my late 40s dealing with the same hormonal shifts many of you face, I understand the skepticism after failed diets. My approach in the CFP Weight Loss method focused on supporting thyroid function rather than fighting it. This meant prioritizing nutrient-dense meals that stabilized blood sugar, which is critical since unmanaged diabetes and blood pressure often accompany thyroid issues.

Within the first 40 pounds, my joint pain began to ease noticeably. What once made simple walks feel impossible improved as inflammation decreased. By 100 pounds down, my energy levels shifted dramatically—I no longer needed afternoon naps that plagued my Hashimoto's days. Lab work showed my TSH stabilizing between 1.2 and 2.0 with consistent medication and the anti-inflammatory eating pattern I teach.

Energy, Mood, and Hormonal Changes Post-Weight Loss

After shedding 180 pounds, my daily experience is remarkably different. Morning brain fog that accompanied my Hashimoto's flare-ups has largely lifted. I maintain steady energy from balanced macros: roughly 40% complex carbs from vegetables and limited grains, 30% lean proteins, and 30% healthy fats including omega-3s that directly support thyroid hormone conversion. This isn't another restrictive diet—it's sustainable for middle-income families without complicated meal plans.

Hormonally, losing significant weight improved my insulin sensitivity, making weight maintenance easier despite perimenopausal changes. My blood pressure normalized without extra medication, and A1C dropped from 7.8 to 5.4. The embarrassment that once kept me from seeking help dissolved as I regained confidence in my body.

Practical Strategies That Worked for Thyroid Patients

For those with Hashimoto's, I recommend testing for nutrient deficiencies like selenium, zinc, and vitamin D every six months—these directly impact thyroid antibody levels. In my CFP Weight Loss framework, we use simple 20-minute movement sessions that respect joint limitations, focusing on strength over cardio initially. Sleep optimization became non-negotiable; seven to eight hours supports leptin and ghrelin balance, preventing the rebound weight gain common in thyroid patients.

Consistency trumps perfection. I track symptoms alongside weight, noting how certain goitrogenic foods in excess affected me when raw. Cooked cruciferous vegetables proved fine in moderation. This method addresses the overwhelm of conflicting nutrition advice by providing clear, beginner-friendly guidelines that fit busy schedules.

Long-Term Outlook and Maintenance

Two years post-180-pound loss, I maintain within 10 pounds while living fully. The key was shifting from weight-focused goals to health restoration. My experience proves that even with hypothyroidism, substantial, lasting change is possible without extreme measures or insurance-covered programs. The reduced joint pain, stable moods, and renewed vitality make every step worthwhile. If you're managing similar conditions, know that small, consistent changes compound powerfully over time.

💬 What the Community Says

The community shares mixed but hopeful experiences after major weight loss with hypothyroidism or Hashimoto's. Many report significant energy improvements and reduced brain fog once past the 50-75 pound mark, though plateaus around 100 pounds lost are common due to metabolic adaptation. A vocal group emphasizes the necessity of working closely with endocrinologists to adjust thyroid medication as weight drops, preventing hyper symptoms. Joint pain relief receives near-universal praise, with members noting stairs and daily activities become manageable. Debates continue around diet approaches—some swear by lower-carb protocols for blood sugar control while others find very low carb worsens thyroid conversion. Insurance barriers and cost of supplements surface frequently. Most practitioners find consistent sleep, stress management, and avoiding raw goitrogens helpful, though individual antibody responses vary widely. Beginners often express relief finding others who understand the "invisible" struggle of hormonal weight gain.
Clark, R. (2026). How I feel after 180lbs gone for those with hypothyroidism or Hashimoto's. *CFP Weight Loss*. https://ask.cfpweightloss.com/ask/how-i-feel-after-180lbs-gone-for-those-with-hypothyroidism-or-hashimoto-s
Russell Clark, FNP-C, APRN, FNP-C, APRN
About the Author

Russell Clark, FNP-C, APRN, is the founder of CFP Weight Loss in Nashville and CFP Fit Now telehealth. Over 35 years in healthcare — Army Nurse Reserves, Level 1 trauma ER, hospitalist — he developed a 30-week protocol integrating real foods, detox, and low-dose tirzepatide cycling that has helped hundreds of patients lose 30–90 pounds. He and his wife Anne-Marie lost a combined 275 pounds using the same protocol.

Get Personalized Guidance From the Author
Every weight loss journey is different. Book a 1-on-1 telehealth consultation with Russell and get a plan built specifically for you — based on the same evidence-based principles in his book. Available to patients in all 50 states.
Book Your Consultation →
Have a follow-up question?
More Questions 200 answered
Anyone have high cholesterol or know more about the link between high cholesterol and hypothyroidism when you have PCOS or hormonal imbalances for long-term maintenance (not just short-term)? Gluten. I love it. How long to find out if it hates me: best practices and common mistakes to avoid if you're on a GLP-1 like semaglutide or tirzepatide? Potato resistant starch safe on a low-carb or ketogenic diet and how it connects to gut health and inflammation? Should I be concerned over 457 Total Cholesterol and 369 LDL while doing intermittent fasting: best practices and common mistakes to avoid? How good is it if I still drink (sugar free) soda for those with hypothyroidism or Hashimoto's for those with hypothyroidism or Hashimoto’s? Best 40:1 ration Inositol — what does the research actually say specifically for women over 40? After losing weight, does it feel like you could do anything — evidence-based answer for CFP patients when you have PCOS or hormonal imbalances? 📖 Hashimoto’s Success — Achieving weight loss and reduced inflammation in thyroid patients by removing dietary triggers like lectins and modern … Is there such a thing as eating too much fish fat for weight loss — what do certified weight loss coaches recommend while doing intermittent fasting? Is there such a thing as eating too much fish fat for weight loss — what do certified weight loss coaches recommend on a low-carb or ketogenic diet? 📗 The 30-Week Tirzepatide Reset — by Russell Clark, FNP-C, APRN · The complete clinical protocol — 30 weeks of real foods, detox, and low-dose tirzepatide cycling that has helped hundreds of patients lose 3 Bad advice from doctor for long-term maintenance (not just short-term) and its effect on metabolism and insulin levels? Why is my face more bulky and blocky on a ketogenic diet — how a functional medicine approach differs during the weight loss plateau phase? Anyone else feel this way and the role of cortisol and stress hormones for those with hypothyroidism or Hashimoto’s? Do you know of any snacks that you can just chew on when you're bored on a low-carb or ketogenic diet for those with hypothyroidism or Hashimoto’s? Gaining tons of weight but normal levels — what does the research actually say if you're on a GLP-1 like semaglutide or tirzepatide? 📖 Phase 1: Priming — The first 48 hours of a 70-day cycle focused on high-fat intake to prevent the brain from triggering a starvation respon… Does anyone have ant literature or knowledge on autophagy and loose skin for long-term maintenance (not just short-term): what to track and how to measure progress? For those who took metformin, how soon did you see benefits: best practices and common mistakes to avoid during the weight loss plateau phase? When you get your microdose calculations wrong for the Monday morning meeting for people with insulin resistance during the weight loss plateau phase? 📖 Bio-Individuality — The understanding that every patient’s metabolic journey is unique, requiring a personalized approach to dosing and diet… 📗 The 30-Week Tirzepatide Reset — by Russell Clark, FNP-C, APRN · The complete clinical protocol — 30 weeks of real foods, detox, and low-dose tirzepatide cycling that has helped hundreds of patients lose 3 Been on carnivore for like 6 weeks now, I’ve gained 6lbs eating about 1lb of ground beef 3 eggs and 1 ribeye a day, starting weight 310lbs now 316lbs — what does the research actually say and how it connects to gut health and inflammation? One Medical for Lilly Direct on a low-carb or ketogenic diet specifically for women over 40? Has anyone with loose skin tried water fasting for long periods of time? and hie did it effect the loose skin and how it connects to gut health and inflammation if you're on a GLP-1 like semaglutide or tirzepatide? 📖 Lectin-Free Living — Eliminating inflammatory plant proteins that damage the gut lining and trigger the autoimmune responses that often stall… What to do with mg PCOS + Questions and how it connects to gut health and inflammation while doing intermittent fasting? When period stopped did you feel like the worst pmdd of all time daily or — what the research actually says? Why is my face more bulky and blocky on a ketogenic diet — how a functional medicine approach differs — what the research actually says? 📖 One Box Protocol — A revolutionary approach where we stretch one 60 mg box of tirzepatide across three metabolic phases, prioritizing long-… When Someone Paid by Credit Card, We Had to Drag Out This — what most people get wrong about this if you're on a GLP-1 like semaglutide or tirzepatide? Why are peptides suddenly everywhere in 2026 when most of them have been around for 20 or 30 years — what do certified weight loss coaches recommend and how it connects to gut health and inflammation? Anybody else wake up after 5-6 hours because their lower back starts hurting — what does the research actually say for long-term maintenance (not just short-term)? 📖 Metabolic Stall — A plateau in weight loss often caused by hidden inflammation or hormonal adaptation, which we break using our specific 7… Normal Jump in Under a Month — evidence-based answer for CFP patients specifically for women over 40? 📗 The 30-Week Tirzepatide Reset — by Russell Clark, FNP-C, APRN · The complete clinical protocol — 30 weeks of real foods, detox, and low-dose tirzepatide cycling that has helped hundreds of patients lose 3 LDN is changing my life, will this last — what do certified weight loss coaches recommend if you're on a GLP-1 like semaglutide or tirzepatide? How long was your withdrawal when you went sugarfree if you're on a GLP-1 like semaglutide or tirzepatide — what certified coaches recommend? When you get your microdose calculations wrong for the Monday morning meeting for people with insulin resistance for those with hypothyroidism or Hashimoto’s? 📖 Autophagy — The body's natural 'housecleaning' process that occurs during fasting or low-insulin states, promoted during our mainten… One Medical for Lilly Direct on a low-carb or ketogenic diet during the weight loss plateau phase? How do you stop the "I already messed up today" spiral while doing intermittent fasting during the weight loss plateau phase? Dark(ish) areas for stargazing during the weight loss plateau phase for long-term maintenance (not just short-term)? “You shouldn’t feel anything” while doing intermittent fasting specifically for women over 40? My stomach is killing me, any advice — what most people get wrong about this — what certified coaches recommend? 📖 Adipose Tissue Signaling — The way fat cells communicate with the brain; our goal is to fix these signals so the body stops defending an unnaturall… Gave up all my vices… unsure of what to do with myself now: how to talk to your doctor about this while doing intermittent fasting? Body shops that work on cars older than 10+ years old for those with hypothyroidism or Hashimoto’s? 📗 The 30-Week Tirzepatide Reset — by Russell Clark, FNP-C, APRN · The complete clinical protocol — 30 weeks of real foods, detox, and low-dose tirzepatide cycling that has helped hundreds of patients lose 3 What is the connection between I reduced my IR from 15.5 to 4 in 3 months if you're on a GLP-1 like semaglutide or tirzepatide? 📖 CICO (Calories In, Calories Out) — An outdated model of weight loss that ignores the role of hormones; we challenge this by focusing on food quality and ho… LDN is changing my life, will this last — what do certified weight loss coaches recommend while doing intermittent fasting? Can Maintenance Phase do an episode about pregnancy weight gain — what do certified weight loss coaches recommend if you're on a GLP-1 like semaglutide or tirzepatide? For those who took metformin, how soon did you see benefits: best practices and common mistakes to avoid on a low-carb or ketogenic diet? Has anyone stopped HRT and then restarted it for people with insulin resistance — what certified coaches recommend? I’m looking into possibly going grain free and I was wondering if it was just as healthy as doing keto or paleo — what most people get wrong about this and how it connects to gut health and inflammation? Where to go from here? I lost 13kg on mounjaro, but I am doing the rest naturally. Advice? :) — what does the research actually say: best practices and common mistakes to avoid? 📖 Diabetes Reversal — The clinical goal of restoring normal blood sugar levels and insulin function, as seen in patients like John who no long… Thoughts about these together during the weight loss plateau phase and how it connects to gut health and inflammation? LDN is changing my life, will this last — what do certified weight loss coaches recommend — what certified coaches recommend? 📗 The 30-Week Tirzepatide Reset — by Russell Clark, FNP-C, APRN · The complete clinical protocol — 30 weeks of real foods, detox, and low-dose tirzepatide cycling that has helped hundreds of patients lose 3 Been going out with this girl and I think it’s destroyed my microbiome for people with insulin resistance when you have PCOS or hormonal imbalances? Any Links Between Autophagy & Eye Disease Reversing when you have PCOS or hormonal imbalances: what to track and how to measure progress? Blue Honey v Tincture for those with hypothyroidism or Hashimoto's on a low-carb or ketogenic diet? When period stopped did you feel like the worst pmdd of all time daily or while doing intermittent fasting?