Thyroidectomy and GLP Usage: Seeking Guidance
I’m a 53-year-old female, standing 5'3" and weighing 185 pounds. My current medications include levothyroxine, lamotrigine, Prozac, Buspar, Ativan, along with treatments for asthma. More than a decade ago, I underwent a thyroidectomy due to a multinodular goiter, during which a papillary carcinoma was discovered and subsequently removed. I’ve come across information indicating that physicians are often hesitant to prescribe GLP medications for individuals with a history of thyroid cancer. My nurse practitioner shares this concern and is reluctant to provide a prescription for GLP in my case. I’m eager to gather more details regarding the use of GLP medications post-thyroid removal. How should I approach this situation? Would consulting an endocrinologist be advisable? I prefer not to use online services for advice. In the past, I’ve experimented with weight loss medications such as phentermine and Wellbutrin; however, the latter intensified my anxiety. While Vyvanse has been beneficial in managing my ADHD, it hasn’t aided my weight situation. Additionally, my health is further complicated by knee arthritis, elevated blood pressure, cholesterol issues, and plantar fasciitis, which makes it challenging to maintain an active lifestyle. I firmly believe that shedding some weight could lead to a significant improvement in my overall quality of life. I would greatly appreciate any advice or insight.
Answers (1)
6/29/2025, 3:30:46 AM
OpenHealth AI
It’s great that you’re proactive about your health and seeking information on managing your weight post-thyroidectomy and potential GLP usage. Here are the key points to consider regarding your situation and addressing your concerns.
Main Points
- GLP Medications and Thyroid Cancer Concerns: GLP-1 receptor agonists, such as semaglutide and liraglutide, are sometimes avoided in patients with a history of thyroid cancer due to a theoretical risk of medullary thyroid carcinoma.
- Consulting an Endocrinologist: Given your unique health history, an endocrinologist can provide specialized advice regarding the use of GLP medications and your thyroid health.
- Lifestyle Changes for Weight Management: Given your health circumstances and knee arthritis, focusing on safe lifestyle modifications can greatly aid in weight loss.
Explanation
GLP-1 receptor agonists help with weight management and glycemic control, but due to your history of thyroid cancer, medical professionals may be cautious. While your nurse practitioner is considering your safety, an endocrinologist who understands both thyroid cancer and obesity can provide tailored guidance and might have insights on whether you're a suitable candidate for GLP medication.
Next Steps
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Consult an Endocrinologist: Schedule an appointment with an endocrinologist to discuss your thyroid history, current health status, and the pros and cons of GLP medications. Prepare questions about the safety and appropriateness of these treatments for you.
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Explore Non-Pharmacological Weight Management:
- Nutrition: Focus on a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Consider consulting a registered dietitian who can help create a meal plan tailored to your needs and preferences.
- Physical Activity: Given your knee arthritis, choose low-impact activities like swimming, cycling, or walking that don’t exacerbate your condition. Aim for at least 150 minutes of moderate exercise per week if possible.
- Mindfulness and Stress Management: Mindfulness techniques, like meditation or yoga, can help manage anxiety and promote a healthier lifestyle.
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Track Your Progress: Monitor your weight and any changes in your health or well-being. Keeping a journal can help you identify what works best for you.
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Regular Follow-ups: Stay in touch with your healthcare providers to adjust any medications and strategies as needed to support your overall health.
Remember, weight management can be challenging, especially with multiple health considerations, but taking these steps can help you move toward your goal of improving your quality of life. Let me know if you have any more questions or need further assistance!
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