Hypothyroidism and a lack of progress

I have hypothyroidism that was diagnosed last year and I started taking thyroxin about 10 months ago. I started SS 4 months ago, with progress that is probably not great. However, some of my symptoms have returned - I wasn’t sure until a month ago, when it got worse (digestive issues, tiredness, losing weight). Everything stalled pretty badly, or even regressed. I went for a test and my blood levels were almost back to before I took the meds.

More details:
I’m 29, female, 168cm tall, 67cm waist, 57 kg (5 feet 6 inches, 26 inches, 126 pounds). Before taking any meds, I had 5.3 mU/l thyrotropin and 14.0 pmol/l thyroxine (sorry if I mistranslated the names). After taking 62 micrograms of thyroxine, it went to 1.0 and 17.2. Now I was back at 4.1 and 15.7.

Squat 20 → 41 kg (44 → 90 pounds)
Bench 17.5 → 27 kg (38.5 → 59 pounds)
Press 12.5 → 21 kg (27.5 → 46 pounds)
Deadlift 25 → 50 kg (55 → 110 pounds)
Power clean 16 → 26 kg (35 → 57 pounds)

I time my rests to 5 minutes and skipped maybe 2 sessions since I began. I gained 3 kg (6.5 pounds) during the first 3 months, but lost 2 kg over the past month. I haven’t made any progress this month - I probably should have tried to eat more, but you know, summer. Some days I can grind out my previous PRs, some days I fail them and lower the weight. It’s getting a little better, I managed to add 1kg to both the bench and press recently. I’ll try to start gaining some weight in a couple weeks.

It’s going to take a while to titrate the dosage up, last time it took a couple re-tests before the correct one was found. Should I somehow adjust the training during this time? Once the dosage is right, can I just ignore this whole thing?

  1. How did you feel when your TSH was 1.0?

  2. Do you want to gain weight? Or are you talking about gaining weight solely to facilitate strength increases in training?

  3. I don’t think it’ll take as long as you suspect to get stabilized on a higher dose. But I think that if you’re no longer making progress on the novice program, it’s time to move on to post-novice programming. For individuals in your situation, autoregulated training is probably a good idea.

  1. I felt reasonably well - I still had some minor amount of digestive issues, but I felt a lot better than before (I wish I had kept some kind of log). It slowly deteriorated since then. Oddly enough, I felt the best the first week I ever started taking thyroxin, even though the dosage turned out to be half of what I eventually needed. Digestion worked like clockwork. Then it was gone, and even subsequent increases didn’t bring it back completely…
  2. I just want to be stronger. I thought gaining about 1 kg/month and losing it later would work better than recomp. Although in the long term I wouldn’t mind gaining ~5 kg of muscle while having about 3 kg less fat than now.
  3. OK, I’ll try the Bridge then. I thought my numbers are way too low to move on from LP, but I guess whatever I’m doing isn’t working.

Is it common for people with hypothyroidism to have this much trouble or should I look for other causes? I’m going to a local SS coach to have my form checked out, but I suppose that bad form wouldn’t cause all the lifts to stall at the same time.

Thank you!

  1. I felt reasonably well - I still had some minor amount of digestive issues, but I felt a lot better than before. It slowly deteriorated since then.
  2. I don’t want to gain weight per se, I just want to be stronger. I thought gaining about 1 kg/month and losing it later would work better than recomp. The weight loss effect I have from this is pretty minor, I could have easily made myself eat more had I wanted to.
  3. OK, I’ll try the Bridge.

I just listened to your programming podcast and it’s like you described me - I thought my recovery wasn’t good enough and I kept trying to sleep&eat more, resetting, taking longer breaks or having an extra rest day. Everything except deadlifts (kept rounding my back, fixed it only recently) has been RPE 10 since month #2, I got video of squats where I was stuck in place for 3 seconds and grinding trough it, and I still felt like a p***y because my numbers were so low. And I never thought I might need more volume.

Thank you very much for the help.

Glad to help.