Work with your doctor to keep thyroid levels optimized
Take thyroid medication exactly as prescribed
Recheck TSH, free T4, and free T3 regularly
Address iron, vitamin D, B12, folate, and selenium deficiencies
Prioritize a calorie deficit for fat loss
Eat enough protein at each meal
Focus on whole foods
Limit ultra-processed foods
Reduce added sugars
Choose high-fiber carbohydrates
Include healthy fats in moderation
Watch portion sizes
Strength train regularly
Add daily walking or other low-impact activity
Sleep 7 to 9 hours per night
Manage stress consistently
Keep a regular meal schedule
Avoid extreme crash diets
Track food intake and progress
Monitor weight, waist, and energy levels
Be patient and consistent
Consider screening for insulin resistance, celiac disease, and other autoimmune conditions
Limit alcohol
Stay hydrated
Adjust intake based on progress over time