Help to get abs ... cutting assistance (Hashimotos)

Hi all. Long time lurker here. Before I post i know it's not possible to spot reduce bodyfat but just want to get feedback from anyone who might have some hormonal issues at play.

43 y/o male, 6 foot. Diagnosed with Hashimotos and low test 2 years ago after going to an endo for extreme fatigue. Thyroid medication helped to some extent and i was able to get my ass in gear and hit the gym and my nutrition super hard. Went from 205 to 165 in less than a year doing keto and lifting (no cardio).

Eventually I also went on TRT started with gel switched to injections in Feb 2025 currently on 120mg/week. I also changed from keto to a balanced diet 225g protein 90g fat and carbs go up or down depending on my calorie goals (currently around 2450).

My weight is around 170 now and I'm gaining strength and muscle at the gym but weight loss and fat loss has stalled. I've been skinny fat my whole life and I'm guessing I have had low T and thyroid issues for a lot longer than diagnosed.

Even though most people say I look good and I'm "skinny", I'm super tired of this gut and stomach fat. Before I get too old I would love to have abs once in my life.

My question is this - for anyone with thyroid issues could anavar or tirz or anything help to regulate insulin and free up some of this stomach fat to be burned? I'm not a naturally muscular guy at this rate I estimate I would need to get to like 150 lbs or less to even start to see abs and man I'm not sure I want to be that skinny.

Can anyone offer some advice? I know CICO but my body is like unnaturally holding on to stomach fat...
Tirz is better for appetite suppression, but Reta and Cagri are better for burning fat.
 
Hashimotos is autoimmune. You can keep wasting time addressing symptoms or try and address it at the root. LDN. I did this myself over ten years ago. Zero TPOAb after three months.
 
Whats your Hba1c, Homa and Triglycerides? Do you have fatty liver by chance? Very low SHBG and chronically high liver markers + high lipids might be a warning sign to that.

Don't have a hba1c or homa test. Will do a blood test in 3 or 4 weeks might add them on. Triglycerides were good 68 mg/dL last month. I did have pretty low shbg but it. has gone up since going on TRT (last test 24.5 nmol/L).

Hdl 54 ldl 134.

Cardio can help with insulin resistance, also can try carb cycling if you are not already. Plus daily step minimums

Edit: Carb cycling only if you can tolerate higjer carb quantities on some days. Idk what your diet is and if you use a specific diet to help manage the hashimotos

No special diet. Did keto for a while now just eat whole foods don't cheat really. 225g protein fat a bit higher usually 70 to 100g a day and the rest carbs depending on total calories (now about 2450/day). Dont feel a difference between keto and how i eat now.

Hashimotos is autoimmune. You can keep wasting time addressing symptoms or try and address it at the root. LDN. I did this myself over ten years ago. Zero TPOAb after three months.

Any additional reading or protocols you can send me?
 
Don't have a hba1c or homa test. Will do a blood test in 3 or 4 weeks might add them on. Triglycerides were good 68 mg/dL last month. I did have pretty low shbg but it. has gone up since going on TRT (last test 24.5 nmol/L).

Hdl 54 ldl 134.



No special diet. Did keto for a while now just eat whole foods don't cheat really. 225g protein fat a bit higher usually 70 to 100g a day and the rest carbs depending on total calories (now about 2450/day). Dont feel a difference between keto and how i eat now.



Any additional reading or protocols you can send me?

Get your Homa and Hba1c tested and then based off that you can look at components to adress your Insulin resistance.
 
I have some on hand, I just need do some research and possibly bloodwork to see if it's necessary to take. I am on 10iu of hgh which may be playing a factor into my TSH levels also.
Hgh usually leads to low t4 and your already supplementing it. With a tah that high im sure your free t3 is low . But definitely get it tested
 
Hgh usually leads to low t4 and your already supplementing it. With a tah that high im sure your free t3 is low . But definitely get it tested
I have tested it recently. My doctor prescribed levothyroxine was 150mcg but I purchased some 50 mcg through India pharma and upped my dosage to 200mcg. After 6 weeks I got tested, which was on March 17th and it came back at 8.27. I did a complete set of bloods on 4/4 and this time my TSH came back in range at 3.33. Not sure why it jumping around so much but happy that it was in range.
 

Attachments

  • Screenshot_20250410_151036_Yahoo Mail.webp
    Screenshot_20250410_151036_Yahoo Mail.webp
    15 KB · Views: 17
  • Screenshot_20250410_150931_Yahoo Mail.webp
    Screenshot_20250410_150931_Yahoo Mail.webp
    11.2 KB · Views: 11
I have tested it recently. My doctor prescribed levothyroxine was 150mcg but I purchased some 50 mcg through India pharma and upped my dosage to 200mcg. After 6 weeks I got tested, which was on March 17th and it came back at 8.27. I did a complete set of bloods on 4/4 and this time my TSH came back in range at 3.33. Not sure why it jumping around so much but happy that it was in range.

How much of a quality of life difference have you noticed?
 
How much of a quality of life difference have you noticed?
Truthfully, not much. From the most recent change I've felt no difference because I'm blasting test and primo so my energy is pretty high always.

Also from past experience, when I first found out I had a thyroid problem it was 2004 and I was diagnosed with hyperthyroidism. I was treated with a radioactive iodine which in return made my thyroid not produce enough and I became hypo. I'm was young and didn't really listen to the doctor or fully understand what was going on.

I joined the military and was in for 7 years and never got my thyroid tested once. I went 10 years total without treating my hypothyroidism and have no idea where my levels may have been at. When I got out of the military in 2014 I had a check up and the doctor saw the thyroid stuff on my medical record and said we should test it. My level was at like 11 or something when the results came back. At that point I was older and the doc explained and I listened that time and have been treating it ever since.

I say all that to say, my quality of life was always dependant on my lifestyle I was living. I do believe if I had been treating it, it would of been better for me most definitely. I do understand that thyroid issues treat everyone different and I do know that treating it is better for my health. But I didn't even notice anything different truthfully.
 
I have tested it recently. My doctor prescribed levothyroxine was 150mcg but I purchased some 50 mcg through India pharma and upped my dosage to 200mcg. After 6 weeks I got tested, which was on March 17th and it came back at 8.27. I did a complete set of bloods on 4/4 and this time my TSH came back in range at 3.33. Not sure why it jumping around so much but happy that it was in range.
Those tests are fine. But you should really be testing free t3 as well to see where you're at, free t4 also.

There's a whole thyroid workup but it gets expensive when you start testing reverse t3 and such
 
Those tests are fine. But you should really be testing free t3 as well to see where you're at, free t4 also.

There's a whole thyroid workup but it gets expensive when you start testing reverse t3 and such
I'll check free t3. I haven't had it checked since December of 2023 and it was in range at that time. I've had free t4 checked recently and it's been in range.
 

Attachments

  • Screenshot_20250410_160011_Chrome.webp
    Screenshot_20250410_160011_Chrome.webp
    14.8 KB · Views: 15
Hi all. Long time lurker here. Before I post i know it's not possible to spot reduce bodyfat but just want to get feedback from anyone who might have some hormonal issues at play.

43 y/o male, 6 foot. Diagnosed with Hashimotos and low test 2 years ago after going to an endo for extreme fatigue. Thyroid medication helped to some extent and i was able to get my ass in gear and hit the gym and my nutrition super hard. Went from 205 to 165 in less than a year doing keto and lifting (no cardio).

Eventually I also went on TRT started with gel switched to injections in Feb 2025 currently on 120mg/week. I also changed from keto to a balanced diet 225g protein 90g fat and carbs go up or down depending on my calorie goals (currently around 2450).

My weight is around 170 now and I'm gaining strength and muscle at the gym but weight loss and fat loss has stalled. I've been skinny fat my whole life and I'm guessing I have had low T and thyroid issues for a lot longer than diagnosed.

Even though most people say I look good and I'm "skinny", I'm super tired of this gut and stomach fat. Before I get too old I would love to have abs once in my life.

My question is this - for anyone with thyroid issues could anavar or tirz or anything help to regulate insulin and free up some of this stomach fat to be burned? I'm not a naturally muscular guy at this rate I estimate I would need to get to like 150 lbs or less to even start to see abs and man I'm not sure I want to be that skinny.

Can anyone offer some advice? I know CICO but my body is like unnaturally holding on to stomach fat...
Are you on medication for your hashimotos
 
No special diet. Did keto for a while now just eat whole foods don't cheat really. 225g protein fat a bit higher usually 70 to 100g a day and the rest carbs depending on total calories (now about 2450/day). Dont feel a difference between keto and how i eat now.



Any additional reading or protocols you can send me?

This diet seems like it is a bit problematic imo. Why do you need so much fat and protein for 2400 calories at your muscularity? This will leave you with 100g carbs if you do 70g fat and 0g if you do 100?
How are you going to build or maintain muscle like this? How are you getting enough glycogen into the muscle to perform well in the gym? Honestly if I had to bet this diet sounds like the source of your gym problems.

You eat slightly less protein than I ate last year up with over 200lbs very low body fat. Tbh you probably don’t need that much protein with your level of muscularity if you are 170 and don’t have abs. You could almost certainly improve the diet to make it both easier and more effective to keep what muscle is there and lose the fat, and also start to actually grow when you finish your weight loss.
 
This diet seems like it is a bit problematic imo. Why do you need so much fat and protein for 2400 calories at your muscularity? This will leave you with 100g carbs if you do 70g fat and 0g if you do 100?
How are you going to build or maintain muscle like this? How are you getting enough glycogen into the muscle to perform well in the gym? Honestly if I had to bet this diet sounds like the source of your gym problems.

You eat slightly less protein than I ate last year up with over 200lbs very low body fat. Tbh you probably don’t need that much protein with your level of muscularity if you are 170 and don’t have abs. You could almost certainly improve the diet to make it both easier and more effective to keep what muscle is there and lose the fat, and also start to actually grow when you finish your weight loss.

Thanks it's good feedback.

It's a couple different ways that I arrived at these macros. Would love to get feedback on that.

Generally as I come from keto I was used to higher fat and lower carbs. I understood that as long as I am getting sufficient protein and sufficient fat (at least 50g per day) the remaining split between fat and carbs was more personal preference and energy levels driven. I generally feel like I have enough energy to finish my workouts I don't feel crazy tired by the end.

Protein is 200g from food (or food + a scoop of whey) and 25g of collagen and gelatin protein for my joints cause I have shitty knee cartilage. As collagen and gelatin protein aren't considered as "complete" i count them for my total macros but exclude them from what I consider protein for building muscle. I also thought there wasn't really any negatives to eating "too much protien" as long as you aren't at like 300g per day

Generally I'm around 80g of fat per day so macros on average are

225g protein
80g fat
200g carbs
 
I understood that as long as I am getting sufficient protein and sufficient fat (at least 50g per day) the remaining split between fat and carbs was more personal preference and energy levels driven. I generally feel like I have enough energy to finish my workouts I don't feel crazy tired by the end.

Protein is 200g from food (or food + a scoop of whey) and 25g of collagen and gelatin protein for my joints cause I have shitty knee cartilage. As collagen and gelatin protein aren't considered as "complete" i count them for my total macros but exclude them from what I consider protein for building muscle. I also thought there wasn't really any negatives to eating "too much protien" as long as you aren't at like 300g per day

Generally I'm around 80g of fat per day so macros on average are

225g protein
80g fat
200g carbs

Ok the math makes sense, I messed up a bit on my calculator a bit tired, my bad!

So this is a training day or rest day, no difference?
Firstly you may want to consider different caloric amounts on training and rest days, so you can get as much as possible out of training, and minimize calories when you don’t need them. To get more from training that means— maximize carbs on training days and minimize fats, and on rest days more fats, less carbs, overall less calories. Anecdotally I’ve recommended this to several people preparing for body building shows, including a 40+ person and he definitely had a 6 pack haha,

Sure fat and carbs are based on personal preference, but if you are looking at an intentional diet— the selection will be more useful if it is informed by what your goals are.

. When you lose weight, what are your main priorities? Do you want to lose it fast, and don’t care how much muscle you lose? Do you want to have good workouts, and that means lifting as much as possible, not just making it through without being too tired? Do you need energy for training or require further satiation? If I’m not training do I need as many carbs? If I am training do I actually need amount of fat? If my personal fat requirement is 50g, why am I doing 80g? How does this get me closer to the abs I want?

Then you can consider: fat won’t restore glycogen, carbs will, and they are anti-catabolic. carbs won’t keep you full like fat will. You can use more protein or fat or carbs to address a need or problem (too much hunger— add fats, muscle loss— need more carbs, need to build muscle—I need protein )
 
Ok the math makes sense, I messed up a bit on my calculator a bit tired, my bad!

So this is a training day or rest day, no difference?
Firstly you may want to consider different caloric amounts on training and rest days, so you can get as much as possible out of training, and minimize calories when you don’t need them. To get more from training that means— maximize carbs on training days and minimize fats, and on rest days more fats, less carbs, overall less calories. Anecdotally I’ve recommended this to several people preparing for body building shows, including a 40+ person and he definitely had a 6 pack haha,

Sure fat and carbs are based on personal preference, but if you are looking at an intentional diet— the selection will be more useful if it is informed by what your goals are.

. When you lose weight, what are your main priorities? Do you want to lose it fast, and don’t care how much muscle you lose? Do you want to have good workouts, and that means lifting as much as possible, not just making it through without being too tired? Do you need energy for training or require further satiation? If I’m not training do I need as many carbs? If I am training do I actually need amount of fat? If my personal fat requirement is 50g, why am I doing 80g? How does this get me closer to the abs I want?

Then you can consider: fat won’t restore glycogen, carbs will, and they are anti-catabolic. carbs won’t keep you full like fat will. You can use more protein or fat or carbs to address a need or problem (too much hunger— add fats, muscle loss— need more carbs, need to build muscle—I need protein )


Thanks for the detailed reply. I currently pretty much hit the same macros each day because it's just easier for me.

My main goal is to cut the rest of this fat so I can focus on lean bulking. As mentioned previously i also currently do zero cardio I know I need to change that

What would you recommend in terms of calorie and macro variance between training and non training days if you consider 2450 my maintenance?
 
Back
Top