She has been on doctor prescribed T4 since 2003.
Her recent bloodwork, about a week ago was good except her hemogoban was high. She has seen 2 endocrinologists, both haven't done anything except decrease her T4. started at 200mcg now she is taking 150mcgs.
I am not surprised they have not been able to help her as they do not have the full clinical picture. She has been taking male hormones for two years, and on a very restrictive diet. My job is quite related to the endocrinologist, and we have case studies after case study where nothing benefits the patient until the 'By the way doctor, I have been also taking/doing X. The endocrine system is VERY complicated, and at times, trying to work out what is going on with someone with all the information is difficult enough.It could be almost impossible without all the clinical information.
Training is 4-5 days of cardio for 40mins at a fast walk. Then about 20 mins of wieghts.
How is she training with weights? Is it intense BBing type of training or is it the much lighter weights, high rep, machine type of training a lot of women do?
She eats maybe 1300 cals a day. She is 5'4", 167, 39 years old. 18 months ago she was 138lbs an had ab outlines.
Was she also eating 1300 kcals/day 18 months ago? Your wife and I are about the same height and weight (18 months ago) and I am eating 1800 kcals/day on a competition diet. In my off season I would eat around 2000-2200 kcals.
She has 2 protien shakes a day, somekind of 200 cal proien bar, then usually a turkey burger for super as this is one of te only things she can eat and she dosen't bloat.