Ask the Doctor – Hypothyroidism and Weight Gain, Help for Hot Flashes

It is time again for “Ask the Doctor.” I particularly enjoy this monthly feature because it gives me an opportunity to answer your questions and help you on your path to health and wellness. 

If you have a question or health concern that you would like me to address, please visit the Hotze Health & Wellness Facebook page and send me a private message. Mention Katy Christian Magazine in the subject line.

Hypothyroidism: Common Cause of Weight Gain.  

I’m in my 40s now and for the past few years my weight keeps going up. I am a mother of two, but I still make time to eat healthy and exercise like I always have, so I don’t understand why I am putting on these extra pounds. I do feel tired more often and have trouble sleeping, but that’s normal with two kids, right? What else can I do?

This unexplained weight gain is a common frustration that so many women experience. You feel like you are doing everything right and you haven’t changed your eating or exercise routine over the years, but all of the sudden your body isn’t responding like it used to. This indicates a possible change in your hormone status.

Hypothyroidism is a common cause of weight gain. The thyroid gland regulates your metabolism and energy production. With low thyroid function, your metabolism slows down and you don’t generate as much heat or use as many calories. This makes it difficult to lose weight. Excess fluid retention can often be attributed to the poor circulation caused by hypothyroidism, as well.

Ask yourself if you have any of the other symptoms of low thyroid function. This can help determine what’s going on.

Other symptoms of hypothyroidism include:

  • Loss of energy (malaise/fatigue)
  • Enlarged tongue with teeth indentations
  • Cold extremities and cold sensitivity
  • Cold intolerance
  • Difficulty concentrating and shortterm memory loss
  • Muscle pain and cramps
  • Joint pain
  • Tiredness after a full night’s sleep
  • Recurrent and chronic infections
  • Decreased mental sharpness, “brain fog”
  • Hair loss
  • Dry skin
  • Brittle fingernails with ridging
  • Low basal body temperature
  • Elevated cholesterol and triglycerides
  • Depression or mood swings
  • Constipation
  • Menstrual irregularities
  • Headaches
  • Enlarged thyroid gland

The tricky part is finding a doctor who will listen to all of your symptoms and not evaluate you by relying on a single blood test alone. Conventional doctors are taught to use the TSH blood test to diagnose hypothyroidism. More often than not, this test fails the patient.

While your thyroid gland may be producing enough thyroid hormones so that the TSH blood test falls within the normal range, your cells may not be able to use those hormones efficiently, which is why you would still have symptoms of hypothyroidism and could benefit from treatment.

At Hotze Health & Wellness Center, we listen to your symptoms. If you suspect you may have hypothyroidism, take my Symptom Checker today to find out.

Help for Hot Flashes

I’m 48 and I’ve started having hot flashes, but I didn’t realize just how bad they can be. I can’t sleep at all. I’m burning up, sweating all night long and my bed sheets are drenched. My husband is frustrated with me because my tossing and turning keeps him awake, too. My doctor recommended an antidepressant, but I don’t want to take it. What do you advise? 

Hot flashes are the most common symptom of natural menopause. Women who have had their ovaries removed or had a total hysterectomy can also experience hot flashes since those procedures put a woman directly into what is referred to as surgical menopause.

Hot flashes consist of a surge of heat, a red flushed face and neck, and sweating. They occur when the blood vessels near the skin’s surface dilate to cool, making you break out in sweat. Hot flashes with sweating that happen at night are called night sweats. Hot flashes can last either for a very short time, from about six months to two years, and they usually get milder over time, but some women have them for much longer time. For some women, hot flashes can be debilitating. There are other unwanted symptoms that come along with menopause, as well.

Other symptoms of menopause include:

  • Night sweats
  • Fatigue
  • Weight gain
  • Migraines
  • Brain fog
  • Depression
  • Loss of libido
  • Anxiety
  • Sleepless nights

There are lifestyle tips you can do to help get relief, such as having a fan blow on you and turning down the A/C to help cool you off. Drink lots of water to stay hydrated. Be sure to avoid certain hot flash triggers such as sugar, spicy foods, caffeine, alcohol (especially red wine) and smoking.

However, to truly alleviate your hot flashes, you have to get to the culprit: the drop in estrogen hormones. The reason you are having hot flashes is mainly the decline in estrogen levels as you enter menopause. At Hotze Health & Wellness Center, we have great results when we treat our guests (we call our patients guests) with bioidentical estrogen.

Please beware of taking Premarin, which conventional doctors often prescribe for hot flashes. It contains potent horse estrogens that were not meant to be inside the human body. Premarin is derived from pregnant mare urine, hence the name, “Pre-mar-in”. Premarin has serious side effects that include blood clots, breast tenderness, fluid retention, headaches, high blood pressure, increased risk of endometrial cancer and breast cancer, and increased risk of heart attack and stroke.

Antidepressants are not the answer, either, and they have many negative side effects, as well. If you are taking an antidepressant, please do not stop taking it without consulting with your doctor first. This is very important. Work with your doctor to help you wean off of it slowly and safely.

Are hot flashes making your life miserable? At Hotze Health & Wellness Center, we can help. Let us guide you safely through menopause and help you to feel your best. Contact our Wellness Consultants today for a complimentary wellness consultation at 281-698-8698. It’s time to cool off from those hot flashes and get your life back!

Keep Your Questions Coming

I hope these suggestions are helpful to you and to others who are dealing with these common problems. Keep your questions coming! Send me a private message on Hotze Health & Wellness Facebook page at Don’t forget to mention Katy Christian Magazine in the subject line. And remember, there’s no such thing as a dumb question. 

To learn more about the Hotze Health & Wellness Center and schedule a Free Wellness Consultation, call us at 281-698-8698 or visit

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Dr. Steven Hotze

Dr. Hotze is the Founder and CEO of the Hotze Health & Wellness Center, Hotze Vitamins and Physicians Preference Pharmacy International. Dr. Hotze received his medical degree from the University of Texas Medical School at Houston. Dr. Hotze believes that everyone deserves a doctor and a team of professionals who can coach them onto a path of health and wellness, naturally, so that they can enjoy a better quality of life without the use of pharmaceutical drugs. Dr. Hotze is the best-selling author of Hormones, Health, and Happiness, Hypothyroidism, Health & Happiness and Do A 180. Suzanne Somers dedicated an entire chapter to Dr. Hotze in her New York Times best seller, Breakthrough. “This Texan doctor is going to steal your heart,” writes Somers. “He has so much energy he can’t wait to get to his office each day.” Dr. Hotze has appeared on hundreds of television and radio shows across the nation, including ABC, NBC, CBS, and FOX affiliates, CBS’ The Morning Show and The Biography Channel. He has also appeared on the morning program, Great Day Houston with Deborah Duncan. Dr. Hotze hosted “Health & Wellness Solutions” radio show on KSEV 700 AM and “Dr. Hotze’s Wellness Revolution” radio show on KPRC AM 950 and iHeart radio. He currently hosts the Dr. Hotze’s Wellness Revolution podcast. He has been married to his high school sweetheart, Janie, for 52 years. They have 8 children and 23 grandchildren.