To ask what would you expect of this person?

[Diagnosis4]

I know it’s a strange question but I have to ask for personal reasons. What would you expect of a person diagnosed with the following
underactive Thyroid
high blood pressure
Coeliac disease and irritable bowls
Osteopenia

what would you expect their lifestyle to be like?work they could commit to? How much rest would be required etc?

Sorry,I made the thread in a panic last night going to bed as I was ruminating on what a colleague said.
The coeliac disease and osteopenia are very recent.
Colleague made a flippant comment at work about me maybe having to go part-time because of my health conditions and I laughed, she said she was deadly serious as she wouldn’t expect to have to work a 39hour week if it was her.
I have no plans to reduce my hours because I’m coping well and my treatment so far and lifestyle keep things stable enough.
I have 2 dc so my evenings are busy but yes I do get so tired and as someone mentioned I also get migraines a lot too. I tend to push on through but then falling asleep last night I thought “am I expecting too much of myself?!”…and so I started the thread.

Im not overweight, I’m 5’2 and I weigh 9ish stone, I’m a solid size 10 petite. I’m 40…but I don’t want things to get worse to be honest, I bed to work another 20 odd years! I have no intentions of going on benefits!
I plan on going to the gym one evening a week, I walk 1-2 times a week and I’m going to start yoga one evening too, but I’m panicking any the thought of fitting it all in to be honest. 😩

@Diagnosis4 your colleague sounds like a passive aggressive catastrophiser who likes to suck the joy from other people's lives and winding them up. I'd avoid telling them much in future although it would be nice to engineer a swift but metaphorical kick up the arse.

Hopefully you will have more energy going GF. I find thinking about gluten free all the time is tiring on top of the actual fatigue.

I wouldn't worry about what she said. It's completely up to you how much you work.

It might be you are doing too much & need to prioritise yourself though

I have been GF since June and I’m finding I’m less bloated and a bit less sluggish at times so I can see the benefits. Hopefully it will improve as time goes on!

Don't let what your colleague said limit you, if you feel ok as you are then there's nothing stopping you.

I would expect that someone in that position would be mostly managing their health with medication and lifestyle changes but there may be times when need a bit of sick leave. I’d expect that if they became continuously overtired they would consider going part time. I hope I would butt out because other people guessing what you need is unlikely to help.

Yes I take medication for my thyroid and blood pressure so that is in order. Just starting to get used to managing the coeliac disease, but mostly fine tbh. The osteopenia is throwing me as I just need to carve out more time (that I feel I don’t have)

I agree that addressing the osteopenia is very important- can you get some weights and work out a few times a week at home (heaps of YouTube videos) instead of going to the gym. Also you are only 40 but look out for perimenopause and seriously consider HRT at that time to help with bone strength.

Everyone is different. But none of those conditions would stop many people from working and leading a normal active life. But of course if symptoms were severe then it could limit activities. I don't think osteopeona has any symptoms does it?

I'd expect them to hopefully have a healthy GF diet and try to take plenty of calcium for their bones.

That’s the plan I’m thinking, I really don’t have the time energy to get up with the house again in the evening to go to the gym. And the gym atmosphere is just not what I want or need.thank you

I have high blood pressure and a gluten allergy. Being completely gluten free, while necessary, is bloody hard. There’s the obvious and then there’s vinegar, marmite, a lot of ice creams. Last year I enjoyed blue cheese, but not for long until I broke out in hives. Ffs BLUE CHEESE?? (Apparently the mould is derived from bread mould)

Im always knackered but I’m not sure I know anyone with children (of any age) who isn’t.

I have two of those conditions. My thyroid is managed effectively with levothyroxine and has no impact on my life whatever as long as my TSH is sufficiently suppressed.
Coeliac disease can also be managed effectively with the correct diet, my sister has it and now that she’s diagnosed and is not consuming gluten she’s absolutely fine.
In regards to high blood pressure- correct medical management and addressing lifestyle factors (such as maintaining a healthy weight and getting sufficient cardiovascular exercise) should allow you to live a normal life.
Hypothyroidism in particular is very common, especially in women over 40 and there is no reason once it’s treated properly why it should stop you living a normal life. I work full time, have kids, exercise at least 3 times a week. I do have times when I feel tired but that’s just to getting up at 6am five days a week and being busy with life, work and kids.

I’d add to this by saying make sure your TSH is sufficiently suppressed. UK GP’s are notoriously bad at managing thyroid disease. I had to fight very hard to get to the correct dose. A ‘normal’ TSH is not normal for someone with thyroid disease and we usually need our TSH to be significantly suppressed to feel okay. As soon as my TSH goes over 2.5 I feel absolutely dreadful. It might be worth getting it checked and asking for the results.

Thanks I have had the underactive thyroid since I was 20 so that is actually the least of my worries to be fair. I’m feeling very down about it all today to be honest, just feel like the second I get used to one thing I discover something else. I just keep thinking what next?!

Is this for a benefits claim form??

No. I have explained that I work, I work full time. Not everyone is out to claim benefits!

I have coeliac, and when I was diagnosed (20 yrs ago) I also had osteopenia. However, after sticking to the gf diet and doing weight bearing exercise, mainly running, walking my dogs etc the osteopenia has totally reversed to normal limits. So I would say that as long as u exercise and follow the diet those two extra elements will reduce in severity very quickly. Good luck!

This is amazing! Well done

It's impossible for anyone to comment.
Everyone is affected differently and unless people on this forum have medically assessed the individual they can't offer any meaningful answer.