Hey unless your Nutritionist is a medically liscensed doctor he can't diagnose you with any type of disease. An enlargement of the thyroid doesn't necessarily mean you have hyperthyroid. If you really have a problem you'd need blood tests to make sure. I'd be a little concerned with a possible enlargement in the thyroid region.
That being said if you are a hardgaiber keeping track of diet and increasing calories with clean foods is the way to go. I always make my own "gainer" shakes with whey, milk, oats, PB and maybe fruit or cottage cheese. Also having bags of homemade trail mix in bags like in my car, backpack, desk helps to increase calories as well
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