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Weight gain is a natural—and necessary—part of being pregnant. According to the American Congress of Obstetricians and Gynecologists , women who fall into a clinically "normal" weight range should plan to gain between 25 and 35 pounds during pregnancy the amount is higher and lower for women who are underweight and overweight, respectively. First, a primer: Your thyroid is an endocrine gland located at the front of your neck. It stores and produces hormones that, among other things, regulate your metabolism. People with an underactive thyroid , aka hypothyroidism, may require fewer calories than normal to function, which can then lead to weight gain. In addition to thyroid hormones, hormones like ghrelin, which stimulates hunger, can be thrown out of whack during this time, she explains.