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Pregnancy and Hypo
Answered by
Mark Lupo, M.D. - Thyroid Nodules, Thyroid Cancer, hyperthyroidism, hypothyroidism, Thyroid Ultrasound
Thyroid & Endocrine Center of Florida Sarasota - FL
Questions in the Thyroid forum are answered by Mark Lupo, MD. Topics covered include Goiter, Graves Disease, Hyperthyroid, Parathyroid/Calcium Problems, Thyroid Cancer, Thyroid Nodules/Cysts, Thyroiditis, Thyroid & Pregnancy, Thyroid Stimulating Hormone (TSH), Thyroid Tests, and Thyroid Surgery.

Pregnancy and Hypo

by pinkwater, Jun 25, 2008 06:45AM
Hi there Dr Lupo, hope you are well. I thank you for your previous reply when I wrote to you on the forum a few months ago. I had a free t4 of 11.2, and tsh of 5.983, and was awaiting antibodies. After a LOT of back and forth, my tsh continued to rise, I finally got commenced on thyroxine 50mcg, when my antibodies came back raised. Then 6 weeks later was increased to 75mcgs. Now another 6 weeks on, I'm still off work, tired and can not shift any weight ( i'm not overweight, but Bmi is creeping up, is currently 24). My tsh was 0.029 last week, free t4 was22, so my dose is back down to 50mcg. Work say that I shouldn't be off with thyroid problem, at least not still off!?
We are also ttc, i am currently on my first round of clomid. Is is safe, in your opinion to continue to ttc with my thyroid being as it is? Is there any thing I can do to help the symptoms (fatigue/weight), and how long on average does hypothyrodism take to settle.  many thanks

by Mark Lupo, M.D., Jun 27, 2008 06:06AM
Need to try to keep TSH in the 0.5 - 2.0 range.  Sometimes this requires a dose between 50 and 75 (ie 1/2 a 125 tablet) -- but work with your doctor on this.  

This thyroid problem should not keep you out of work -- there may be something else happening.  Your levels are not ideal but not extreme.  It usually takes 2-3 months to get the levels under control.
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