T3 and pregnancy: I'm considering trying combo t... - Thyroid UK

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T3 and pregnancy

haggisplant profile image
11 Replies

I'm considering trying combo t4 and t3. Does anyone know if anyone has become pregnant with combination therapy and is it ok?

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haggisplant profile image
haggisplant
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11 Replies
Clutter profile image
Clutter

Haggisplant, as long as you get the thyroid hormone replacement you need it doesn't matter whether it is from T4, T4+T3 or NDT.

narayan8 profile image
narayan8

Haggisplant, can you tell me if you started this protocol and what happened? I am currently being treated with T3 and will need T4 once pregnant. I would love any feedback or experiences if you ended up going so.

Thanks!

haggisplant profile image
haggisplant in reply tonarayan8

Hi, no I havent, sorry, and may not of the t4 is managed along side ferritin levels etc which turned out to be an issue. I'd only seek this if things like iron aren't top notch.

Why do you need t4? An endo should be able to advise?

narayan8 profile image
narayan8

Thanks for the reply haggisplant. I currently take only T3, but a growing baby will need T4. I've just never done this before and it's all making me a little nervous. They say a baby, especially during the 1st trimester needs it's mother's T4.

haggisplant profile image
haggisplant in reply tonarayan8

I think you should ask to be referred to an endocrinologist and obstetrician for proper advice. Do you take t3 as you can't convert t4?

narayan8 profile image
narayan8

I already have the endo, I will see him tomorrow and he will explain everything.

I just wanted to see if anyone has any experience with this and how it all panned out.

I had a very high level of rt3, so I am just taking t3 and it works great.

haggisplant profile image
haggisplant

I'm sure somewhere along the way I've heard of a pregnancy with t3 - or maybe it was a combo? It's the first trimester that baby needs it most then by the last trimester their own thyroid starts functioning.

Hope it goes well x

humanbean profile image
humanbean

This might be of interest : stopthethyroidmadness.com/p...

narayan8 profile image
narayan8

Thanks for the response humanbean. I see it's necessary and I have recently (for 1 week) been on a low dose of T4 to start and lowered my T3 only treatment just a little and unfortunately I feel like I am having hypo symptoms. I'm super tired, dizzy, i've already gained water weight and its definitely noticeable in my face. my face is "swollen". I am going to call the doctor Monday. I don't know what to do. This is rough.

I am afraid my body cannot tolerate T4 and therefore I will not be able to have a healthy pregnancy. Having a T3 only pregnancy is not something people do, so it seems.

haggisplant profile image
haggisplant

Hi, sorry about this :(

I suspect it's because t3 has such a short half life but t4 has a 10 day half life, so you're runniing out of t3 before your body can replace it with converting t4 to t3. I don't know anything about it but hang in there and take it very easy. Are you working?

narayan8 profile image
narayan8

Hi Haggisplant, yes I am working. I felt great on T3 only. For the past 1.5 weeks I've been on T3/T4 combo and I've gained 5 lbs (without change of diet or exercise) and my face and eyes are swollen. I got depression at the beginning and then got hyper for a few days with HR at 85 and temp at 99.3. I poured a tiny bit out of the T4 and that has regulated. but the swelling is the same. clothes are tight. I'm trying to stay emotionally strong thru this.

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