I thought I'd go to the GP with the NICE guidelines today for women who are trying to conceive. I will let them know what the guidelines state and see if they decide to treat with me with my elevated thyroid antibodies. I need to give it once last shot before I self-medicate. If they decline. I'm coming straight back here to order online for self-medicating. Any words of advice i could say to the GP to persuade them and make them listen.... (Note my thyroid is 2.84 TSH. (docs are not considering me hypo just yet)
No advice other than to stand your ground and don't let them fob you off! I'm off to my GP for a similar conversation tomorrow and already feeling anxious about it. Good luck and be sure to post how you get on.
Before self medicating, is it worth considering going private? That's my next port of call if/when my GP doesn't help x
I don't know if this is correct or not. Perhaps you need to confirm if you have Hashi's
(forgive me but I only saw one set of antibodies results) first before you start to self-treat.
My first question would be:-
Do I have Hashi's?
Followed by:-
Why are my antibodies raised and could this be the reason why l miscarried? What is going on here?
I'm so sorry about your loss orangpie, ((((()))))
in reply to
Thank you for the response HeirloomApple. The thing is the NICE guidelines state a women trying to conceive should have a TSH level of under 2 in the first 12 weeks. This is one of the reasons why I would like levo to lower TSH. I think my TSH struggles in pregnancy. However, the last time I miscarried I did a blood test straight after the miscarriage which suggested an increase in TSH by 1 and Thyroid peroxidase antibodies soared. This from what I have read indicates the miscarriage was caused by these antibodies as the blood test was done straight after. Most of the links I read says even if one is elevated including advice from here suggests I do have hashi :
HA, I think what they're saying is you need both types of antibody to be tested, not you need both high to be positive. You are positive if one or the other is high.
UPDATE: I've been to the GP (NHS) and presented the guidelines about pre-conception and TSH levels. She said that these guidelines apply to a women who already has hypo or newly diagnosed. I have to give it to her, she was sympathetic and understood my concerns. I've been to the Docs about this twice last week too and they were not as good as her. She mentioned that my antibody levels should not be a reason for it to be a problem for implantation. She didn't just dismiss me or fob me off; she messaged the endocrinologist saying that I wish to conceive and I keep miscarrying very early. She also mentioned to the endo I wanted to take levothyroxine in order for it to help the antibodies as she was unsure what to do. I have to wait until next week when she will call me with the answer from the endo. Wish me luck that they will prescribe it.
She said ' do not self-medicate' as you do not know what you are getting abroad. Hmm.
It sounds hopeful. Clutter has just pointed out to me in a similar case above that the British Thyroid Assoc guidelines say explicitly treat even if "euthyroid with antibodies" if over 2.5, I've just put the extract on the conversation. So your GP is wrong, though I have to say the BTA doc is a bit of a wade through and I thought exactly the same as her. Only just over should do it. And the BTA document says your thyroid should be monitored in pregnancy too.
Can you send me a link to the British Thyroid Guidlines- guidlines 'euthyroid with antibodies' and do GPs have to follow this??
in reply to
Can you send me the BTA guidelines link please which relates to this and are obliged to follow it like the NICE guidelines as I didn't get too far with that.
I wish you all the best and hope your GP visist has a good outcome . My wife has numerous early miscarriages over many years . Their are many causes of miscarriages and I would advise not getting too fixated on one cause . Best wishes . Skeeter
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Going private ..endo or Gp? 
Disastrous appointment with gp today
Positive gp appointment. Any thoughts?
I found this off another site.
Conspiracy?!! Disastrous visit to the GP today
