T3 only pregnancy : Good evening all I presently... - Thyroid UK

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T3 only pregnancy

KateUK profile image
21 Replies

Good evening all

I presently take T3 only... long story, was confirmed as being allergic to T4 (levothyorxine) so instead prescribed T3 (liothyronine) only treatment and life has improved since, all the nasty side effects which I experienced on T4 went within around 4 weeks of coming off the medication.

I'm now of an age where I'm thinking about a having a child, however, if being on pure T3 medication meant any risks then I would not pursue it. I've seen two endo's, the first (who wouldn't prescribe me T3 at all) was dead against the idea of a T3 only pregnancy (apparently there hasn't been a single test/study/research of a T3 only pregnancy), he went onto list all the associated risks such as cretinism etc... he put a lot of fear into me so I resigned myself to the fact I would probably be childless.

However, Endo No.2 (who prescribed T3) seemed relaxed about the idea... I'm mixed. There's no way I can tolerate any T4.

I'd love to hear from any mum's who experienced a T3 only pregnancy.

Thank you

Kate

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KateUK
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21 Replies
Clutter profile image
Clutter

Kate,

I don't think there will be many women who take T3 only during their pregnancy as most endos will try to persuade them onto Levothyroxine which is obviously not an option for you.

Why not Google "T3 only pregnancy".

marram profile image
marram

Risk of cretinism? Where on earth would he get that idea from? Cretinism is caused by lack of a thyroid going undetected and untreated. The first thing that all babies have is a blood test for thyroid and phenylketonuria, amongst other things, immediately after birth. He was a shameless scaremonger. In order to utilise the Levothyroxine, it has to be CONVERTED into T3! There are far more likely to be problems if you were to go back onto Levo and it made you ill.

It is probably comparatively rare to see a T3only pregnancy, but there is really no reason why it should not be just the same as taking Levo, or indeed having a normal thyroid, so long as you did not overdose and end up with raised blood pressure (which, of course, also applies to Levo.)

Ruthi profile image
Ruthi

Cretinism? What a load of rubbish? T3 is the active hormone, so that is the one your baby needs. If you aren't spreading your dosing through the day it might be a good idea to do so while pregnant, since the half life is so short.

There may not be much in the way of studies on T3 only preganancies, but I bet there are some for NDT. Have you considered trying that?

humanbean profile image
humanbean

You should read this :

tiredthyroid.com/blog/2013/...

I have never researched this myself because it has never been relevant to me, so can't offer any other links.

As someone on T3-only I can understand why you might be reluctant to give it up for 9 months or more.

There have been posts on this forum from women who have had very successful pregnancies on NDT. I think they might be quite hard to find though, since the search function is so dreadful.

Cavalli13 profile image
Cavalli13

Hi, I was on T3 only before I was pregnant, so my gp told me that I need to be on T4 medication only when I will be, so now I am 8 weeks pregnant taking 50 mcg of levo only and retesting every 4 weeks until my levels will be ok. I feel awful lot of nauseas and soooo tired, but I will wait until the first trimestrer and then maybe I will introduce some T3 with my T4 depend on my levels and symptoms... My B12 is low too I would like to supplement it to but I dont know if I can during pregnancy, I will ask my doctor if I can or not.

humanbean profile image
humanbean in reply to Cavalli13

Low B12 is definitely not a good thing to have during pregnancy. You should supplement. See this link :

b12deficiency.info/b12-and-...

Learner1 profile image
Learner1 in reply to Cavalli13

You definitely should supplement B12 in pregnancy. And methyl folate too. Baby risks birth defects without adequate methylation.

Cavalli13 profile image
Cavalli13 in reply to Learner1

I am taking methylfolate but my b12 is 330 I would like it a little higher, i have at home b12 methylcobalamin from solgar 1000mcg but I dont know if is harmful or not for the baby. I did not have yet any scan until my 12 week so I am pretty scared... Too many things suddendly plus the thyroid game too...aaahh and high antibodies to add to the mix... :(

Learner1 profile image
Learner1 in reply to Cavalli13

Go on a gluten free diet which can help antibodies.

Ideally, your B12 level should be 800-1000, or even higher.

For more info on supplements Google:

Ben Lynch Prenatal Supplementation Optimizing your Future Child.

In a nutshell, Solgar B12 is a good start, but may not be sufficient.

Good luck!

Cavalli13 profile image
Cavalli13 in reply to Learner1

Thanks! I am gluten free since two years ago, and my tpo dropped from 1500 to 1000 but I dont know how they are now..

Ok I will investigate about the b12 and I will start to supplement.

Thanks again!

Petriz profile image
Petriz in reply to Cavalli13

Hi! Just wondering if you managed to get pregnant on T3 only? Or if you started T4 before getting pregnant?

Goodlife1 profile image
Goodlife1

Hello, I'm on t4 and t3, 24 weeks pregnant. T4 only makes me very ill. I know of ladies who have had successful t3 pregnancies only too when they didn't using t4. Conventional medicine seems to demonise t3 since t4 was introduced...without any trials, is my understanding. Before that women took NDT and I anticipate millions of babies would have been born from the early 1900's to 1950's before levothyroxine was invented. T3 is what keeps us alive, t4 is inactive and needs to be converted to t3 to have any health benefits for us. There is a great pregnancy support group on Facebook called Thyroid Disease and Pregnancy. Hope this helps.👍

KateUK profile image
KateUK

Hi everyone

Thank you all so much for your prompt replies - greatly appreciated :)

Yes, interestingly, reading the comments I can see my thinking is inline with others, e.g. as T4 needs to be converted into T3 to be used my mother and baby then why would readily converted pure T3 be harmful? Apparently babies categorically need T4 - but why? I will research this specifically.

Thanks for the links to research - I will read. I have googled 'T3 only pregnancy' but I've found absolutely nothing... think I might even contact a T3 manufacturer directly so see if they have funded any research in this area.

Interestingly, as a few of you suggest, I've found information re successful NDT pregnancies but sadly my endo has totally ruled that out... he would only entertain it if the T3 hadn't worked and even then he was greatly reluctant; his argument being that the quantities in every batch of NDT vary greatly and are unreliable and therefore 'dangerous'.

However, he did say I could have a 100% T3 pregnancy and at the time I didn't dig in to his thinking too much because I wasn't sure I wanted a baby but now I am going to schedule another appointment to discuss in detail.

To the Mum's to be on this thread - best of luck, I wish you happy pregnancies :) xx

Juniperjones profile image
Juniperjones in reply to KateUK

Hi KateUK, just wanted to say I've been researching taking t3 only during pregnancy. I haven't been able to find much but I did find this abstract: endocrine-abstracts.org/ea/...

Please let us know what you uncover! I'm 18 weeks pregnant and taking liothyronine only. TSH is normal but free t4 is below normal. I'm coming across lots of info on the web about having adequate free t4 for normal fetal brain development. With my reading being 0.39 I'm concerned to say the least!

SuzelleG profile image
SuzelleG in reply to Juniperjones

Hi Juniperjones, how did your pregnancy go? I've switched to t3 only 2 months ago, but we've been trying for a baby for 18months with 2 miscarriages on just t4. Are you and baby doing well? Really curious about how you went on... 🚼

Kitten1978 profile image
Kitten1978 in reply to SuzelleG

SuzelleG : it might be worth joining "T3 support" FB group. See my post: healthunlocked.com/thyroidu...

There were people in the RWT3 group who had successful pregnancies on T3-only meds. T3 Suport group is much smaller - it has only 834 members - but there may be people there who had their babies on T3-only. Admins are the same (minus Paul).

SuzelleG profile image
SuzelleG in reply to Kitten1978

Thanks Kitten1978.😊

Kitten1978 profile image
Kitten1978

Hi KateUK,

Are you a member of the "Recovering with T3" facebook group? I think some of the group members have had their babies whilst taking T3-only....It may be worth asking them.

Take care

Kitten

KateUK profile image
KateUK

Kitten, i didn't even know there was a Facebook group - i'll check it out. Thanks very much x

bixi profile image
bixi in reply to KateUK

Hi KateUK,

How has your pregnancy been on T3 only? I am in a similar situation, although not pregnant yet, but will try soon and am worried about being on T3 only.

Thanks

Geeta

bixi profile image
bixi

Hi KateUK,

How has your pregnancy been on T3 only? I am in a similar situation, although not pregnant yet, but will try soon and am worried about being on T3 only.

Thanks

Geeta

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