High thyroid in 7 weeks pregnancy

[Arpitagope]

Hi

I am 7 weeks pregnant. And my TSH level is 9.64...As I know this is very important for baby's brain development...So I am very scared about it...😔

[Clutter]

Arpitagope,

Were you taking Levothyroxine before you were pregnant and has your dose been increased?

[Arpitagope in reply to Clutter]

I used to take thyronorm 25 before pregnency...After that my TSH level quite normal..But after getting pregnency TSH level comes to 9.64.

[Clutter in reply to Arpitagope]

Arpitagope,

Please see your GP as soon as possible because high TSH increases the risk of miscarriage and can impair foetal development. In the UK it is recommended that the TSH of newly pregnant women should be in the low-normal range 0.4 - 2.5. In the meantime I would take 75mcg Thyronorm to start bringing down your TSH.

For maximum absorption Levothyroxine should be taken with water 1 hour before, or 2 hours after, food and drink, 2 hours away from other medication and supplements, and 4 hours away from calcium, iron, vitamin D supplements and oestrogen.

It takes 7-10 days for Levothyroxine to be absorbed before it starts working and it will take up to six weeks to feel the full impact of the dose. Symptoms may lag behind good biochemistry by several months.

You should have a follow up thyroid test in 6 weeks in case dose needs increasing. Arrange an early morning and fasting (water only) blood draw when TSH is highest, and take Levothyroxine after your blood draw.

thyroiduk.org.uk/tuk/about_...

[Marz]

Also VERY important for the developing foetus - that your B12 and VitD levels are at the top of the range. Low levels have been linked to poor health in children later on ....

Hope your GP can help you soon.

[EleanorM-G]

Your TSH is very high, and needs to be tackled straight away. Make an appointment with your GP straight away.

Take a look at the website, hyperthyroidmom.com. It has lots of great articles, (I have included some thyroid/pregnancy articles at the bottom) and advice you can take to your GP. (You GP will know very little about the thyroid in pregnancy, so it is very important for you to get as knowledgeable as you can) Buy the book she wrote on pregnancy-it’s amazing! “Your Healthy Pregnancy with Thyroid Disease”, by Dana Trentini & Mary Shoman.

It s advised that as soon as you find out you are pregnant, then increase your Levo/thyroxinne (T4) by 30% . The demand increases as soon as 4-6 wks into pregnancy and we are trying to avoid miss carriage. Then go to your GP and let them know you need blood tests every 4weeks until 20weeks. The results of these tests, will likely show that you need further increases. (Don’t increase without the blood tests to tell you how much you need.) Your blood tests need to include T3 results. If your GP won’t do this, get private testing done through “Blue Horizon.” As always, get copies of all your blood tests, and post on here for advice. Do not accept your GP telling you that you are “normal” or “within range” as very few of them know what is healthy for pregnancy. At 20 wks, the demands usually plateau and you will need tests/increases less often. (The book tells you how often.)

The book I mentioned above, gives this advice about the TSH levels you need to have to have a healthy pregnancy. This is really helpful to take to your doctor.

First trimester: less than 2.5 with a range of 0.1-2.5

Second trimester: 0.2-3.0

Third trimester: 0.3-3.0.

TSH should be monitored every 4 weeks during the first 20 weeks of gestation, then once again between 26 and 32 weeks

Keep an eye on your B12 levels, as pregnancy places a high demand on these and people with an underactive thyroid are usually deficient to begin with. (You can’t overdose on B12, anything you don’t need you will pee out. A bit of a waste of money, but not dangerous!)

Some articles, you may like to read:

thyroid.org/professionals/e...

cks.nice.org.uk/hypothyroid...

cks.nice.org.uk/hypothyroid...

hypothyroidmom.com/what-eve...

dl.dropboxusercontent.com/u...

thyroiduk.org.uk/tuk/about_...

thyroid-info.com/articles/p...

healthunlocked.com/thyroidu...

2017

Guidelines of the American Thyroid Association for the Diagnosis and Management of Thyroid Disease during Pregnancy and the Postpartum

online.liebertpub.com/doi/p...