Hi, I am 26 years old and 2 weeks pregnant and just wondering if I need to be on any Levothyroxine? Hair falling out, feeling cold and more tired. Thank you in advance.
Free T4 10.8 (12 - 22)
Free T3 3.1 (3.1 - 6.8)
TSH 29 (0.2 - 4.2)
TPO antibodies 1000 (<34)
Without a doubt you need to be medicated. Your TSH is way above normal, not to mention the other levels being out of range. Please ensure that your doctor addresses this immediately. I have had 5 babies (3 after being diagnosed hypothyroid) and my doctor (and my own research) have indicated that the risk of miscarriage is higher if left untreated. My levels were out of range (tsh 87) and I didn't suffer any problems however that risk is real. Please see your doctor about this and make sure he addresses this. All the best to you and congratulations!
Congratulations on your pregnancy, make an urgent appointment to see GP to be started on Levothyroxine ASAP. Standard starter dose is 50mcgs, GP may start on higher dose because of pregnancy.
Perhaps ask for referral to endocrinologist as well, but important to start Levothyroxine now
NICE guidelines recommend TSH to be under 2.5 for pregnancy
Your antibodies are high this is Hashimoto's, (also known by medics here in UK more commonly as autoimmune thyroid disease).
About 90% of all hypothyroidism in Uk is due to Hashimoto's
Essential to test vitamin D, folate, ferritin and B12.
Always get actual results and ranges. Post results when you have them, members can advise
Hashimoto's affects the gut and leads to low stomach acid and then low vitamin levels
Low vitamin levels stop Thyroid hormone working
Low B12 and folate especially are to be avoided while pregnant as can affect baby
Poor gut function can lead leaky gut (literally holes in gut wall) this can cause food intolerances. Most common by far is gluten
According to Izabella Wentz the Thyroid Pharmacist approx 5% with Hashimoto's are coeliac, but over 80% find gluten free diet helps significantly. Either due to direct gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)
But don't be surprised that GP or endo never mention gut, gluten or low vitamins. Hashimoto's is very poorly understood
Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and slowly lower TPO antibodies
thyroidpharmacist.com/artic...
thyroidpharmacist.com/artic...
amymyersmd.com/2017/02/3-im...
chriskresser.com/the-gluten...
scdlifestyle.com/2014/08/th...
drknews.com/changing-your-d...
I'm sure NICE guidelines were changed last year to TSH below 2.0 in pregnancy, but whatever happens, you need medication and FAST.
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