Hi can anyone help with latest results and pregnant

[Maryah85]

Had up and down results for a few months I take Levo 25 4 days a week and 50 3 days a week. Currently 4 weeks pregnant. Any thoughts on latest T4 results?

[SeasideSusie Remembering]

Maryah

You are grossly undermedicated with a TSH of 3.88 (0.27-4.20) and a below range FT4 of 9.7 (11-21.20). What has your GP said?

If your GP hasn't increased your dose you need to make an urgent appointment and you must have your Levo raised immediately to protect your baby. For a successful pregnancy TSH must be below 2.5 at this stage.

British Thyroid Founcation information for patients here:

btf-thyroid.org/pregnancy-a...

If your GP doesn't know how to treat pregnant Hypo patients you can send him this link from the BTF:

btf-thyroid.org/pregnancy-a...

Also, read through all the links in the NICE Clinical Knowledge Summary for "managing a woman who is pregnant" here:

cks.nice.org.uk/topics/hypo...

Don't take no for an answer, kick and scream if necessary, you must have an increase in your dose immediately and be regularly monitored. Good luck.

[Maryah85 in reply to SeasideSusie]

Thanks I have extra here so I’m upping my own own dose. But my tsh has never correlated with my T4 at all. I was meant to have a pituitary mri but it’s on hold due to pregnancy. Thanks for helpI thought I needed more Levo

[Maryah85 in reply to SeasideSusie]

Hi SeasideSusie so the endo upped my meds to 75 daily. Took first dose yesterday felt dizzy, heart rate fast and generally dizzy not with it. Is this down to the meds??

[SlowDragon Administrator in reply to Maryah85]

Is this same brand of levothyroxine as before?

If it’s a single 75mcg tablet it’s Teva brand

Teva brand upsets many people

[Maryah85 in reply to SlowDragon]

It’s Teva but it’s what I was taking anyway I was on Teva before taking 50 4 days week and 25 3 days a week. Took 75 yesterday felt awful and dizzy and unstable

[SlowDragon Administrator in reply to Maryah85]

Try splitting the dose …taking half in morning half at bedtime

[SeasideSusie Remembering in reply to Maryah85]

Maryah85

As it's the same brand, take it more slowly. Instead of taking 75mcg daily, which is a big jump from the days you were taking 25mcg, as you were taking 25mcg x 4 days and 50mcg x 3 days, just go to 50mcg daily for now and see how that goes.

[Maryah85 in reply to SeasideSusie]

Good idea I’ll try that as geek ok today so must of been the meds increase

[SlowDragon Administrator]

Pregnancy guidelines

thyroiduk.org/having-a-baby-2/

gp-update.co.uk/files/docs/...

Important re dose increase in levothyroxine See pages 7&8

btf-thyroid.org/Handlers/Do...

thyroidpharmacist.com/artic...

Folate is low too

You need vitamin D tested too

What vitamin supplements are you currently taking

[Maryah85 in reply to SlowDragon]

Thanks

[SlowDragon Administrator]

Folate is low

What vitamin supplements are you currently taking

Essential to test vitamin D as well

NHS easy postal kit vitamin D test £29 via

vitamindtest.org.uk

[Maryah85 in reply to SlowDragon]

Latest result level lower on the tsh

Photo

[SlowDragon Administrator in reply to Maryah85]

Ft4 is still BELOW RANGE

You urgently need to discuss this with Endocrinologist

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