Hi, I'm new to this community and hope to get some advice. While looking into fertility treatment last Sept. I was told that I had elevated TPO antibodies 23.5 IU/ml (normal: <5.6) but TSH was normal at 1.87mIU/l (normal:0.27-4.20).
Then I fell pregnant naurally in January and got my doctor to check these values straight away as I was told to do this should I fall pregnant. The TPO value has shot up to 90.2 kIU/L (normal: up to 34) and TSH had increased to 3.04mIU/l (normal:0.27-4.20). I was referred to an endocrinologist who perscribed L-Thyroxin with Iodine 50 μg.
After two weeks my bloods showed that TPO had increased again to 118 but TSH had decreased to 1.51. I then found out at a rountine scan that my baby had stopped growing at 6 weeks, a missed miscarriage. I stopped the thyroid medication as both doctors prevously said the increased values were probably just been due to being pregnant and I wanted to see if my body would go back to normal.
Three weeks later a blood test at the endocrinologist showed that my TSH level had increased to 4.57, with my TPO value dropping to 52. Now my doctor has perscribed L-Thyroxin 50 μg and advised me to take this for 6 months before going for a check up. 6 months seems like a long time to me - should there not be regular blood controls to check my levels and see if the medication dosage is correct? I'd be very grateful for any advice as I've no experience with thyroid health to date.
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tryingfortwo
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yes it would be much better to have a repeat blood test to check the dose after 6-8 weeks , 3 months at most... you are correct 6 mths is too long.
NHs guidelines officially suggest 3 months ..but many GP will use 6 -8 weeks.
Adults1.4.3For adults who are taking levothyroxine for primary hypothyroidism, consider measuring TSH every 3 months until the level has stabilised (2 similar measurements within the reference range 3 months apart), and then once a year.nice.org.uk/guidance/ng145/...
PS I was referred to an endocrinologist who perscribed L-Thyroxin with Iodine 50 μg
does that mean an iodine supplement as well as Levo ? if so ...iodine in what form /at what dose ?
Iodine can have odd or opposing effects of thyroid .. and levo is basically made of iodine anyway (T4 is '4 iodine atoms').. so even though iodine is often recommended in pregnancy supplements , you may not have needed any extra iodine if you were taking levo .
so just in case it's relevant here's a bunch of info on iodine / thyroid . healthunlocked.com/thyroidu... iodine-a-collection-of-useful-information-because-the-search-facility-on-health-unlocked-is-totally-pants
Hi, thanks a lot for your detailed response. When pregnant, I was prescribed a formulation containing 150 μg of iodine(ions) as the endocrinologist said iodine was very important for the baby.
Thanks for the literature. I have read so much about iodine online, and I find it quite confusing, to be honest. I'll have a look through what you sent when I get a chance.
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