I am 29 years old female with hypothyroidism under medication since 2014. This year i was taking 75mcg of levothyroxine every day. I got pregnant on October and immediately consulted with my GP who asked me to do a thyroid function test. My GP informed me that the reports were normal no need to change medication . I found out later on my TSH was 4.8 . I was getting increasingly sleepy and tired at this point I wasn’t sure if it’s because of my hypothyroidism or due to my pregnancy.After ten days I consulted with my endocrinologist from my home country and I informed him about my Tsh level. He told me that my dose needs to be increased he told me i should take 87.5 . I took 87.5 afterwords after his consultation. After two weeks my midwife did a TSh test again which showed my tsh :1.4 and t4 :23.2
Unfortunately i had a missed miscarriage. This is my second time ....having a miscarriage. This breaks my heart !
I spoke with my GP few days back only she asked me to continue same dose 87.5 and have a blood test done at the end of December.
My heart rate is running high nowadays. 125/min and 130 / min most of the times . At this point, i want to consult with a good endocrinologist. However my gp is not referring me to an endocrinologist. I don’t want to concieve again without maintaining my dose . The recurrent miscarriages is impacting my mental health tremendously.
Please could anyone advice me how can i consult with an endocrinologist without referral. I am fed up at this point !!
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Gimssyyy222
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BEFORE booking consultation get FULL thyroid and vitamin testing
Extremely important to maintain OPTIMAL vitamin levels, especially before TTC
Is your hypothyroidism autoimmune?
Bloods should be retested 6-8 weeks after each dose change or brand change in levothyroxine
For full Thyroid evaluation you need TSH, FT4 and FT3 tested
Also both TPO and TG thyroid antibodies tested at least once
Very important to test vitamin D, folate, ferritin and B12 at least once year minimum
About 90% of primary hypothyroidism is autoimmune thyroid disease, usually diagnosed by high thyroid antibodies
Autoimmune thyroid disease with goitre is Hashimoto’s
Autoimmune thyroid disease without goitre is Ord’s thyroiditis.
Both are autoimmune and generally called Hashimoto’s.
Low vitamin levels are extremely common when hypothyroid, especially with autoimmune thyroid disease
20% of autoimmune thyroid patients never have high thyroid antibodies and ultrasound scan of thyroid can get diagnosis
In U.K. medics hardly ever refer to autoimmune thyroid disease as Hashimoto’s (or Ord’s thyroiditis)
Recommended that all thyroid blood tests early morning, ideally just before 9am, only drink water between waking and test and last dose levothyroxine 24 hours before test
This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)
Private tests are available as NHS currently rarely tests Ft3 or all relevant vitamins
Testing options and includes money off codes for private testing
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