Postpartum sub clinical hypothyroidism- advice! - Thyroid UK

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Postpartum sub clinical hypothyroidism- advice!

CL1988 profile image
5 Replies

Hi all

I’m 36yo currently 5 months post partum currently riding the thyroid wave.

At 3 months pp I went the drs due to onset of hives for around 3-4 weeks alongside angioedema. My dr completed a full blood panel and interestingly my thyroid came back slightly deranged. After discussing with an endocrinologist it was agreed to repeat my bloods around 4 weeks later.

I’ve recently received the results and interestingly things have slightly improved but I received a positive antibody result of <1300.

My TSH is now 9.2 previously 14.7 and my T4 is now 13.7 previously 10.4.

It’s worth noting I am experiencing symptoms of hypothyroidism specifically hair loss, fatigue, joint pain, nail issues and brain fog. Interestingly these symptoms have been on and off for some time prior to having my 5 month old. I had my TSH completed 2 years ago and I was 2 years post partum with my first born but this came back in range so no further testing was done. However I did have some issues with vitamin deficiency so was placed on folate for a short period of time.

Any views, experiences similar to mine or advice would be greatly appreciated. I see my GP next week to discuss a plan so it would be great if I could be informed before that discussion.

Thanks in advance!

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CL1988
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HowNowWhatNow profile image
HowNowWhatNow

how are your iron (ferritin and haemoglobin), vit D and B12? Recommend getting them done / corrected if needed, for your own energy levels now, onward health and for good thyroid function.

I developed hypothyroidism post natally.

I don’t know what the research on it is - should one medicate sooner or if there is any advantage to medicating later.

The fact that you have high antibodies suggests to me - and I haven’t read any research on it - the first.

Best of luck.

CL1988 profile image
CL1988 in reply toHowNowWhatNow

Many thanks for your reply. Yes that’s what I’m thinking too, I just don’t want to be fobbed off!

Lottyplum profile image
Lottyplum in reply toCL1988

Don't be fobbed off! I was after 1st pregnancy, blood test fine, blah blah blah. Went down hill rapidly. One GP said it was psychosomatic. I thought I was losing the plot - no it was Hashi+thyroid was removed after paying private for 2nd opinion (4 yrs on)+thyroid removed due to large goitre - even tho I told GPs I couldn't breathe@times! So much for it all being in my mind! Don't go through what I did! I was so ignorant. Fight yr corner or get help from someone to fight with you. It's hard enough dealing with thyroid issues on their own without the need to care for little ones, too! You need all your energy for that job on its own! There is so much help here so use it to educate yourself (and probably the medical profession as well!) and receive the necessary treatment you need to feel and be well.

SlowDragon profile image
SlowDragonAmbassador

High thyroid antibodies confirms autoimmune thyroid disease

You need further testing of vitamin D, folate, ferritin and B12

what vitamin supplements are you currently taking

With TSH over 10 you should have been started on Levo

Starting levothyroxine - flow chart

gps.northcentrallondonccg.n...

Also

While still eating high gluten diet ask GP for coeliac blood test as per NICE Guidelines

nice.org.uk/guidance/ng20/c...

Were both tests done early morning?

Recommended that all thyroid blood tests early morning, ideally just before 9am, only drink water between waking

This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)

Even if we frequently start on only 50mcg, most people need to increase levothyroxine dose slowly upwards in 25mcg steps (retesting 6-8 weeks after each increase) until eventually on, or somewhere near full replacement dose (typically 1.6mcg levothyroxine per kilo of your weight per day)

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

bnf.nice.org.uk/drugs/levot...

nhs.uk/medicines/levothyrox...

Adults usually start with a dose between 50 micrograms and 100 micrograms taken once a day. This may be increased gradually over a few weeks to between 100 micrograms and 200 micrograms taken once a day.

Some people need a bit less than guidelines, some a bit more

TSH should be under 2 as an absolute maximum when on levothyroxine

gponline.com/endocrinology-...

CL1988 profile image
CL1988 in reply toSlowDragon

Many thanks for this.

I’ll double check with my GP and if not ask for those tests to be completed too.

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