Pregnancy & Hypothyroidism

[B1uberry]

I’m just over 5 weeks pregnant

My most recent TSH results are:

- 20/12/24 - 2.13mU/L

- 17/01/25 - 2.47mU/L

Bloods taken first thing in the morning before food/ meds/ drink.

I’m currently on 100mcg Accord brand levotyroxine once a day - I previously had a different brand of levo that didn’t suit me.

Recommendations suggest increasing by at least 25% when pregnant. I’m keen to keep with Accord, but they don’t make 25mcg tablets (I don’t think but I’ll double check). So options are:

- split a 50mcg tablet daily (I’ve not yet asked the pharmacy if they can be split)

- take 150mcg every other day

- take 200mcg two days a week as per NICE guidelines & BTF website (but I would’ve thought 150mcg every other day would be more consistent)

Any experience/ suggestions? I’ll have a telephone appointment with my doctor tomorrow but he’s not very experienced with this.

NHS have declined me being referred to endocrinology. I’ve paid for a private endocrinologist previously who wasn’t great - any suggestions for London-based endocrinologists would be fab.

thanks for reading if you’ve gotten this far