T3 helped anyone get pregnant?

[HayDay25]

I conceived normally in 2019 and had my first child. I developed Hashis after that pregnancy and it was picked up on as I developed secondary infertility. Got pregnant again eventually with TSI treatment. Now I would like to try for a third but the TSI is not working. No money for IVF. I am still struggling with cognitive symptoms on T4 only and have been told not to try combination T4/T3 until I’m done having kids. I can put up with this but since the fertility treatment isn’t working and I feel that my body is not working well on T4 only I can’t help but wonder why on earth wouldn’t I try to actually optimise my thyroid function using combination therapy and would it perhaps help me to conceive? If my brain is not functioning well how do I know my reproductive system is? I get delayed (late) ovulation often. There’s not much else I can try and I’ve been given no reason for the infertility …. I have 2 copies of DIO2 polymorphism.

[SlowDragon Ambassador]

previous post

Dec:

Iron: 11.5 (Ref 9-30)

TSAT: 15% (Ref 10-50)

B12: 359 (Ref 139-651)

Folic Acid: 17.1 (Ref 7-46.4)

Very low vitamin levels need improved to GOOD levels as first steps

Exactly what vitamin supplements are you taking

Aiming for minimum

Ferritin over 70

Serum B12 over 500

Folate at top of range

Vitamin D no result

Aim for at least over 80nmol

Only add one supplement at a time then wait 2 weeks to assess before adding another

Retest thyroid and vitamin levels 2 months after adding last supplement

Meanwhile get

FULL iron panel test for anaemia via Monitor my health or Medichecks

And test TSH, Ft4 and FT3 together

ALWAYS test early morning and last dose Levothyroxine 24 hours before test

do you always get same brand Levothyroxine at each prescription

Are you on gluten free/dairy free diet

[HayDay25 in reply to SlowDragon]

Thank you but I didn’t post in relation to those results which are months old. I have since got an iron transfusion, iron and TSAT have come way up, Ferritin is rising slowly, I am supplementing and doing all I can to raise it but it’s hard to get it up, was over 30 on my last check. I take all possible supplements and my vitamin levels are optimal. Thyroid levels are mid range, TSH stays around 1. I am on 100 Eltroxin.

My question was specifically on T3 and fertility.

[HayDay25 in reply to HayDay25]

Supplements currently taking:

Prescribed by fertility doc:

Folic acid

Vitamin D

CoQ10

I also take:

Proceive pre conception multi

B12

Magnesium

Iron + vitamin C

Omega fish oil

Alpha lipoic acid

NAC

Also on:

Aspirin

Steroids

Stims + progesterone etc TSI meds

[SlowDragon Ambassador in reply to HayDay25]

Steroids frequently lower TSH and/or cortisol

Are you testing cortisol levels

[SlowDragon Ambassador]

Pregnancy

Before even considering TTC levels need to be stable

verywellhealth.com/infertil...

Pregnancy guidelines

thyroiduk.org/having-a-baby/

NICE guidelines that if hypothyroid or subclinical you should see endocrinologist BEFORE TTC

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

See pages 7&8

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

Also here - dose increase in levothyroxine as soon as pregnancy test confirms conception

cuh.nhs.uk/patient-informat...

thyroidpharmacist.com/artic...

Low ferritin, low thyroid levels and miscarriage

preventmiscarriage.com/iron...

Low iron and hypothyroid

endocrineweb.com/news/thyro...

Folate and B12 and Neural tube defects and autism

healthunlocked.com/thyroidu...

[HayDay25 in reply to SlowDragon]

I do appreciate your reply but I’ve come across all of the above before and this does not relate to my question. I am doing everything I can, gluten free, almost dairy free, no egg whites, low processed food, take my Eltroxin correctly and check my levels correctly, take many many vitamins, antioxidants etc. I don’t know what else more I can do hence why I am now asking about T3.

[SlowDragon Ambassador in reply to HayDay25]

It’s very difficult, but not impossible to find an endocrinologist prepared to allow T3 during pregnancy

posts that mention T3 and pregnancy

healthunlocked.com/search/p...

What’s your Ft4 and Ft3 results on current dose Levo

Thyroid levels are mid range,

You will very likely need Ft4 higher than mid range if on only Levo …typically Ft4 70-80% through range