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What Does My Thyroid Test Report Indicate?
Question: Dear Doctor,
My wife is suffering from HYPOTHYROIDISM after birth of my first baby since January 2014. She was on Euthyrox (livothyroxin sodium) 50 mg since then. Now she is pregnant with 6 weeks and yesterday our endocrinologist scolded us for not meeting him early and increased the dosage to 75 mg.
I have attached all her reports showing present TSH levels and my questions are as follows:
(1) As a second opinion, do we require to increase dosage more than 75 mcg as we have already been late.
(2) What should be the frequency of TSH testing and what should be normal level maintained.
(3) Do we have to fear any sort of complications to unborn baby?
(4) We will be air travelling on 19th of August which is a 4.30 hour journey to our home country. Do we have to take any extra precautions or medicines. We cannot cancel this journey due to important function in Home country.
(5) Any relevant advice from your expert end.
Awaiting your kind reply,
Thanking you,
XXXX
My wife is suffering from HYPOTHYROIDISM after birth of my first baby since January 2014. She was on Euthyrox (livothyroxin sodium) 50 mg since then. Now she is pregnant with 6 weeks and yesterday our endocrinologist scolded us for not meeting him early and increased the dosage to 75 mg.
I have attached all her reports showing present TSH levels and my questions are as follows:
(1) As a second opinion, do we require to increase dosage more than 75 mcg as we have already been late.
(2) What should be the frequency of TSH testing and what should be normal level maintained.
(3) Do we have to fear any sort of complications to unborn baby?
(4) We will be air travelling on 19th of August which is a 4.30 hour journey to our home country. Do we have to take any extra precautions or medicines. We cannot cancel this journey due to important function in Home country.
(5) Any relevant advice from your expert end.
Awaiting your kind reply,
Thanking you,
XXXX
Brief Answer:
Not to worry.
Detailed Answer:
Good day,
Noted your concern.
The reports show that TSH is 3.72. It is best to keep TSH less than 2.5 during first three months of pregnancy and less than 3 during remaining part of pregnancy.
Since 3.72 is not so bad, not to worry. Ideally you should have contacted endocrinologist before planning pregnancy so that necessary dose change should have been made. There will not be any defects in baby because of this. Problems to baby usually occur when TSH levels are much higher than this.
75 mcg is a sufficient dose now. Recheck Free T4, TSH and Anti TPO antibody after 4 weeks. Based on the reports at that time, we have to plan further.
You may need to seek advice of gynecologist before air travel.
Your wife should consume diet rich in iodine ( at least 250 micrograms daily). She should take iodized salt in diet and use seafood.
Reduce cabbage and cauliflower for now. otherwise there are no other restrictions.
Her vitamin D levels are low, but during first 3 months of pregnancy, it is not advisable to take Vitamin D supplements. She can get sunlight exposure between 9 to 3 pm at least 20 minutes a day.
Regards
Binu
Not to worry.
Detailed Answer:
Good day,
Noted your concern.
The reports show that TSH is 3.72. It is best to keep TSH less than 2.5 during first three months of pregnancy and less than 3 during remaining part of pregnancy.
Since 3.72 is not so bad, not to worry. Ideally you should have contacted endocrinologist before planning pregnancy so that necessary dose change should have been made. There will not be any defects in baby because of this. Problems to baby usually occur when TSH levels are much higher than this.
75 mcg is a sufficient dose now. Recheck Free T4, TSH and Anti TPO antibody after 4 weeks. Based on the reports at that time, we have to plan further.
You may need to seek advice of gynecologist before air travel.
Your wife should consume diet rich in iodine ( at least 250 micrograms daily). She should take iodized salt in diet and use seafood.
Reduce cabbage and cauliflower for now. otherwise there are no other restrictions.
Her vitamin D levels are low, but during first 3 months of pregnancy, it is not advisable to take Vitamin D supplements. She can get sunlight exposure between 9 to 3 pm at least 20 minutes a day.
Regards
Binu
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear Doctor,
Kindly advice on Vitamin D levels you notified as low. Is it bothersome as in reports its showing as sufficient level
Kindly advice on Vitamin D levels you notified as low. Is it bothersome as in reports its showing as sufficient level
Brief Answer:
normal ( border)
Detailed Answer:
well, infact it is not low, but on the border. So do not worry now. Some sun light exposure should be good enough
normal ( border)
Detailed Answer:
well, infact it is not low, but on the border. So do not worry now. Some sun light exposure should be good enough
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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