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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Thyroid Replacement Necessary For Hypothyroidism?

Hi dr
i'm 29 years old i have thyroditis and I've now TSH 6.5-- FT4 1---- FT3 2.3
I'M PREGNANT NOW IN 5 WEEK AND I DIDN'T TAKE ANY THYROID REPLACEMENT FROM 2009 BEC. TEST WAS NORMAL

IN MY CASE NOW CONSIDERED HYPOTHYROIDISM AND NEED THYROID REPLACEMENT OR NO?
Mon, 4 Apr 2016
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Endocrinologist,  's  Response
Hello,

Congrats for your pregnancy!

I carefully read your concern and I do understand your query.

I would strongly recommend you to start the treatment with eltroxin because during pregnancy the TSH level should be maintained lower than normal (01-2.5 during the first trimester) in order to prevent possible effect for the pregnancy outcome and the development of the baby.

After starting the treatment the TSH should be monitored closely (every 4 weeks) because the demands for eltroxine differ during different trimesters.
Hope the information is helpful and enjoy your pregnancy!

Best wishes,
Dr.M.Guni



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Is Thyroid Replacement Necessary For Hypothyroidism?

Hello, Congrats for your pregnancy! I carefully read your concern and I do understand your query. I would strongly recommend you to start the treatment with eltroxin because during pregnancy the TSH level should be maintained lower than normal (01-2.5 during the first trimester) in order to prevent possible effect for the pregnancy outcome and the development of the baby. After starting the treatment the TSH should be monitored closely (every 4 weeks) because the demands for eltroxine differ during different trimesters. Hope the information is helpful and enjoy your pregnancy! Best wishes, Dr.M.Guni