How I Managed Hashimoto’s During Pregnancy

hashimoto's pregnancy

This was the last picture taken of me before I gave birth to my daughter May 2016.

 

One of the most frequent questions I receive these days is, “How did you manage your thyroid while pregnant?” This is a poignant question because pregnancy and post-partum is infamous for sending the thyroid awry whether or not you have Hashimoto’s disease.

 

my back story…

I was diagnosed with Hashimoto’s at age 19 (10 years ago) and have been on some form of thyroid hormone replacement since then. In our community, we tend towards anti-medication but in the case of many autoimmune diseases, supporting the body through medication AND dietary and lifestyle changes is a true holistic approach.

 

My body requires supplemental hormone because the disease has significantly destroyed my thyroid prior to diagnosis and dietary changes. Once thyroid tissue is destroyed through autoimmunity or radiation, it will not produce the necessary thyroid hormone required for optimal metabolic function. This requires supplement through medication and it is incredibly important to adhere to your doctor’s advice regarding medication while pregnant.

 


A quick note on which thyroid medication I take:

I am one of the rare people who has a severe autoimmune attack to porcine thyroid hormone (Armour, Naturethroid, for example). In fact, the last time I took it, I launched into a 12-month long flare that ended during pregnancy. You will also likely find autoimmune disease remission during pregnancy as the immune system down regulates to protect the body from seeing your baby as an invader.

Instead, I do best on a synthetic combination of T4 (Tirosint) and T3 (liothyronine). Yes, I’ve tried compounded medication with a functional practitioner and my numbers do not stabilize well. No, I have not tried and will not try to go off my medication. Tirosint is a great option for those of you looking for additive-free synthetic thyroid medication. Ask your insurance if they will cover it.


 

My story with infertility is long, and I won’t be talking about it here. Instead, let’s start with conception to keep this focused. 

 

I went into pregnancy in the middle of that autoimmune flare mentioned above. Women with Hashimoto’s do have an increased risk of pregnancies not being carried to term (I don’t like the word “miscarriage”). As a woman with Hashimoto’s, I knew I needed to be an educated self-advocate during pregnancy and beyond.

 

I did not let these statistics scare me though. Sure I had my moments of worry like most moms, but I trusted and supported and loved my body extra during this time. When I needed to calm my mind, I used prayer, meditation and journaling to comfort me.

 

I am sharing with you the process I put into place the moment I found out I was pregnant in August 2015 to best ensure a healthy mom and a healthy baby.

 

GET TESTED AS SOON AS YOU TEST POSITIVE

 

I found out I was pregnant in Hawaii on our way from moving from Chicago to Austin. I didn’t have an OBGYN in Austin let alone a general practitioner.

 

The day I found out I was pregnant, I called my health insurance company from our Kauai Airbnb to get the number of a gynecology group in Austin under our plan. I knew they may not be the perfect fit, but I needed to establish care as soon as possible so I could get my thyroid tested immediately.


But what if I don’t have diagnosed Hashimoto’s? Should I still get my thyroid tested?

My answer as a thyroid patient is YES. If you have suspected Hashimoto’s or hypothyroidism or have a family history, get your thyroid tested early in the first trimester. There is absolutely no risk to you to get this done but it can be risky to NOT know what your thyroid is doing in those formative weeks.

In fact, some thyroid experts advocate thyroid testing for every pregnant woman.


 

The office requested I only schedule my first appointment between 8 to 10 weeks pregnant, but I had done enough research on early pregnancy and Hashimoto’s to know I needed to get in sooner.

 

I was able to schedule my first appointment for 6 weeks. I would have preferred 5 weeks but they did not have availability. I requested a blood thyroid panel including TSH, free T4, free T3. I even got to see my baby as a little dot on a quick ultrasound (and hear her heart beat) during that appointment.

 

Backing up, I had a full panel done around the time of conception and knew my TSH, T3, and T4 were normal even though my antibodies were high from the flare. Just four weeks later at 6 weeks pregnant, my TSH increased from 1.0 to 9.0 and my T3 and T4 dropped.

 

The increased demand on your thyroid during the first trimester is no joke. If you have a damaged thyroid due to Hashimoto’s, your thyroid may not be able to keep up with this increase demand. Test early, test often, and test fully.

 


Test early, test often, and test fully.


 

We increased my thyroid dosage by about 50% to stabilize my numbers. At this time, I was only on T4 and not T3. In fact, during pregnancy, I could not find a practitioner to prescribe me T3 since it has not been studied in pregnant women. You may have a different experience with that depending on your practitioner. I got on T3 within a few weeks of giving birth. Even without supplemental T3, I was able to keep my T3 in the 50% range and had bounds of energy throughout pregnancy.

 

 

FIND THE RIGHT PRACTITIONER

 

Many thyroid patients will agree that finding the right practitioner, one knowledgeable in full thyroid panels and optimal levels (not just “in range” levels) is a necessity. Pregnant women especially must feel they are in good care with their medical team. Your OBGYN, midwife or general practitioner will likely be the one in charge of monitoring your thyroid while pregnant. 

 

You’ll likely encounter a physician who doesn’t believe in testing T3. I did several times (endocrinologists are notoriously the worst about this ironically). I essentially “fired” those physicians but not before providing information on why testing T3 is so important for their thyroid patients. This topic is worthy of more than just a quick paragraph here.

 

Rather than having an endocrinologist follow my thyroid throughout pregnancy, I trusted my gynecologist. We worked together to establish a plan of care that included frequent testing, monitoring of symptoms, and extra care to ensure that Grace was growing adequately. Since mothers with unmanaged Hashimoto’s can have babies with low weight as well as an increased risk of pre-term labor, we wanted to monitor closely.

 


How I Self-Advocate with Physicians

Whenever I move to a new city or visit a new doctor, I am very clear about a few things. I tell them I am a seasoned thyroid patient, I know how to read my lab numbers, and I know when I need a change in medication. I have lived this and researched it for a decade, and I would like to be treated that way.

 

The only physicians who have responded negatively to this are endocrinologists so I refuse to see them anymore. Am I being harsh about endocrinologists? It may seem that way. But over ten years, I’ve had the exact (it’s eery) same experience with over a dozen of them. It angers me to see so many thyroid patients often poorly managed by these specialists.

 

Being this upfront may not be easy, especially in a world where we believe medical practitioners are above us. Remember, no one knows you better. Trust yourself, your experiences and your intuition. Your doctor is your teammate not your boss.

 


 

MONITOR & ADJUST FREQUENTLY

 

My doctor felt most comfortable testing my thyroid every 4 to 6 weeks throughout pregnancy to ensure stabilization. I informed her at my first appointment at 6 weeks that I tend to have a volatile thyroid that struggles with stress and hormonal changes (so prevalent in pregnancy and post-partum!)

 

This is another instance of self-advocacy in the hierarchical medical model. Speak up for yourself. Don’t be complacent with your physician. You know your body way better than they do. They know textbooks, they know previous patients. They do not know you. Help them get to know you.

 

Thankfully, I only had to adjust my medicine once during pregnancy in the first trimester and was able to maintain that dosage throughout. Your doctor needs to be well-informed on the thyroid ranges for pregnant women as they do differ from non-pregnant women. For example, the TSH range is quite a bit tighter than for non-pregnant women, and it also changes slightly the first to the second trimester.

 

Most providers will want your TSH below 2.5 for the first trimester and below 3.0 for the second and third trimester. My TSH stayed around 2.0 throughout my pregnancy, about twice as high as when non-pregnant. I was not concerned with this number after researching the increased demand on the thyroid. It makes sense my pituitary was sending out a “produce more thyroid hormone” signal to my thyroid.

 

That being said, be aware of your hypothyroid symptoms even if your numbers are in range, especially if they are at the higher end of the range. For example, I could barely walk up the stairs my first trimester. This symptom (what I call “stair fatigue”) is a classic hypothyroid symptom for me. I knew I needed to give the increased dosage a couple weeks to kick in before my symptoms would reside though. Once the meds kicked in, my fatigue quickly dissipated.

 

It’s important to know your body in this way. Get a sense of what it feels like to be hypothyroid and to feel well. Note those hypothyroid symptoms so that if and when they appear, you can get yourself to your doctor for testing.

 

 

SUPPORT YOUR THYROID WITH DIET & LIFESTYLE

I started the autoimmune protocol in 2014, about 18 months before getting pregnant. In fact, it was key in helping me reverse my infertility diagnosis. I didn’t use pregnancy as an excuse to go wild on cravings though. If there’s ever a time in your life to treat your body with respect, it’s during pregnancy and post-partum.

 

The nutritional and energy demands of a woman’s body during this time are astounding. I made a pact with myself to stick as closely to the principles of the autoimmune protocol as possible during pregnancy and post-partum. Note that I said the principles of the protocol and not the elimination phase of the protocol.

 

For me, this meant including foods I knew I tolerated well such as soaked organic white rice cooked in broth, dark chocolate, seed spices and treats like store-bought coconut milk ice cream. This allowed me to focus on nutrient density while still having fun with food and listening to my body.

 

I would be lying if I said I ate “perfectly healthy” my entire pregnancy. I am not a diet perfectionist by any means. My food choices stem from my intuition, my mood, the social setting and frankly what’s in my fridge. While I ate dark chocolate most days, I also never skipped a meal. I had three balanced meals each day that included protein (a must!), leafy greens (folate!), starchy veggies (glucose!) and fats like avocado or coconut. I wish I still ate like that post-partum!

 

I personally do not believe in attempting low carb and ketogenic diets during pregnancy. I only mention this because they are trending hard right now. I am so happy for all the people these diets heal and bring happiness. If you naturally eat low carb (and you’re being honest with yourself about it being natural), then continue to listen to your body.

 

But if you are truly craving sweet potatoes, dried mango or a bowl of freakin’ cereal, then YOU get to decide if you eat that or not. Not a diet guru. In fact, I had gluten-free cereal several times during pregnancy. I also distinctly recall eating a bowl of rice with coconut aminos at 3 am because I woke up craving it and was starving (2nd trimester hungry, if you know what I mean).

 

My pregnant body craved SPECIFIC foods like citrus, mango, berries and sweet potatoes. And I don’t blame this on being a “sugar-burner” (so many opinions on that terminology, by the way). These are common food cravings for pregnant women for good reason – our bodies demand all of that folate, vitamin C and glucose they’re asking for. WE’RE BUILDING A HUMAN. Be easy on yourself but also treat your body with respect and let that be reflected on your plate, with your sleep, your stress management, your movement and your relationships.

 

 

It is my goal one day to provide a more inclusive guide of managing autoimmune disease during pregnancy. Until then, I hope this article provided you with some helpful, actionable information to protect your thyroid health during pregnancy. 

 

 

ADDITIONAL RESOURCES

Hypothyroid Mom is an excellent resource for additional information on fertility and pregnancy. Dana Trentini is also the author of Your Healthy Pregnancy with Thyroid Disease. You can also order your own full thyroid panel with a coupon code on her website.

 

Looking for post-partum support? I found Dr. Jolene Brighten’s book Healing the Body Naturally After Childbirth helpful.

 

I also have written an article on Balancing Hormones for Fertility. You can read more about my story of reversing infertility here.


 

Disclaimer: I am not a medical practitioner, and I will not be able to answer specific questions regarding your health state. I am here for emotional support and to provide hope. The information in this article is based on my personal experience and research. 

 

37 comments on “How I Managed Hashimoto’s During Pregnancy

  • Thanks for the great information! As someone who has struggled with getting my Hashimotos under control for years, I am worried about what will happen once we start trying to have a baby. One aspect that has made it difficult is finding the right practitioner to help me. Do you have an recommendations for doctors in the Chicago land area (General practitioners, thyroid specialists and/or OBGYNs) that you know of or have worked with to address Hashimotos?
    Thank you for any help you can give me!

    Reply
    • Alaena Haber says:

      Hello Britt, I would check out the Institute of Functional Medicine website at IFM.org – they have a list of practitioners that should be able to help you! I wish you the best of luck on your journey <3

      Reply
  • Thanks for the article, I have a question about the antibodies, have you check on them during pregnancy, and do they have any influence on the baby?

    Reply
    • I did not have them checked during pregnancy but right before and right after they went from super elevated to 0 during pregnancy.

      Reply
      • Hi, I’m so glad I found your post as it’s super helpful to hear from someone else’s successful experience with fertility and Hashimotos. I’m curious what your TPO antibodies were at when you say sky high. Mine are >600. Was your TPO that high? My integrative doc has encouraged me to wait to fix my adrenals, slight high cortisol, before even getting on T4 to bring the TSH down.

        Reply
      • Are you recommending those who are on NDT to switch to T4 only, or are you speaking for the synthetic thyroid med contingency?

        Can you steer me to any post partum articles – i think i remember you mentioning a flare.

        I’m 40, had my first at 37 / was diagnosed 5 wks later, and only bc I bc deathly ill after a bad Cipro reaction 4 days pp. (Given Cipro by on call dr for suspected uti which was actually just catheter pain).

        It took me almost this whole time to get back to feeling good and I’ve even gone thru a blood panel induced cancer scare. My wbc tends to go low, as well as my neutrophils. That said, I realllllly want to be pregnant again but I fear getting so sick I can’t take c/o my children.

        I also fear heart, kidney and cns birth defects that can come w treated thyroid disease. My first had two thumbs on her left hand (can be from thyroid!), has a small hole in her heart, small hernia above her navel, a spine anomaly – maybe a very mild spina biffida occulta, a lip tie, and you can see the seam where her upper lip came together. She was born 9 lbs 8oz but w low blood sugar and jaundice. This said, I was not treated at the time, and I also took New Chapter (folic acid) but now know about my homozygous mthfr status.

        I know only I can make the decision, but fear clouds my judgment. I guess I fear that even though I am feeling way better, I’ve already damaged my body (esp fr cipro) and I’m 40. Any advice? I’m also in ATX and would love dr recs!

        Thabk you for blogging about your experience, and sharing the deliciousness that can be the AIP adventure!

        Reply
        • Alaena Haber says:

          Hi Sara! I can understand your fear as a thyroid patient, but if your disease is managed the risk of birth defects is greatly reduced. I’m not recommending for anyone to change their medication. I am not a doctor, and you need to talk to your doctor about that. I have a disclosure stating that & this is my personal experience. Not everyone will have an autoimmune reaction to NDT, but I do and it makes my disease incredibly worse. I went to Wiseman Family Practice when I lived in Austin but no longer live there – they take insurance but there are plenty of functional doctors in Austin who can give you more customized care out of pocket if your budget allows it! I’m sending you all the love & well wishes as you continue your healing journey.

          Reply
      • I’m on t3 only, I do not do well with t4, I convert it into reverse t3 and feel horrible. I’m pretty sure I can be on t3 whike pregnant. There are people taking naturethroid/armour while pregnant and those contains t3. What were your TPO antibodies at while pregnant?

        Reply
        • Alaena Haber says:

          Yes I have no doubt T3 is fine when you’re pregnant but doctors (both functional and conventional in my experience) give me the “T3 doesn’t cross the placenta” excuse. I actually can’t be on T3 because even the lowest dose shoots me up into an elevated range. I’m the same with too much T4 as you (converting to reverse T3) but fine when it’s at the proper dosage. My antibodies were 200 when I conceived and dropped to 0 in the second trimester.

          Reply
  • Thank you for the info. I had my thyroid checked during breastfeeding my last baby and only my antibodies came back elevated. Went to see an endocrinologist that was not helpful. I am now pregnant again and just had all my numbers rechecked. Not sure what the results are but have a lot of Hashimotos symptoms. I live in Austin and am wondering if my numbers do come back elevated what doctor to go to. Do you have any recommendations? Thanks!

    Reply
    • In Austin, I saw Wiseman Family Practice who takes insurance. They aren’t a functional medicine office but they are integrative. They would be able to help you with medication if needed and proper testing.

      Reply
  • Hi Aleana-
    So happy to have found your site. Thank you for sharing your story and all of this useful information. My husband and I have lost three pregnancies over the past three years. For the past two years, I have been on a mission to determine the cause which has included researching and firing doctors, diet and life style changes, job changes, you name it. I finally found a doctor who would run the full thyroid panel I was asking for and it was determined that I have Hashimoto’s. I have had the same frustrations with endocrinologists that you write about. It’s horrible. I was curious to know if you and your doctor’s monitored antibodies (TPO in particular) while you were pregnant? I am hoping we will become pregnant again but before we do, am wanting to make sure I have a team of doctors who will support me to help manage the fear. Thank you again.

    Reply
    • Alaena Haber says:

      Hi Amelia, Congratulations on making so many successful strides towards your health and fertility. I had my antibodies monitored two weeks before conceiving and 4 weeks post-partum (and every 3 months since then). My antibodies dropped to 0 while pregnant – I knew this based on how great I felt during pregnancy. My thyroglobulin antibodies remain at 0 16 months post-partum and my TPO are slightly elevated but I’ve never been able to get them down to 0 except during pregnancy. It’s most important to monitor your TSH, T4 + T3 during pregnancy than antibodies since those can be more quickly managed with medication than antibodies.

      Reply
      • Thank you for the response. I asked about antibodies (TPO) because of the correlation between elevated antibodies and recurrent pregnancy loss, which has been my challenge. Did they ever test you for what they call “natural killer cells.” Awful name, but another factor that they consider in women with autoimmune conditions and recurrent pregnancy loss. Thank you again for sharing your journey.

        Reply
        • Alaena Haber says:

          No – I do not have a history of miscarriage so we were not concerned, but if I had, I would have explored further testing.

          Reply
    • Alaena Haber says:

      It’s greatly supported in both research and anecdotally that gluten is significantly related to Hashimoto’s as a cause and can also worsen the disease. If you’re unable to manage Hashimoto’s and eating gluten, I would consider removing it from your diet. I have been gluten free for 6 years, and it has not impacted my happiness in anyway, it has only helped.

      Reply
  • Great blog!! I have struggled with hashimoto’s and celiac disease for 16 years and am 25 weeks pregnant. I just wanted to commend you for being so spot-on with both severe autoimmune requiring medications (thank goodness Tirosint came along- they wanted to remove my thyroid bc meds stopped working) and how AWFUL endocrinologists are. I have “fired” so many in my time and I find that I am better off utilizing my OB/GYN for monitoring. I am so surprised by how incompetent and out dated most endocrinologists are. I am a Nurse Anesthetist by trade and fear for non-medical people. I am educated to know their incompetence, but what about all of the people who just “trust their doctor?!” It is completely unfair to them. That is why bloggers, such as yourself, are so needed in this world.

    Reply
    • Alaena Haber says:

      I’m so passionate about this topic as well. It angers me to my core & I’ve had some choice words with many endocrinologists. I do not recommend thyroid patients manage their disease through an endocrinologist unless he/she is coming from a functional background and willing to run a full thyroid panel and based prescribing medications on patient subjectives and not solely lab work. My functional GP manages my thyroid post-partum now.

      Reply
  • Nina Poulos says:

    Hi,
    I am in Austin as well and was wondering which office you go to? I currently go to Wiseman as well. The person I see is ok, but the doctor you worked with seems more experienced with Hashimoto’s. I just found out I am pregnant and would like to see someone that can lead me in the right direction for this pregnancy. Thanks!

    Reply
      • Hi Alaena

        Thank you for sharing. However can i ask if you can share what happens to baby? I have had Hashimoto thyroid for 7 years and i just gave birth to a daughter 2017. During pregnancy i managed to do my blood testing and baby is fine. Exvept i am told to do blood test for baby yearly till 5 years old. Yesterday marked her first birthday and the results came back with TSH slightly higher than normal. 🙁 just want to hear more stories of babies born with mom with Hashimoto. Please share any is highly appreciated.

        Many thanks
        Chanthy

        Reply
        • Alaena Haber says:

          Hi Chanthy, I haven’t ever come across information indicating it’s the norm to monitor a child’s thyroid unless indicated by symptoms. Our pregnancies and thyroid disease were different, so I don’t have any words of advice on this topic other than my daughter is healthy at this point at almost 2 years old. Sending you & your daughter love!

          Reply
  • Thank you so much for sharing all of this! I just read this post and I can not wait to explore this site. I was recently diagnosed with Hashimoto’s and in the process of determining rosacea vs. lupus. My mom has lupus and several other related/associated disorders. As I start my research (I agree we are our own best advocates!) I’m finding that autoimmune conditions can be complicated and overwhelming. I am eager to find practitioners who take an integrative and holistic approach. Thanks again for sharing all of this info. I think you’re having a much bigger (and positive) impact that you even know. Thanks a million.

    Reply
    • Alaena Haber says:

      Thank you for sharing your story, Kristen. Autoimmune disease is so complicated and there’s no one right way to go about healing, but I hope sharing my experiences leads at least one person down their right road <3

      Reply
  • Hi Alaena!

    Thanks for sharing your experiences! I was recently diagnosed with Hashimoto’s last August 2017, after years of thyroid levels being unstable. I was put on synthroid, and responded really well to it, and really quickly! I was first on 75 mcg, then 88, and for the past few months, my TSH has been great and stable at a .45. A few weeks ago however, I learned that I am pregnant!! My husband and I are SO happy and SO excited, and I really was not concerned about my TSH levels because they were responding so well to the 88 mcg and were stable at .45. I am about 7 and a half weeks pregnant (so still pretty early), and so I know that I am now going to need to get my blood work done every 4 weeks–my doctor and I have a solid plan about this. I got blood work done three days ago. HOWEVER….this morning I got a phone call that my blood work came back, and my TSH is now at a 10.25?!?! I am still just SHOCKED that it spiked so much in literally just a few weeks. I guess it really is from the pregnancy hormones? But going from a .45 to 10.25 just seems so drastic to me….its very scary. My doctor is upping my synthroid to 125 mcg, and so hopefully that helps, and helps quickly. I know the first trimester is crucial to baby’s health!

    Just wanting to get some words of encouragement from someone who has been through a similar experience. I know you said your TSH spiked to a 9 at the beginning of pregnancy….I am just so worried about miscarriages, still birth, neurological issues…all the risks you hear about when it comes to Hashimoto’s and pregnancy 🙁

    Thanks for any words of wisdom you can provide!!

    Reply
  • Hello!
    I have hyperthyroid (seen in an uptake and scan) but my TSH is usually in the 2.8-3.8 range. Thyroid problems are so mysterious! I’ve been in AIP with a few reintroductions for 2 years. I feel great and seem to have my symptoms under control. They were CRAZy before AIP. My endocrinologist almost poinsined me with my meds and made my TSH go up to 103.4. I found a funational doc in Tampa who is awesome. I am not on meds right now. I am hoping to try for my second baby soon. Do you know what prenatal vitamins are “clean” for AIP? There’s so many choices out there but also some with yucky ingredients.

    Reply
    • Alaena Haber says:

      I really like Nutrience’s vitamins – they are not “prenatals” though but they are absorbable and have a non-compete technology so that your vitamins and minerals aren’t “canceling” each other out. Thorne is another one I know others are a big fan of – I just never get great absorption with tablet/capsule vitamins myself.

      Reply
  • Hi Alaena,

    I recently figured out my antibodies were raised due to naturethroid, tried Armor and they went up to 800 :(. My RT3 was also very high so I’m on cytomegalovirus right now, but I’m wondering if you know if there is a reason for the autoimmune response to the “natural” hormones? Like what about them triggers it and synthetic doesn’t? I’m just curious, I’m glad I finally figured it out but wondering what the heck was happening. If you don’t know then you don’t, just thought I’d ask! It can be very hard finding answers, as you know.

    Thank you!

    Reply
  • Magda Madej says:

    Hi Alaena

    Thanks for sharing the story
    I am 3 weeks pregnant and found out few days ago that my TSH is 6.74.
    I was treated for hyperthyriod and put on medoctaion to control before preganancy. Around 3 weeks before the conception my tsh was at correct 0.6. My medications was adjusted and right now my tsh dropped to 3.5 and hopefully will continue to drop. So theoretically it will go back to range withing this week. I am just super worried for the effect of increased tsh in this initial 3 weeks of preganancy. Whould this have affected my baby brain development and delayed the gross motor skills. I found out in reserch that if tsh is high in first trimester this is the risk. Whould you have any recommendations or maybe extra info from your experience. Many thanks .

    Reply
  • Please please – I am a long term hashi’s patient who has tried all thyroid medications and the only thing that works for me is levoxyl and t3. I am 16 and half weeks pregnant after having hormonal imbalances for 13 years with no natural cycle and then switching to AIP and dietary changes to heal my gut (and obviously my hormones healed too!)
    The endocrinologist I met begining of pregnancy took my off t3 bc she said research suggests it doesn’t cross the placenta – I am feeling horrible and tired.
    Did you take t3 throughout pregnancy?

    Reply
    • Alaena Haber says:

      Hi Sara! I actually am unable to take T3 because I don’t have conversion issues anymore, so I can overdose on it really easily and become hyperthyroid. I could not find a physician to prescribe T3 during pregnancy but a functional medicine doctor may be more comfortable doing so. It’s always hard to tell if you’re feeling tired from all the changes in your body or your thyroid – I suggest getting your blookwork done and aiming for a minimum of the 50% for your free T4 and T3. Your TSH will naturally be higher during pregnancy even if on medication but as long as it’s within the limits recommended by AAP, they may keep your meds the same.

      Reply

Leave a Reply

Your email address will not be published. Required fields are marked *

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <s> <strike> <strong>