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Is It Advisable To Start Thyroxine Sodium 50 Mcg During Pregnancy?
Question: Hi my wife is 12 week pregnant and got TSH 3.36 at 6 week she was 3.82 TSH and 5 week at 4.82 doctor stated thyroxine sodium 50 mcg today is this ok
Brief Answer:
Thyroid
Detailed Answer:
Yes it is prudent to start thyroxine medication. The TSH targets during pregnancy are:
0.1 to 2.5 in the first 3 months
0.2 to 3 in the second 3 months
0.3 to 3 in the last 3 months
It would also be a good idea to check thyroid auto antibodies with the next set of laboratory tests in addition to thyroid hormone levels such as:
anti TPO (Thyroid peroxidase antibodies)
anti Thyroglobulin antibodies
Total T3
Total T4
TSH
When I see someone like you in my practice , I also order the following tests n addition to a thorough physical examination:
CBC
HbA1c
Liver kidney function tests
Kidney function tests
Electrolytes
None of these tests require fasting and can be done at any time of the day or night.
You will be best served by seeing an endocrinologist in person because it will require experience and training to adjust your thyroxine doses in order to get the dose right by checking at regular intervals of time
Thyroid
Detailed Answer:
Yes it is prudent to start thyroxine medication. The TSH targets during pregnancy are:
0.1 to 2.5 in the first 3 months
0.2 to 3 in the second 3 months
0.3 to 3 in the last 3 months
It would also be a good idea to check thyroid auto antibodies with the next set of laboratory tests in addition to thyroid hormone levels such as:
anti TPO (Thyroid peroxidase antibodies)
anti Thyroglobulin antibodies
Total T3
Total T4
TSH
When I see someone like you in my practice , I also order the following tests n addition to a thorough physical examination:
CBC
HbA1c
Liver kidney function tests
Kidney function tests
Electrolytes
None of these tests require fasting and can be done at any time of the day or night.
You will be best served by seeing an endocrinologist in person because it will require experience and training to adjust your thyroxine doses in order to get the dose right by checking at regular intervals of time
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
At 6 week T4 was 19.8 and T3 was 5.1 but doctor started thyroxine at 12 weeks why not at 6 week , yes she referred to us to endcrologist
Does this be a problem ?
Does this be a problem ?
Brief Answer:
Follow up
Detailed Answer:
Individual doctor's prescribing decision can vary. You are free to discuss further plan when you see the thyroid expert i.e. endocrinologist in person, who will have the opportunity to examine you
Follow up
Detailed Answer:
Individual doctor's prescribing decision can vary. You are free to discuss further plan when you see the thyroid expert i.e. endocrinologist in person, who will have the opportunity to examine you
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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