increase the dosage to 100 micro grams of Thyronor
Dear Mr XXXXXXX
Being a Pediatric Surgeon I am actively involved in antenatal counselling
According to recent guidelines expecting mother who have Hypothyroidism
should be started on replacement dose of Thyronorm
with the aim to maintain TSH level
below 3. As the recent TSH value of your wife is above 6, In my opinion I would suggest to increase the dosage to 100 micro grams in consultation with your treating Physician. I Would Also Recommend Weekly TSH level And Further Dose adjustement. Also iodine supplementation in the diet in form of iodized salt is recommended.
is a supra physiological state with increased demand for nutrition and hormone and it's quite logical to face with situation of Hypothyroidism. ( Normal functioning Thyroid gland may not be able to meet the increased demand). Thyronorm supplementation along with iodine is all that is required along with monitoring of TSH.
Do get back to me if you need any further assistance, will be glad to assist you.
Dr Deepak Kishore
MBBS, MS, MCH
Consultant Pediatric Surgeon