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Suggest Treatment For High TSH Levels During Pregnancy

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Posted on Wed, 26 Oct 2016
Question: I am Hypo thyroid patient from past 4.5 years and now I am in 24 weeks of pregnancy. Taking 88mcg thyronorm tablet from past 7 months. Now when I re-test TSH levels , the result of TSH is 8.71 uIU/ml .Please let me know what should be my further steps on getting control of Thyroid. What XXXXXXX diet can I follow ? Already I am avoiding food like soya,cabbage,cauliflower, broccoli..what else I can do from my end to have it in control ? worried if it affects baby in womb..please suggest
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Answered by Dr. Minal Mohit (19 hours later)
Brief Answer:
INCREASE THE DOSE TO 100 MCG FOR NOW.

Detailed Answer:
Dear XXXX, Hi ! welcome to HCM! I am Dr. Minal
Firstly, congratulations for your baby. Good that you are maintaining a good thyroid profile. As of TSH , it is definitely little high for pregnancy cut off. You need to increase the dose to 100 mcg for now. Kindly repeat thyroid profile after 15 days. Please check TSH and FT4 this time as per the pregnancy guidelines.
As far as diet is concerned , you are doing good, please continue same. It will not affect the baby in all probabilities. general guidelines suggest baby's evaluation 72 hours after birth. please do that. keep your thyroid profile strictly controlled for next few months. recheck your thyroid profile regularly and keep a close follow up.
regards!
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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Answered by
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Dr. Minal Mohit

Endocrinologist

Practicing since :1998

Answered : 836 Questions

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Suggest Treatment For High TSH Levels During Pregnancy

Brief Answer: INCREASE THE DOSE TO 100 MCG FOR NOW. Detailed Answer: Dear XXXX, Hi ! welcome to HCM! I am Dr. Minal Firstly, congratulations for your baby. Good that you are maintaining a good thyroid profile. As of TSH , it is definitely little high for pregnancy cut off. You need to increase the dose to 100 mcg for now. Kindly repeat thyroid profile after 15 days. Please check TSH and FT4 this time as per the pregnancy guidelines. As far as diet is concerned , you are doing good, please continue same. It will not affect the baby in all probabilities. general guidelines suggest baby's evaluation 72 hours after birth. please do that. keep your thyroid profile strictly controlled for next few months. recheck your thyroid profile regularly and keep a close follow up. regards!