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Re: Pregnant with low T4

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Emma, you need to find a doctor to look after you through your

pregnancy who knows what s/he is doing and who knows that when their hypothyroid

patients become pregnant, that their thyroid dosage must be increased. This is

essential, and a free T4 is only 10.8 is screaming out for more thyroid hormone,

either by way of an increase in your Armour Thyroid or the addition of 25mcgs

levothyroxine. The Baby is using YOUR thyroxine and you need to replace this as

a matter of urgency. How much Armour are you taking right now? If you did try

increasing your Armour by half a grain, this might be the answer for you, and

if you started to get symptoms of hyPERthyroidism, you could easily cut back on

your dose again, but I very much doubt that in your circumstances you would.

This would be the first route to try, and if that didn't work, then talk to

your GP about a prescription for some T4.

What other supplements are you taking? I would ask your GP

(because of your level of fatigue) to test your levels of iron, transferrin

saturation%, ferritin, vitamin B12, vitamin D3, magnesium, folate

(especially), copper and zinc and when you get these results, post them on the

forum together with the ref. range for each of the tests done.

Good luck

Luv - Sheila x

Free T4 10.8 (range 11-23)

Free T3 5.4 (range 3.5-6.5)

I have called the hopsital today to ask what he wants me to do and he has said

that there is no action as I am taking enough Armour!! He seems terrified by

the surpressed TSH.

I just wondered if anyone had any thoughts as I know low T4 an be a risk in

pregnancy and I am also feeling shattered.

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>thank you for replying Sheila.

I am struggling with it all at the moment with the amount of Drs appts I am

having and trying to work I am finding it so difficult to manage everything.

I am taking pregnacare and the advice is as usual not to take anything else

while pregnant.

I am going to try another half a grain of Armour over the next few days and see

how I get on.

Will keep you posted.

Thanks again

Emma xx

> Emma, you need to find a doctor to look after you through your pregnancy who

> knows what s/he is doing and who knows that when their hypothyroid patients

> become pregnant, that their thyroid dosage must be increased. This is

> essential,

[Ed]

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Hi,

I'm currently pregnant and I found that my FT3 went too high and my FT4 too low

(I was on Erfa only) and so I dropped one of my grains of Erfa and got my GP to

give me a prescription for 50mcg of levothyroxine. It worked for me :) Normally

I don't convert T4 properly but during pregnancy I seem to manage to do that a

bit better.

I understand we should try to aim to keep our FT4 in the top half and preferably

top third of the range.

Good luck with the rest of your pregnancy,

Cat.

>

> >thank you for replying Sheila.

> I am struggling with it all at the moment with the amount of Drs appts I am

having and trying to work I am finding it so difficult to manage everything.

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Hi Emma, you need to read up on this problem, look in our files on the main page. we have some on pregnancy and the thyroid.also are you taking selenium,? this is very important you need this if hypo as it will help protect the baby also i suspect my pregnancy problemsstems from IgG antibodies while pregnant. apparently they can pass through to the placenta. small baby's and early baby's are a sign that their is hypoabout and learning problems are the auto-antibodies which can do damage to the foetus. hope this helps. the IgG is connected to allergy`s,!!! the both together is called the compliment system. as they are react together.all the best Angel.

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thank you for all your help Judith and Cat.

I will try and read up some more about it all.

I have been scared to take my Selenium as the docs advise that you only take

pregnancy vits as some vits can be harmful.

If anyone has anything they can add about vits they have taken during pregnancy

I would be really grateful as it it can be so scary.....

Thank you

Emma xx

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Hi emma , have a look at marylin glenville website - she's has all the vits you

should take and is a trustworthy source. My friend was advised to take vit d3,

preg multi and a fish oil combination (but check which fish oils as some nt gd)

I'd buy a multi from a good source thdn you cover most options. Think the

marylin glenville one is good. My friend was advised by a fertility expert in

complimentary field. Dr peatfield also told my sister to take as much thyroid as

poss, altho not on too much but think more better than less. After 1st trimester

don't think so much of a concern.

Carly x

Sent from my iPod

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Hi Emma, the selenium may not be known to your doctor , so he can not say with certainty if it is OK . I would take this as it is very importantto someone who has hypothyroidism.selenium supplementation in the treatment of hashimoto`s thyroiditis a systematic review and meta-analysis.htm also-selenium supplementation in the treatment of hashimoto`s disease {thyroid.2010-pubmed-NCBI.htm.also you may wont to look at this-association between thyroid autoantibodies and miscarriage and preterm birth meta-analysis of evidence BMJ.htm.and at- http://www.crd.york.ac.uk/crdweb/showrecord.asp?accessionNumber=120110283. Angel.

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I have not heard that Selenium is dangerous for anybody who is

pregnant. The usual recommended dose for those with hypothyroidism is 200mcgs

daily, especially if your hypothyroidism has been caused through thyroid

antibodies (Hashimoto's Disease). Are you seeing a Obs/Gynae specialist? If so,

ask there, as more and more, we are finding that many GP's are learning little

to nothing and their information cannot be relied on.

Hopefully, somebody who has been very recently pregnant will

come along and help with your question.

Luv - Sheila

thank you for all your help Judith and Cat.

I will try and read up some more about it all.

I have been scared to take my Selenium as the docs advise that you only take

pregnancy vits as some vits can be harmful.

If anyone has anything they can add about vits they have taken during pregnancy

I would be really grateful as it it can be so scary.....

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Hi Emma

I have just been reading your post I had a baby 9 weeks ago and I am on t4 and

t3. I had major problems I. E an endo I was seeing at the time tried to get me

to twice my meds as I would loose my baby if I didn't, I knew that was wrong a

nd I had a perfectly healthy baby. Once I was in nhs and decided what hospital

I was going to deliver to I was seen by the gyne make sure you get to seen ASAP

wheb i seen the pregnancy endo specialist he said when you first find out you

are pregnant you should increase your t4 by 25 mcg never decrease the first

stage of pregnant he was disgusted and could not believe the other endo wanted

to take me of my meds.

Previous to getting pregnant my level were always in the upper ranges so when I

did get pregnant I had a goo amount for my baby, my t3 dipped in the first 12

weeks but then went sky high but still ok. If you have any questions feel free

to ask but I would get your t4 a little higher if you can. x

>

> I HAVE EDITED OUT THE DOCTORS NAME AS IT IS NOT PERMITTED TO PUT DOCTORS NAMES

ON THE FORUM WITHOUT THEIR SPECIFIC PERMISSION.

> Moderator

>

>

> Dear all,

>

> you may recall I posted a while ago saying I was seeing a Dr B at Telford for

my thyroid whilst pregnant and he was not keen on Armour and said he had no

knowledge and would not be able to help me.

>

[Ed]

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Sorry also I never took selenium whilst pregnant I know it must be scary for you

as I was afraid of my levels being too low. Your t4 def needs to be higher can I

ask how far along you are ?

>

> I HAVE EDITED OUT THE DOCTORS NAME AS IT IS NOT PERMITTED TO PUT DOCTORS NAMES

ON THE FORUM WITHOUT THEIR SPECIFIC PERMISSION.

> Moderator

>

>

> Dear all,

>

> you may recall I posted a while ago saying I was seeing a Dr B at Telford for

my thyroid whilst pregnant and he was not keen on Armour and said he had no

knowledge and would not be able to help me.

[Ed]

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Hi Emma

I also foud that my t3 worked better in pregnancy I was on 30 of t3 and reduced

it to 25 in the third trimester now I'm on 20 after pregnancy. I don't know why

but something must kick in

x

>

> Hi,

> I'm currently pregnant and I found that my FT3 went too high and my FT4 too

low (I was on Erfa only) and so I dropped one of my grains of Erfa and got my GP

to give me a prescription for 50mcg of levothyroxine. It worked for me :)

Normally I don't convert T4 properly but

[Ed]

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---Thank you all.

I am 22 weeks now and yesterday wrote a long letter to my Endo at the hospital

asking why he is saying no course of action needed.

I have stated that I am suffering more Hypo symptoms again which I am and am

worried for me and my baby so hopefully he will listen.

I have also asked that all the tests Sheila recommends will be taken.

Angel, I think I must have missed your post. can you redirect and also I am work

8 hours a day and at Uni in the evenings on a Monday so have not had time to

catch up, but I do appreciate your help as I am sure we all do.

thanks all

Emma xx

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You probably need to increase your T3 to what you were taking

before . Could this be the reason you are feeling so bad?

Luv - Sheila

Hi Emma

I also foud that my t3 worked better in pregnancy I was on 30 of t3 and reduced

it to 25 in the third trimester now I'm on 20 after pregnancy. I don't know why

but something must kick in

x

>

> Hi,

> I'm currently pregnant and I found that my FT3 went too high and my FT4

too low (I was on Erfa only) and so I dropped one of my grains of Erfa and got

my GP to give me a prescription for 50mcg of levothyroxine. It worked for me :)

Normally I don't convert T4 properly but

[Ed]

No

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Hi Emma,

If you go to your message on the webgroup you can see all the responses with

that heading laid out one below the other. That way you can be sure not to miss

out on any part of a thread that interests you.

Miriam

> Angel, I think I must have missed your post. can you redirect and also I am

work 8 hours a day and at Uni in the evenings on a Monday so have not had time

to catch up, but I do appreciate your help as I am sure we all do.

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Hi Emma

Did you have your levels checked in the first 12 weeks if so what were they.

Your t4 could be low due to you convertibg all ibto t3 however i would increase

your t4 I'd you can my levels were always middle of the range.

x

>

>

>

> ---Thank you all.

>

> I am 22 weeks now and yesterday wrote a long letter to my Endo at the

hospital asking why he is saying no course of action needed.

> I have stated that I am suffering more Hypo symptoms again which I am and am

worried for me and my baby so hopefully he will listen.

> I have also asked that all the tests Sheila recommends will be taken.

>

> Angel, I think I must have missed your post. can you redirect and also I am

work 8 hours a day and at Uni in the evenings on a Monday so have not had time

to catch up, but I do appreciate your help as I am sure we all do.

>

> thanks all

>

> Emma xx

>

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HI

yes I did have them checked and they were around 11/12 the twice I had blood

tests done.

To be honest they have never been much higher so I didn't think much of it but I

am now starting to get symptoms back from before I was medicated and when I was

on Thyroxine and it nearly finished me off.

The worst part was the anxiety and mental health issues and I really can't cope

with that and a new baby....:-(

Here's hoping I get a sensible response from the specialist.

Emma xx

> >

> >

> >

> > ---Thank you all.

> >

> > I am 22 weeks now and yesterday wrote a long letter to my Endo at the

hospital asking why he is saying no course of action needed.

> > I have stated that I am suffering more Hypo symptoms again which I am and am

worried for me and my baby so hopefully he will listen.

> > I have also asked that all the tests Sheila recommends will be taken.

> >

> > Angel, I think I must have missed your post. can you redirect and also I am

work 8 hours a day and at Uni in the evenings on a Monday so have not had time

to catch up, but I do appreciate your help as I am sure we all do.

> >

> > thanks all

> >

> > Emma xx

> >

>

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If they are refusing to increase your thyroid hormone replacement

Emma, you really have no option but to do this yourself. It is essential that

you have sufficient levels of thyroid hormone in your body because the baby

uses yours, so you need enough for two. Let us know what your specialist has to

say.

Luv - Sheila

yes I did have them checked and they were around 11/12 the twice I had blood

tests done.

To be honest they have never been much higher so I didn't think much of it but

I am now starting to get symptoms back from before I was medicated and when I

was on Thyroxine and it nearly finished me off.

The worst part was the anxiety and mental health issues and I really can't cope

with that and a new baby....:-(

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