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> My doctor wants me to increase

> >

> > the meds to 150 mg every 8 hours.

>

> 450 is a very high dose so I would especially wonder at why she

wants to

> raise your dose if the numbers are already moving. Three important

> questions:

>

> 1. Is the high-risk baby doctor a reproductive endocrinologist?

> 2. Which doctor wants to increase the dose? Are either of them

endos?

>

> If neither are endos you can feel better about trusting your

instincts

> concerning not increasing the dose.

>

> 3. Are your symptoms getting better? Having been through this

before you

> have an idea of what to look out for.

>

> If your symptoms are improving then there's no reason to go to 450.

Even

> if they're not, I would still be reluctant to make such a drastic

change.

>

> I would explain that I want to be compliant but having had

experience

> before with this I wouldn't feel comfortable increasing the dose.

>

> I wish you well in dealing with the doctors and an uneventful,

enjoyable

> pregnancy.

>

> Take care, Fay

>

Fay -

To answer your questions:

1. NO. He is not a reproductive endo. He is simply a high-risk

doc. I think that he is very good, but I also think that it would be

pretty difficult to know absolutely everything about every high risk

situation that can arise in a pregnancy. Also, having dealt with a

few endos myself and reading the various posts about scary endos, we

obviously know not all of them can lay claim to having a lot of

knowledge on the situation either!

2. Actually both my doctors think that I need to up my dosage. But,

like I pointed out, my ob/gyn has little, if any, knowledge of Graves

and the other one is not a specialist.

3. My symptoms are improving. I have been feeling a lot more level

headed since going back on the meds, which is great for everyone

involved!!

I really appreciate you all taking time to answer my questions. It

really means a lot to me to have a place like this that I can go and

get some good information and just some compassionate advice. I feel

like I need to trust my gut on this one and keep my meds where they

are now. I really don't want to provoke either of my doctors, but I

think that if they are patient, they will come to see that we can

work through this together. I put I's name in the headline

because I was told that she could maybe give me some good insight.

But another question for anyone...how fast should these numbers be

moving anyway? I am actually quite fearful of going hypo while

pregnant. I have not been hypo before and do not have any desire to

be! Thanks again for all of your help and time!

Lori

>

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