Dr. Thiyagarajan. T
Diabetology
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Patient's Query
Hello doctor,
My free T4 levels are normal. TSH is 4.8 mIU/mL, and TBO antibodies are 613 mIU/mL. Currently, I am not taking any thyroid medications. Also, I do not have symptoms of hypothyroidism. Three years back, my TSH levels were elevated and returned to normal after taking vitamin D. Can I try for pregnancy with Hashimoto's disease?
Kindly advise.
Hello,
Welcome to icliniq.com.
I understand your concern.
Yes, you can try for pregnancy. As soon as pregnancy is confirmed, check TSH (thyroid-stimulating hormone) and T4 (thyroxine). You will probably need to take thyroxine tablets. However, I suggest you start with a small dose of thyroxine now. The benefit of taking a small dose of thyroxine outweighs the risks. Answers to these questions will help me give you a more personalized recommendation.
Thank you.
Patient's Query
Hello doctor,
I am trying for pregnancy for the first time. So, I wanted to check about thyroid before planning for pregnancy. I am 32 years old. Please suggest a suitable dose for thyroxine.
Hello,
Welcome back to icliniq.com.
I suggest you take a tablet Thyroxine 25 mcg once daily. Then, recheck TSH in eight weeks, and if TSH is still more than 3 mIU/mL, increase the dose to 50 mcg.
I hope this helps.
Thank you.
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Diabetology
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