Do I need replacement drugs? - Question and Answer Forum - Elaine Moore Graves' Disease and Autoimmune Disease Education

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Saturday, February 04, 2012

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Welcome to The Q&A with Elaine Moore. Registered members are invited to ask any question of Elaine Moore on autoimmune diseases, Graves' disease, other thyroid diseases and subconditions, laboratory work, traditional and complementary medicine, triggers and environmental influences, thyroid and immune disorders in pets and animals, and other relevant areas of inquiry.

Each thread represents one question with one answer and will only appear at the time it is answered. Once answered, further replies cannot be made to the same thread since each thread represents only one question. A new thread will need to be started for additional questions.

Questions are answered solely by Elaine Moore, a medical writer and clinical laboratory scientist, MT, CLS, with more than 30 years of experience in immunology. Moore has also authored and edited over a dozen books in the area of health sciences and is an editor for McFarland Publisher's Health Topics Series.

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Do I need replacement drugs?

7/6/2010 2:11 AM

evie

Joined: 5/21/2009

Posts: 12

Do I need replacement drugs?

Dear Elaine,

As always thanks so much for your help and your wonderful website.

I am currently 24 weeks pregnant and would like to ask a question about my latest lab results.

My lab results at teh end of May this year were as follows:

TSH: 1.40 (range 0.27-4.20)

FT-3 2.77 (range 2.20-4.40)

FT-4 1.03 (range 1.00-1.80)

On your recommendation, I stopped taking ATD after these results. (I had been taking 1.25mg of methimazole every three days)

My labs as of today (6.7.10) were:

TSH: 1.13

F-T4 0.89

I have been feeling very tired and my weight has been increasing however, it's hard to determine to what extent my symptons are due to pregnancy.

My doctor finally told me to come off the ATD (which I already did last month on your recommendation) but said I didn't yet need replacement hormone. Do you think I should be taking replacement hormone? Will it effect my baby to have a FT-4 this low?

As always, thanks so much for all your help.

Best wishes.

7/7/2010 12:47 AM

Elaine

Joined: 8/1/2008

Posts: 3150

Re: Do I need replacement drugs?

Hi Evie,

It's good that you stopped your ATDs when you did. It looks like you've moved into autoimmune hypothyroidism based on your FT4 level. Your baby begins making his own hormone at about 11 weeks gestation so he should be ok. But you need to have adequate hormone to support your pregnancy. If your doctor is opposed to adding replacement hormone now, you could try raising your levels naturally by avoiding goitrogens (raw almonds, broccoli, cabbage, kohlrabi, cauliflower, plums, etc) and by adding sea salt to your diet. If your level continues to be low with your next labs, ask again about replacement hormone. Best, Elaine

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Do I need replacement drugs?

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