Hi there, kindly suggest me the treatment please. Whether I should start thyronorm 25 or continue with thyronorm 50. 6/2/20 (6th month of pregnancy) tsh 6.15 **higher (0.2 - 3.0)thus, thyronorm 25 started. mobile 14/03/20 (7th month of pregnancy) tsh 1.75 normal (0.2 - 3.0)continued with thyronorm 25. mobile 26/05/20 baby delivery. Stopped the tablet. mobile 28/09/20 (in first lab) tsh 11.5 mobile 07/10/20 (in another lab which continued afterwards) tsh **21.236 very high (0.45 - 4.5)free t3 2.7 normal (1.4- 4.4) free t4 **0.7 lower (0.8 - 1.8)**same thyronorm 25 continued. mobile 16/12/20 tsh **25.742 very high (0.45 - 4.5)free t3 2.9 normal (1.4- 4.4) free t4 0.9 normal (0.8 - 1.8)mobile 18/12/20 **thyronorm 50 started. mobile 2/4/21 ths 2.319 normal (0.45 - 4.5)free t3 1.9 normal (1.4- 4.4) free t4 0.9 normal (0.8 - 1.8)
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Continue 50 mcg daily repeat tsh after 6 weeks.
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Hello, Thanks for the query. Madam, I am surprised to see such a high TSH level in pregnancy. I am sure concerned doctor must have talked about what level of TSH has to be maintained during the 9 months of pregnancy. Madam the levels during pregnancy should be : 1st trimester 0.2 to 2.5 mU/L, 2nd Trimester 0.3 to 3 mU/L & 3rd trimester 0.3 to 3.0 mU/L Higher levels are not good for the development of fetus and for optimal result of the pregnancy. In fact right from beginning conception levels < 2.5 mU/L need to be maintained. Now that your levels very high please increase the dosage by 25 mcg per day, then check TSH again after 4 weeks to see if desired level is achieved. You will have to check TSH every 4 weeks till the delivery. If you have any questions please do come back. Thanks.
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