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Hi, It is my first trimester, my tsh is around 3.0 to 3.3,My gync Dr. asked me to do" anti- tpo/ama" which came negative <0.8 I/ml. After showing report ,Dr said you can start medicine for thyroid, while before doing the antithyroid test, she told me ,if it's come positive then only start the medicine. Also she is saying now it should be less or between 2 to 2.5, Now I am confused whether doctor is treating me correct or not or anti TPO/AMA test was just a money making. She said repeat the test after 25 days and will see the result. Do I need to wait for such long time or shall I consult another doc. Please suggest, does this have effect on my baby. Serum FT4 = .82 TSH = 3.00 ulU/ml Anti-TPO/AMA = <0.8IU/ml Many thank!
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Hi, If it is the first time you are doing ft4 and TSH it is a normal value.If you are already on thyroid replacement therapy to know whether the dosage is adequate it is done and during pregnancy it should be kept between 2 and 2.5.So that the dosage is increased accordingly. This is only for already hypothyroid patients where TSH was >5 and thyroid medication was started. Regarding antibodies it is done if you are having hypothyroidism diagnosed with TSH and T4 level already to rule out auto immune cause.
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