2nd Trimester

Hypothyroidism

I called my doctor this morning, and they’re supposed to call back, but my husband accidentally took the only phone we have to work with him, so now they won’t get ahold of me today. It’s not a big deal, it can wait until tomorrow, because really there's nothing to be done about it today anyway, but I’m curious. 

When I first started seeing my doctor (I thought I was 10 weeks, but I was actually only 5--huge scare), my tsh(ths?) level was at 27.8, and my thyroid meds were at .088 from the quack doctor I had with my previous pregnancy. Normal tsh level is 1-2..so obviously, I was way out there, which explained my constant weight gain no matter what, my constant slugishness and being tired all the time, etc. Logically, I shouldn’t be pregnant right now, my pregnancy shouldn’t have progressed past 5-6 weeks, so it’s by the grace of God, that I have this miracle..but that’s not my point. 

So when I saw my doctor for the first time, he bumped my thyroid meds from the .088 to .200. After 4 weeks, I went back, he checked them, and my thyroid was overactive, so he bumped it down from the .200 to .150, and then at my last appointment, it was still overactive, so he bumped it down again. I didn’t pay attention to the dosage this time, because I just assumed it was .100 or something. Lately I’ve been so slugish again, and tired all the time, and so I looked at my med bottle today, and he bumped it down to a .050. I was at a.088 when my thyroid was so out of whack at a 27.8..and this dosage is even lower….so I’m really worried about this. How is a .050 supposed to work if .088 wasn’t working? 

Has anyone had experience with this, because I'm so confused?

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Re: Hypothyroidism

  • I'm hypo and my TSH has been a roller coaster the last few months. How often do u go back for labs? Do u see an endo or is this your OB/ family dr prescribing this? I'd say go to an endo, have them check your thyroid antibodies and be sure labs are done every 4-6w. I've had 3 dosage changes so far since getting bfp and I'm only 14w now.
  • I'm hypo and my TSH has been a roller coaster the last few months. How often do u go back for labs? Do u see an endo or is this your OB/ family dr prescribing this? I'd say go to an endo, have them check your thyroid antibodies and be sure labs are done every 4-6w. I've had 3 dosage changes so far since getting bfp and I'm only 14w now.
    Same, labs are done every 4 weeks, and so far I've had 3 changes as well. My tsh will be checked again in 2 weeks, so it's probably not a huge deal, I'm just a worry wart. My thyroid is what caused my two previous losses (along with low progesterone), and granted I've made it 11 weeks farther this time around, I'm terrified of something going wrong. I guess this wasn't so much a question as a need for reassurance. 
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  • My numbers weren't as bad but my antibodies are high and it makes my #s flip flop frequently even when I wasn't pregnant. I've never been on the same dose longer than 2 months at a time. One month on 75mcg brought me to 0.6 TSH, then 2 months later it was 3.82 TSH. It's a crazy thing.
  • My numbers weren't as bad but my antibodies are high and it makes my #s flip flop frequently even when I wasn't pregnant. I've never been on the same dose longer than 2 months at a time. One month on 75mcg brought me to 0.6 TSH, then 2 months later it was 3.82 TSH. It's a crazy thing.
    It really is. I've dropped 30 pounds (maybe more now..that was 2 weeks ago) in the last 10 weeks. My doctor says it's normal when your thyroid is actually working. When they checked it a few weeks ago it was at .02 tsh. I just felt like the decrease in dosage was a little drastic.
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  • My OB is checking me every 4 weeks. I've been lucky. After an initial spike, my levels have been relatively consistent. I'm sorry you're having a hard time!
  • Hi there, I'm late, but hopefully this is helpful!  I have also had thyroid issues since I was 18 (I'm in my mid-30's now) and I had a hard time getting pregnant because I developed a large nodule which was making me a little more hypothyroid than I had been medicated for.

    I'm really curious if your doctor is looking at your free T-4 levels in addition to your TSH? Any experienced endocrinologist will look at free T-4 (the amount of usable T-4 in your body, that's the hormone your thyroid uses to create T-3, which controls lots of bodily functions/ processes etc). Your doctor should also be testing your T-3 levels. TSH should always be looked at in conjunction with both of those other tests (at least your free T-4, for sure), because TSH can jump around a lot while T-4 and T-3 change more slowly. I'm a little worried that your doc is bouncing you back and forth between such drastic changes in dosages- my understanding is that thyroid meds should be ramped up and down slowly/ incrementally. I would also urge you to see an endrocrinologist rather than a general practitioner. Good luck!

    first pregnancy
    due August 20, 2014
    (my blog about bikes, growing things, home remodeling 
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  • Thank you! He had labs done specifically for all three of those, so I'm assuming that he's checking them all and keeping tabs on them. 
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