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  • Thyroid/pregnancy and 'off' numbers

    Who has info? Got my results today for my TSH and free T4, both are low. I am 27 weeks pregnant. The T4 has been going progressively lower since getting pregnant in may it is down to .32. My TSH WAS going up, it was 1.62 in August and is now .13.

    Maybe euthyroid sick syndrome? I take Armour so that seems less likely, but still possible. I am concerned that the T4 is too low for the baby's health.
    Meghan

    My MDA journal

    Primal Ponderings- my blog- finally added some food pron :P

    And best of all my Body Fat Makeover!!

  • #2
    There is a section on the website below about pregnancy and thyroid hormones. It sounds like pregnancy itself may make TSH difficult to interpret and your need for thyroid hormone will change quite a lot during pregnancy.

    Pregnancy and Thyroid Disease Page - National Endocrine and Metabolic Diseases Information Service

    What Are The Normal TSH Ranges During Each Trimester of Pregnancy?

    "Women who are on thyroid hormone replacement should plan to increase their dosage by 30% to 60% during the first few weeks of pregnancy, and ultimately are likely to need to have their thyroid hormone dosage increased by as much as 50% during pregnancy."
    Using low lectin/nightshade free primal to control autoimmune arthritis. (And lost 50 lbs along the way )

    http://www.krispin.com/lectin.html

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    • #3
      Right, which is why mine results are baffling. The TSH *should be going UP, not down. I am basically now 'hyperthyroid' instead of my normal 'hypo', except my T4 numbers would still say I am 'hypo'. Something is really not right. Since my TSH is VERY low the doctor will probably want to decrease my medication, but if he does then my T4 will just get lower!
      Meghan

      My MDA journal

      Primal Ponderings- my blog- finally added some food pron :P

      And best of all my Body Fat Makeover!!

      Comment


      • #4
        sorry - I was thinking it was your total T4 that was dropping - not free. So I was attributing the dropping T4 to increased binding proteins. How is your free T3? Are you getting enough iodine?

        Does your T4 fall into the normal range for pregnancy?

        Interpretation of Thyroid Function Tests
        Using low lectin/nightshade free primal to control autoimmune arthritis. (And lost 50 lbs along the way )

        http://www.krispin.com/lectin.html

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        • #5
          No, the free T4 is too low for pregnancy, which is why I am concerned because that is the thing to most likely cause a problem for hte baby.

          I am not sure I am getting enough iodine or not, so I will probably start supplementing that. I already supplement magnesium. I should add selenium too.

          They have only tested my T3, and free T3 once last summer. I had to really push to have them check that too. I will ask him to do it now that my numbers are off, since it could show I am still not converting properly.
          Meghan

          My MDA journal

          Primal Ponderings- my blog- finally added some food pron :P

          And best of all my Body Fat Makeover!!

          Comment


          • #6
            Any luck finding more answers, Nutmeg?
            Using low lectin/nightshade free primal to control autoimmune arthritis. (And lost 50 lbs along the way )

            http://www.krispin.com/lectin.html

            Comment


            • #7
              Not yet. Someone thought maybe my carbs are too low, but I have been staying above 125, so I am not ure I agree with that. My PCM has not called about it yet, which leads me to believe they are not as concerned as I am. At this point I am thinking I should try to get transferred to the OB clinic early. I have been readig about it and at this point in pregnancy the baby is making his/her own thyroid hormone, so the low free T4 is not as concerning. The low TSH free T4 combo from what I have read is either euthyroid sick syndrome or a pituitary problem. I am thinking it isn't the pituitary since I do have actual hypothyroid AND had anti-thyroid antibodies. The ESS seems to be a conversion problem so, it could possibly be too low on carbs.

              This is just frustrating because it is so backwards. I don't like being special! I just want ot go quietly into labor, arrive at the hospital and be left alone to push out my baby. No complications needed. I have had my fair share in the past. I want to gestate in peace dammit!
              Meghan

              My MDA journal

              Primal Ponderings- my blog- finally added some food pron :P

              And best of all my Body Fat Makeover!!

              Comment


              • #8
                Originally posted by NutMeg View Post
                Right, which is why mine results are baffling. The TSH *should be going UP, not down. I am basically now 'hyperthyroid' instead of my normal 'hypo', except my T4 numbers would still say I am 'hypo'. Something is really not right. Since my TSH is VERY low the doctor will probably want to decrease my medication, but if he does then my T4 will just get lower!
                The TSH is not a good lab to go by when you're on thyroid hormone. You really should have your free T3 and T4 tested to know where your available thyroid hormones are at. Check out the Stop the Thyroid Madness website or Mary Shoman's Thyroid.about.com.

                TSH Why Its Useless | Stop The Thyroid Madness

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                • #9
                  Originally posted by Sweet Tart View Post
                  The TSH is not a good lab to go by when you're on thyroid hormone. You really should have your free T3 and T4 tested to know where your available thyroid hormones are at. Check out the Stop the Thyroid Madness website or Mary Shoman's Thyroid.about.com.

                  TSH – Why It’s Useless | Stop The Thyroid Madness
                  I know this. Really. What I am saying is that my current numbers are backwards of just about everything and I need information specific to what MY body is doing right now. I am unable to find anything helpful on the internet, which is why I asked here. Even on thyroid hormone my TSH should NOT be in levels that show I am HYPERthyroid while have free T4 numbers that show I am HYPOthyroid. I have already searched the site you listed, nothing helpful...nor is there anything helpful on about.com.
                  Meghan

                  My MDA journal

                  Primal Ponderings- my blog- finally added some food pron :P

                  And best of all my Body Fat Makeover!!

                  Comment


                  • #10
                    How is your progesterone level? One of my clients was experiencing hyperthyroid symptoms postpartum and a small dose of Progesterone cream completely stopped her symptoms.
                    Ancestral Nutrition Coaching
                    Pregnancy Nutrition Coaching
                    Primal Pregnancy Nutrition Article

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                    • #11
                      That I don't know. I could take my BBT for a few days and see where my temp is since it should be higher since i am pregnant. Normally I have pretty low BBT. I see the doc again on Nov 12th, if they don't call me before then I will talk to him about it then.
                      Meghan

                      My MDA journal

                      Primal Ponderings- my blog- finally added some food pron :P

                      And best of all my Body Fat Makeover!!

                      Comment


                      • #12
                        Anyone else care to weigh in?
                        Meghan

                        My MDA journal

                        Primal Ponderings- my blog- finally added some food pron :P

                        And best of all my Body Fat Makeover!!

                        Comment


                        • #13
                          Originally posted by NutMeg View Post
                          Right, which is why mine results are baffling. The TSH *should be going UP, not down. I am basically now 'hyperthyroid' instead of my normal 'hypo', except my T4 numbers would still say I am 'hypo'. Something is really not right. Since my TSH is VERY low the doctor will probably want to decrease my medication, but if he does then my T4 will just get lower!
                          Any thyroid med with T3 in it can drive TSH down. Some people find the amount of T3 found in Armour to be too high for them and need to supplement with additional T4 to even things out.

                          I think you need to request a test for free T3 to see the complete picture. Are you experiencing any hyPER symptoms?

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                          • #14
                            Not until this weekend, I had a bunch of heart palps...but that is also a pregnancy symptom for me, so maybe not.

                            But, no others. Just normal other wise.
                            Meghan

                            My MDA journal

                            Primal Ponderings- my blog- finally added some food pron :P

                            And best of all my Body Fat Makeover!!

                            Comment


                            • #15
                              NutMeg- Do I understand that you're not yet seeing your OB? Any issue with thyroid has to be carefully monitored during pregnancy, and is usually a cooperative effort by OB and endo. The OB almost always directs the situation in consultation with the endo. If you're not seeing an OB, you need to do so ASAP.

                              Hypothyroid women have high rates of miscarriage and pregnancy complications, and all OBs monitor hypothyroid women very, very closely to avoid these problems.

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