[rainie]

in reply to: Optimum level to get pregnant #1064260

Yes i have seen a high risk obgyn who told me that my Ft4 is more important to look at, he prefer to keep it at mid range. However, my endo seems to disagree with him. My endo said the TSH is equally important. I find that their opinion is quite contradicting. Why is thyroid issue so complicating and why is there so many different ideas among doctors……………

Yes, my endo will change me to PTU during the 1st trimester. For now, the MMI is safer for me.

[rainie]

in reply to: Optimum level to get pregnant #1064257

Hi, antithyroid medicine is used to block iodine conversion to thyroid hormone. So if i limit my iodien intake, i need lesser antithyroid medicine. This is as per my endo’s advice. Does it make sense to you all? I also went to seek a second opinion, the other endo told me to eat per normal which includes seafood and dairy. I am not sure which is the correct path.

I am not feeling hyper, my heart rate is normal at 70 to 80 per min. I have no problem sleeping but sometimes i do wake up in the middle of the night not being able to fall asleep again. I do feel cold too.

[rainie]

in reply to: Optimum level to get pregnant #1064255

Hi all,

Many thanks for your reply and advice.

My Ft4 has always been within the lab range, the Ft4 range is from 0.8 to 1.8 . It is the TSH that keep fluctuating. I did some research online and from my understanding, it is more important to look at the Ft4, instead of the TSH. Like what Kimberly just mentioned – Free T3 and Free T4 are better benchmarks for determining dosing than TSH. However, when i ask my endo about the TSH, she told me TSH is equally important as the Ft4/Ft3.

Some background information, i am 28 years old. I have Grave disease for 2 years and i am on antithyroid medicine only. I’m not taking clomid or any fertility drug. My ovulation is normal and i ovulate regularly using the monitor to detect the LH surge.

So should i try to achieve TSH 1 or 1.5? Or should i look at my Ft4 value since the TSH can remain supressed?

I am also on a low iodine diet. I am not sure whether this is a good idea since my Ft4 is so low.

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