I am 27 weeks pregnant?.i had higher thyroid levels so my doctor started thyronorm 12.5 during my first trimester?now I am in last trimester and got my thyroid checked and my empty stomach tsh came out to be 5.38?what should I do now.

Dr. Prabhakar Laxman JatharEndocrinologist52yrs exp

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Hello, thanks for the query. Madam, I am sure your doctor must have informed about what steps need to be taken during pregnancy for a hypothyroid patient. During the gestation period (9 months of pregnancy) it is essential to test thyroid profile once a month (once every 4 weeks). Because tsh needs to be specifically monitored. In 1st trimester it should be 0.1 to 2.5 mu/l, 2nd trimester 0.2 to 3.00 mu/l & in 3rd trimester 0.3 to 3 mu/l for appropriate growth and for normal or expected out come of pregnancy. Now as your tsh is much higher than the recommended range, increase the dosage of levothyroxine to 25 mcg per day. Then check the levels again after 4 weeks. If you have any questions please do come back. Thanks.  

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