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Old 02-23-2005, 04:36 PM   #1 (permalink)
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Default thyroid resistance and pg...

Hi ladies!

I had my monthly appt with my endo today, and he mentioned in passing (as though we had already talked about this is great detail) that I am "thyroid resistant." Upon further questioning I gather this presents as high levels of T3, with low-normal levels of TSH.

He says this requires no treatment, and not to worry. But I AM worried! I know how important my thyroid health is to my baby (I am 26 weeks pg)! What I'm reading on the web (I know I shouldn't google) is limited, but not nec. comforting.

Does anyone have any insight into this?

Thanks, b
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Old 03-04-2005, 11:16 AM   #2 (permalink)
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I'm soory, but I don't have any info on this in particular. I only wanted to add that you may want to be retested after you give birth. I was unable to breastfeed either of my children due to my thyroid. If you plan on breastfeeding it could be important.
Also I know there are new guidelines for treatment on so caleed "normal" TSH"s. They now recommend treatment starting w/ a TSH of 3 or greater. The "normal" limits of the TSH values go up to 5.
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Old 03-04-2005, 12:49 PM   #3 (permalink)
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have you brought it up with the doctor monitoring your pregnancy?

my thyroid levels were fine until nearly the end of my pregnancy (i was already on meds for it though) but i needed an increase in dose right at the end. make sure you get tested at least once a month, as your levels could change at any time. your pg doc may want you to have some thyroid meds anyway...

by the way, my daughter was born without a thyroid, and even though i didn't get my increased dosage of medicine until after she was born (it was requested about amonth before she was due, but had to be ordered from overseas because of a lactose issue, and that order had to be approved... it was a bit of a nightmare!) anyway, as i was saying, even though she lacks a thyroid gland and i wasn't getting enough meds, she was fine. now that she doesn't get anything from me, she's on her own meds.

your baby will take everything she needs. you're the one that will feel the effects of a thyroid imbalance. babies are excellent parasites

anyway, keep your levels monitored on a regular basis.

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Old 03-05-2005, 12:25 PM   #4 (permalink)
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Hi Bonnie -
I tried to reply to your question when you posted it on the PG Forum, but my browser wouldn't let me! I hope this works, and I hope I can help.

I have never heard of thyroid resistance, but I'm no Endo!

Many doctors do not treat normal or borderline normal TSH levels, even if other thyroid levels are out of whack--other doctors do. Doctors more interested in wholistic medicine are more likely to treat borderline TSH levels.

I suffer from hyperthyroidism (low TSH, when not being trested) as does a friend of mine. We were both diagnosed with Graves' Disease. Our levels were definitely not borderline, they were extremely low.

Interestingly, we both also had very high levels of T3. Most HyperT people have very high levels of T4 and fairly normal levels of T3. So, last year I was kinda in your boat ... but, of course, I was Dxed with Graves'.

Hyperthyroidism, though it may wreak havoc on an expectant momma, is not likely to create problems for a developing baby the way hypothyroidism is. Thought if you are extremely hyper, it may cause a problem. But your TSH is borderline, so I wouldn't worry.

On that note, I would request a FULL thyroid workup which includes TSH, T4, T3, Antithyroid Antibodies and I forget the rest. That way, they can find out exactly what is 'causing your problem.

But, labwork-wise, it sounds very similar to what I was going through and I was dxed with Graves' not 'thyroid resistance.'

I am on PTU, an antithyroid drug, during pregnancy. It does have very minimal risks on a developing fetus (SCARY - even 'minimal risks). But my endo said that the risks, for me and my developing baby, would be higher if I were not on the drug. Your doctor might just want to see how things progress for you.

STILL, I would request an antibody test to see if your condition is autoimmune related, because antithyroid antibodies can be passed from mother to child.

Good Luck! HTH.
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