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Tsh level high
The safe upper limit for TSH in first trimester of pregnancy is 2.5.
Your gynae is absolutely correct in prescribing 12.5 micrograms of synthetic hormone T4.
Next Steps
Continue taking the prescribed medicine
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Hypothyroidism
Myxedema = severe hypothyroidism.
SX â weakness/fatigue, feel cold, dec memory, constipation, weight gain, depression, bradycardia, dec DTRs.
PE â all (look for weight gain, dry skin, loss of hair, macroglossia, goiter, non-pitting edema (myxedema).
Next Steps
DX â TSH (increased), Free T4 (decreased). Antibodies against thyroid peroxidase (positive in Hashimotoâs Thyroiditis). ⢠CBC, CMP, fasting lipid panel.
Health Tips
TX â maintain a euthyroid state, w/ F/U Q6 wks. ⢠Synthroid (levothyroxine), start 12.5â50 mcg QD, then 50-200 mcg QD. ⢠2/3 the dose in elderly.
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