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Advice:
Hyperthyroidism (without Graves) in pregnancy?
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Is there anyone else out there who had uncontrollable vomiting and acute hyperthyroidism (without Graves disease) during pregnancy? Did it get better with the second child?

I was diagnosed with Gestational Transient Thyrotoxicosis and hyperemesis gravidarum around week 12 of my pregnancy.

After losing 20 pounds in 3 weeks of the first trimester of my pregnancy, I was put on Zofran and it worked like a miracle to control the vomiting. At that point, I believe that the PTU was able to stay in my system long enough to do it's job and my TSH and FreeT4 became "better" though still in the extreme "hyper" range. The crazy thing is that I gained 70 pounds by the end of the pregnancy even though my thyroid was hyper! To my knowledge, neither Zofran nor PTU had any ill-effects on my (then)unborn son.

2.5 years later, I find myself with borderline hyperthyroidism. I do not have levels bad enough to take daily medication, though I do have all of the classic symptoms. (bulging eyes in the upper range of normal, enlarged thyroid, anxiety and restlessness, joint/muscle pain, and extreme geographic tongue.) Anyone else out there like me?
Posted on 04/07/12, 10:51 pm
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Advice:
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Reply #1 - 04/07/12  11:18pm
" Hi:

Did you get your Thyroid antibodies checked out for Graves' Disease? The TSI (Thyroid Stimulating Immunoglobulins) and TRAb (Thyroid Receptors Antibodies)? If so what were the numbers?

Do you have any other lab results to share with us so we can better help you?

{{{hugs}}} "
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Reply #2 - 04/07/12  11:39pm
" I will locate my records and post info on here as soon as I get them. I do remember specifically being told that I "did not have the antibodies for Graves Disease" by my Endo. "
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Reply #3 - 04/08/12  2:57pm
" OK. What about the antibodies for Hashimoto's Thyroiditis - TPOab and TgAb?

Thanks and {{{hugs}}} "
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Reply #4 - 04/11/12  10:16pm
" O.K. here is what my pregnancy looked like:

3/16/09 Free T4 1.40(Normal) TSH .09 (LOW)

4/1/09 Free T4 2.47 (High) TSH .03 (LOW)

4/10/09 Thyroid Stimulating Immunoglob 119 (NORMAL indicating negative for Graves disease)

STARTED TAKING PTU

4/27/09 TSH .005 (LOW) Thyroxine (T4) 17.3 (High) T3 Uptake 22 (LOW) Free thyroxine index 3.8 (normal)

5/29/09 Free T4 .68(normal) TSH .09 (low)

6/22/09 TSH .09 (low) Free thyroxine .89 (normal)

8/10/09 Free T4 .70 (normal) TSH .24 (low)

9/22/09 Free T4 .48 (low) TSH .34 (normal)

10/7/09 Free T4 .66 TSH .92

DELIVERED BABY 10/14/2009

10/30/09 Free T4 .42 (low) TSH .18 (low) "
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Reply #5 - 04/12/12  12:28am
" Hi:

These labs are from 2009. These would be too old to be of any help to you.

Do you have any 2012 labs for the borderline hypER symptoms you are describing and not taking any daily meds?

{{{hugs}}} "
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Reply #6 - 04/12/12  10:29pm
" I guess the main reason for posting the labs from 2009 were to see if anyone else's pregnancy was similar to mine : / Most recent labs 1/18/2012: TSH .26 Free T4 .99 "
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Reply #7 - 04/12/12  11:38pm
" Thank you. See if there are lab ranges for the Free T4 and TSH on the right side of paper. Lab ranges are different depending on where one lives, their age, etc.

I can comment on the 2009 labs if I used my Free T4 range with yours. It looks like majority of the time your FT4 was too far low (I assume with taking the PTU) and you were hypO.

The TSH will not give an accurate reading because of your TSI being positive. Any number you have for the TSI is a positive for Graves' Disease.

{{{hugs}}} :-) "
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Reply #8 - 04/12/12  11:48pm
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Reply #9 - 05/20/12  3:55am
" I had a hyperthroid for 3 years till i changed my diet, i avoid foods high in omega 6 fatty acid, and i take cod liver oil. "

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