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Thyroid hormone requirements increase during and last throughout pregnancy. [14] As such, pregnant women are recommended to increase to nine doses of levothyroxine each week, rather than the usual seven, as soon as their pregnancy is confirmed. [14] Repeat thyroid function tests should be done five weeks after the dosage is increased. [14]
However, deprescribing may be considered if a patient experiences side effects like rapid heart rate, anxiety, or bone loss, or if their thyroid function tests normalize.”
Some studies show that the mixed therapy is beneficial to all patients, but the addition of lyothyronine contains additional side effects and the medication should be evaluated on an individual basis. [27] Some natural thyroid hormone brands are FDA approved, but some are not. [28] [29] [30] Thyroid hormones are generally well tolerated. [16]
Those who developed significant side effects may also have problems with propylthiouracil. [2] Thiamazole is a cyclic thiourea derivative that works by decreasing the production of thyroid hormones. [2] Thiamazole was approved for medical use in the United States in 1950. [2] It is on the World Health Organization's List of Essential Medicines.
Desiccated thyroid extract (DTE), is thyroid gland that has been dried and powdered for medical use. [1] It is used to treat hypothyroidism, [1] but less preferred than levothyroxine. [1] It is taken by mouth. [1] Maximal effects may take up to three weeks to occur. [1] Side effects may occur from excessive doses. [1]
Hypothyroidism (also called underactive thyroid, low thyroid or hypothyreosis) is a disorder of the endocrine system in which the thyroid gland does not produce enough thyroid hormones. [3] It can cause a number of symptoms, such as poor ability to tolerate cold , extreme fatigue, muscle aches , constipation , slow heart rate , depression , and ...