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Hyperthyroidism in Pregnancy

Neda Frayha, MD and Andrew Buelt, DO
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When Neda met a pregnant, hyperthyroid patient who was new to care, she developed palpitations of her own. In this conversation, Neda and Andrew go through which lab tests to order, how to interpret thyroid function tests in pregnancy, and how to treat depending on the trimester.

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Jessica Z. -

Can people actually order a total T4 or T4 index? Our lab had no idea when I asked. Also, is there a trimester specific TSH table or resource people are using?

Neda F., MD -

Hi Jessica. Great questions. It is possible to order a total T4 and many labs offer it. Could it be a send-out test at your lab? The best trimester specific reference ranges for TSH can be found in table 2 of the Guidelines of the American Thyroid Association for the Diagnosis and Management of Thyroid Disease During Pregnancy and Postpartum: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3472679/

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A Hyperthyroid Fetus Full episode audio for MD edition 181:09 min - 85 MB - M4AHippo Primary Care RAP June 2018 Written Summary 1 MB - PDF

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