Originally Posted by doulajewla
One other question----when the TSH levels are below a 0.01, are you most definetly hyperthyroid? She said i am, but I just wanted to check because then why else am I going for more bloodwork? Thanks!
She's probably checking your actual
thyroid hormone levels this time. TSH stands for thyroid-stimulating hormone; it's not a thyroid hormone, it's a hormone released by the pituitary gland which tells your thyroid how much hormone to produce based on how much is already circulating in your body. If your TSH is extremely low, it most likely means that you are hyperthyroid, but in order to figure out why (there are several conditions that can cause it) and treat it approrpriately, she would want to know your actual thyroid levels - and possibly other test for other things such as antithyroid antibodies as well.
Yes, after dealing with this for nearly 4 years I know more than I ever wanted to about thyroid disease!! But yes, PTU is considered safe while nursing and anyone who says you have to wean is uninformed, IMHO. Bear in mind, very few meds are risk-free - and it is true that the drugs given for hypothyroid are considered totally safe while those for hyperthyroid are not quite as innocuous - but still, with a little monitoring, your baby should be fine. As I said, I've been on PTU through nursing and pregnancy and both, my docs have watched us carefully and we've and never had any problems. Good luck!
oh ps - you really do need to see an endo. Maybe another one could get you in sooner, or you could call the office and explain and ask to be squeezed in for an appt? When my endo couldn't see me in a reasonable time frame, she would have one of her residents see me and then she'd just run in to consult/supervise at the end. Maybe that's a possibility? This is one case where I'm convinced specialists know WAAAAAY better than general docs.