=Myboo99;I've never heard of an MFM I'll have to look for one.
MFM should be covered. There should be a group associated with your nearest major city hospital. Medicare patients get to see them. Call your insurance company and ask if high risk pregnancy consultation with a maternal fetal medicine MD is covered. It should be other wise there are law suit issues due to neglegent care provision....
Only thing I'm familiar with is RE's which I haven't seen b/c my insurance won't cover that but they cover OB's.
MFMs are specialized OBs but they study how to treat all the things that go wrong with a pregnancy. Gestational diabetes, thyroid issues, over 35 pregnancies and more.
I need to get a new OB being when I saw mine the last time he just told me I needed to lose 50lbs & wouldn't wish pregnancy anyone my size. He then went on to say it was natures way of telling me I didn't need to be pregnant right now. Granted I am heavy at 210lbs but I do have a lot of muscle & there are plenty of women who weigh more than me having babies!
Losing weight would help, but if you are eating healthy and exercising and still unable to lose weight then you might have a problem causing it. I was running 5-10 miles a day, weight lifting 5 days a week, doing martial arts multiple nights a week, and doing weight watchers and still unable to lose weight inthe NORMAL thyroid range. My FT3 was 30% and my Ft4 10% TSH never cleared 2.
The first thing the MFM will tell you ismthat for you to have the best chance you need an FT4 level in the 60-80% range. Anything less and you and your developing fetus will be at higher risk for complications, mental developmental issues, and more.
also was on depo for 12yrs which is a steroid so it causes weight gain & how long have I had thyroid issues that make losing weight impossible. Anyways he was fired that day but I haven't looked for a replacement since we're trying to figure out this other stuff.
Do not expect me to explain the inner workings of a MDUM. They are a common breed and just need to be tolerated and only given patients with simple needs.
. I am a scientist and engineer, I have Hashimoto's and graves disease, and Hypoadrenalism, and reactive hypoglycemia, and PCOS, and insulin resistance.... Did I get them all? (Snort).
Maybe. I collect AIs as a hobby. Allergies, contact dermatitis, sleep apnea, exzyma, LPR... those just add character.
Now I have another question for you if you don't mind. When my TSH was 2.54 in Jan & in Aug it was 1.28 should it change that much w/o being medicated? I mean is it normal for it to fluctuate that much or does is clearly indicate there's an issue?
TSH IS A VERY UNRELIABLE TEST. It can be effected by estrogen levels, medication you are taking, illness, time of the month and more! If you find a doctor that follows the most recent American endocrine society recommendations a TSH of 2 in conjunction with positive Hashimoto's antibodies warrants treatment of the patient as hypothyroid.
Maybe you can find an integrative medicine MD that is willing to treat you. You do not have to have an ENDO treat your thyroid issues. Many of us have only encountered ENDUMs. There are thyroid Knowledgable Endos but they seem to be an endangered species....
I couldn't really find any info on that. Also you asked about which antibody test I had, on the results sheet they sent me it just says Antinuclear Antibodies Direct.
OH HADES THEY DIDN'T! This is not a recognized accurate thyroid antibody test. ANA which is what they ran can determine RA.
Go to a minute clinic and get a nurse practicioner to order the lab work for you. That is a test out of the dark ages as far as thyroid autoimmune disorders are concerned. You need the following lab tests run:
TPOAB - hasimoto's indicator
TGAB - HASHIs secondary indicator
TRAB - Graves secondary indicator
Then it just lists neg where the lab reference should be, no other info but I can call the lab & ask what that includes. I will say I was so frustrated I asked them to mail me all my labs they've run, had I not I wouldn't even know this stuff.