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Iodine and hashimoto's pregnancy

Asked on January 31, 2013
Created January 31, 2013 at 6:40 PM

(Let me start by saying I have an appointment with my endocrinologist in a few days, and I have very good, thoughtful high-risk prenatal care.)

I'm 18 weeks pregnant, positive for Hashimoto's antibodies, euthyroid with nodules. Any thyroid hormone or iodine supplementation sends me hyperthyroid, so I control with diet, selenium, magnesium and D3. I do not use iodized salt at home. So far, so good.

I've been taking a prenatal without iodine and iron and feeling great. Three weeks ago, the OB nurse told me I needed to switch to a prenatal with 200 mcg of iodine. I thought that was odd, but I did it. I figured maybe my iodine needs during pregnancy were so high, it would be fine. However, I'm now having obvious hyperthyroid symptoms.

I know this could be transient hyperthyroidism, but given the timing and my history, I believe it's the iodine. I know the risks of iodine deficiency to the fetus, but being hyperthyroid during pregnancy also brings increased risks of pre-term labor, pre-eclampsia, placenta previa, etc. Both options are terrifying.

Question: Are there any paleo women out there with healthy children who did not supplement with iodine (or dulse, kelp, etc.) during pregnancy? Any reassurance is most appreciated. I'm a wreck.

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