By some estimates, there are 50 million+ Americans with thyroid conditions. Most are women. And here’s a startling statistic:
The majority of people with thyroid problems are also undiagnosed and untreated.That means there are MILLIONS of women walking around with thyroid conditions, but they don’t know it.
Are you one of the millions of women with a thyroid condition, but you don’t know yet?
You may not realize that a thyroid imbalance can contribute to infertility, recurrent miscarriage, pregnancy problems, and postpartum health challenges. Your thyroid problem also puts your baby at increased risk of prematurity, breech birth, ADHD, autism, and cognitive disabilities.
Or, you may already have a diagnosed thyroid condition. But is your treatment optimal for fertility? How can you tell?
Will your thyroid problem get in the way of your having a healthy pregnancy and healthy baby?
Sadly, research shows that many endocrinologists don’t know how to manage pregnancy in their patients. And, many obstetricians don’t know how to manage thyroid disease in their patients. The result? Miscarriages, preeclampsia, premature babies, and other heartbreaking complications.
For the sake of you and your baby, it’s time to take charge of your health!
In our new book, Your Healthy Pregnancy with Thyroid Disease, you learn the signs and symptoms of thyroid conditions, and the tests to ask for, how to understand the results, and effective treatments. The book features step-by-step guides for each stage of motherhood with a thyroid condition, from pre-conception, to postpartum. In this easy-to-understand guide, women learn about the medical, nutritional, lifestyle, and mind-body approaches to live well with a thyroid condition, and overcome obstacles to a healthy pregnancy and baby.One important aspect of empowerment is to be able to order your own lab work, securely and privately. To help support readers of their book, Dana and Mary have put together MyMedLab panels of tests for thyroid, fertility, and other related health challenges. All of these tests are discussed and recommended in “Your Healthy Pregnancy with Thyroid Disease.” These panels — exclusive to leading direct-to-consumer laboratory MyMedLab — can help you in your quest to become pregnant, have a healthy pregnancy, and achieve your dream: a happy, healthy baby…and a happy, healthy mother!
Blood Pregnancy Test in Weeks/Beta HCGTHYROID AND AUTOIMMUNE TESTING
|FERTILITY PLANNING/INFERTILITY EVALUATIONS
Hormone Status Checkup
Fertility Status – Day 3
Fertility Status – Day 21SPECIAL ISSUES PANELS
Do you need help understanding what your blood tests mean? Do you need to brainstorm some next steps in your journey to a healthy baby? Once your test results are available, you can order and schedule a 15-minute telephone consultation with Mary Shomon. Mary can discuss your results witih you in this informative, helpful call, and work with you to map out a plan to achieve your dream of a healthy baby.If you are not getting the information and help you need from doctors order their own lab work, in most states, you can order your own tests. We have partnered with direct-to-consumer laboratory testing company MyMedLab to provide you with a variety of blood and saliva tests and test panels to help you take charge of your hormonal health, from pre-conception to postpartum.
The following links will take you to MyMedLab, where you can select blood and saliva tests, and get a bloodwork order. Blood draws are then done at your local Labcorp facility, a national lab used by doctors around the country. Results are sent back to you privately, using MyMedLab’s secure system.
These panels can help you in your quest to become pregnant, have a healthy pregnancy, and achieve your dream: a happy, healthy baby…and mother! If you would like more information about the various tests, what results mean, and how they play a part in fertility, a healthy pregnancy and a healthy baby, read Your Healthy Pregnancy with Thyroid Disease.
PREGNANCY TEST / BETA HCG
The Beta HCG blood test measures the specific amount of HCG (human chorionic gonadotropin). Quantitative HCG measurements can allow precise prediction of the age of the fetus. It is also used when an abnormal condition that can elevate HCG level is suspected. A pregnancy test is usually based on detection of HCG, which is secreted by the fertilized egg.
THYROID AND AUTOIMMUNE TESTING
Thyroid Complete Panel
This panel assess basic thyroid values, including TSH, Free T4, and Free T3. It also includes Reverse T3 — an inactive form of T3 that may block the body’s use of the active T3 thyroid hormone, and help diagnose subtle or cellular hypothyroidism. This panel can be done at any stage — pre-conception, during pregnancy, or postpartum — to assess general function. Over time it creates your own unique trend of thyroid numbers.
Thyroid Basic Panel
This panel assess basic thyroid values, including TSH, Free T4, and Free T3, and can be done at any stage — pre-conception, during pregnancy, or postpartum — to assess general thyroid function.
This test is to determine the amount of Reverse T3, one of the two forms of T3 produced by the body. When the body is under stress, instead of converting T4 into T3 – the active form of thyroid hormone – the body conserves energy by making what is known as Reverse T3 (RT3), an inactive form of the T3 hormone.
>> Reverse T3
Thyroid Autoimmune Checkup
This panel assess basic thyroid values, including TSH, Free T4, and Free T3, and also helps identify evidence of autoimmune thyroid disease, including Hashimoto’s disease (Thyroid Peroxidase Antibodies/TPO) and Graves’ disease (Thyroid Stimulating Immunoglobulins (TSI). This panel is typically done prior to a thyroid diagnosis, based on symptoms and medical history, at any stage of pregnancy: pre-conception, during pregnancy, or postpartum. This same group of tests can be used prior to a thyroid diagnosis, anytime based on symptoms and medical history, or at any stage of pregnancy. Over time it creates your own unique trend of thyroid numbers.
This panel assess basic thyroid values, including TSH, Free T4, and Free T3, and also helps monitor Thyroid Peroxidase Antibodies (TPO), which can be a measure of autoimmune activity with Hashimoto’s disease. This panel is typically done after a diagnosis of Hashimoto’s disease, to assess response to treatment approaches, at any stage of pregnancy: pre-conception, during pregnancy, or postpartum.
Graves’ Disease Checkup
This panel assess basic thyroid values, including TSH, Free T4, and Free T3, and also helps monitor Thyroid Stimulating Immunoglobulins (TSI), which can be a measure of autoimmune activity with Graves’ disease. This panel is typically done after a diagnosis of Graves’ disease, to assess response to treatment approaches, at any stage of pregnancy: pre-conception, during pregnancy, or postpartum.
COMPREHENSIVE PLANNING AND EVALUATION PANELS
Pre-Conception Status – Comprehensive Panel
This panel assess basic thyroid values, including TSH, Free T4, and Free T3. It also includes a number of key nutrient, vitamin and mineral levels that are important for fertility and to sustain pregnancy. This panel is typically done during the pre-conception stage. The test measures the following:
- Pre-Basic Metabolic Panel (BMP)
- Liver Function Panel
- Lipid Profile (Chol, Trig, HDL, LDL, VLDL and Risk Factor)
- eGFR (Kidney)
- BUN (Kidney)
- Uric Acid
- Iron Level
- Complete Blood Count (CBC)
- Urinalysis (UA)
- Thyroid (TSH)
- Free T4 (FT4)
- Free T3 (FT3)
- Thyroid Peroxidase Antibody (TPO)
- Vitamin D (D3)
- Vitamin B12
- Folate (Folic Acid)
- Whole Blood Selenium (Selenium)
- Urine Iodine Level (Iodine)
- RBC Magnesium
Pre-Conception MTHFR Testing
This test looks for the presence of the MTHF gene, which affects methylation pathways. It is important because folic acid — an essential nutrient during pre-conception and pregnancy to help prevent neural defects in the baby — is not properly absorbed in women who test positive for the MTHFR mutation. If you have this mutation, you require a different form of folic acid in order to protect your developing baby.
This panel assess basic thyroid values, including TSH, Free T4, and Free T3. It also includes a number of key nutrients that are important for a healthy postpartum period and breastfeeding. This panel is typically done a few weeks after your baby is born. The panel includes
- Free T4
- Free T3
- Vitamin D
- Vitamin B12
- RBS Magnesium
FERTILITY PLANNING/INFERTILITY EVALUATIONS
Hormone Status Checkup / Infertility Evaluation
This panel evaluates key hormone levels for fertility, and those where imbalances can contribute to fertility problems, including failure to get pregnant, failed assisted reproduction (IVF/IUI), or recurrent miscarriage. It is typically recommended for women who have experienced infertility, failed assisted reproduction or pregnancy loss. It may also be helpful to a woman over 35 with a thyroid condition who is planning to conceive her first baby. The panel includes the following tests:
- Thyroid (TSH)
- Free T4 (FT4)
- Free T3 (FT3)
- Thyroid Peroxidase Antibody (TPO)
- Thyroid Stimulating Immunoglobulin (TSI)
- Prolactin (PRL)
- DHEA Sulfate (DHEA S)
- Testosterone, Total
- Testosterone Free
- Anti-Mullerian Hormone (AMH)
Fertility Status – Day 3/Infertility Hormone Status – Day 3 Panel
The samples for this panel should be taken on day 3 of your cycle (3 days after your period begins), to evaluate key fertility hormones. The panel evaluates Follicle Stimulating Hormone (FSH), Luteinizing Hormone (LH) and Estradiol (E2).
Fertility Status – Day 21/Progesterone Check
Progesterone should be tested on day 21 — 21 days after your period begins — to evaluate this key fertility hormone.
SPECIAL ISSUES PANELS
Weight Loss — Pre-Conception / Postpartum
In addition to evaluating thyroid and nutritional function via the Pre-conception or Postpartum Panels, if you are struggling to lose weight, or you are gaining weight inappropriately, there are some additional tests that will help you pinpoint the problems and will help point toward solutions. This panel includes: Fasting Glucose, Hemoglobin A1C (HA1C) and Leptin.
>> Weight Loss
Fertility/Pregnancy/Postpartum Adrenal Stress Test
This is a home saliva test that measures levels of cortisol and DHEA in your saliva over a 24-hour period. A kit will be mailed to you, and you mail back the completed saliva samples. This test can be performed at any point from pre-conception to postpartum, to evaluate signs of adrenal imbalances and dysfunction.
Breastfeeding Problems – Prolactin Test
If you are having problems breastfeeding, a measurement of Prolactin is important.
Hair Loss Panel
If you are experiencing several hair loss — typically postpartum — this panel helps to identify possible nutritional and hormonal causes, and measures testosterone, ferritin and DHT (Dihydroxytestosterone).
Telephone Review/Consultation with Mary Shomon
After your test results are available, MyMedLab will give you the option to order and schedule a 15-minute review and telephone consultation with Mary Shomon. Mary will help you understand the results, and map out your next key steps.