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-Jersey Shore University Medical Center
-Monmouth Medical Center- press release
Providing consultation and treatment for an adults with following Endocrine problems:
In people with Hashimoto's hypothyroidism occurs at a rate of 4.3% per year versus 2.6% per year who do not have Hashimoto's.
Evaluation for Hashimoto's should be considered when evaluating patients with recurrent miscarriage, with or without infertility.
(abnormal calcium level):
- Cushing's Disease
- Functional evaluation of pituitary tumors
- Hypogonadism (low testosterone)
Genetic Endocrine Syndroms:
Overt untreated hypothyroidism during pregnancy may adversely affect maternal and fetal outcomes. These adverse outcomes include increased incidences of spontaneous miscarriage, preterm delivery, preeclampsia, maternal hypertension, postpartum hemorrhage, low birth weight and stillbirth, and impaired intellectual and psychomotor development of the fetus.
Women with positive TPOAb may have an increased risk for first trimester miscarriage, preterm delivery, and for offspring with impaired cognitive development.
It is important to have normal thyroid function prior to conceiving.
Requirements of thyroid hormone increase during pregnancy.
When a woman with hypothyroidism becomes pregnant, the dosage of L-thyroxine should be increased as soon as possible.
"Treatment with L-thyroxine should be considered in women of childbearing age with normal serum TSH levels when they are pregnant or planning a pregnancy, including assisted reproduction in the immediate future, if they have or have had positive levels of serum TPOAb, particularly when there is a history of miscarriage or past history of hypothyroidism."
"Women of childbearing age who are pregnant or planning a pregnancy, including assisted reproduction in the immediate future, should be treated with L-thyroxine if they have or have had positive levels of serum TPOAb and their TSH is greater than 2.5 mIU/L."
Metabolism and Obesity
It would be important to be evaluated for Endocrine cause of obesity.
Did you know that several endocrine abnormalities, including Hypothyroidism, Cushing’s, Polycystic ovary syndrome (PCOS), Subclinical Hypothyroidism are considered as causative factors of obesity?
Prevalence in obesity of Cushing’s 1%, metabolic syndrome 40%, PCOS 12%, Hypothyroidism 5%, Hashimoto's thyroiditis 11%.