Hello Dr.,
My recent reports showed:
TSH 10.08 µIU/mL (now 1.8 after 2 months on 75 mcg thyroxine),
Total T3 1.29 ng/mL, Total T4 8.58 µg/dL,
Free T3 3.68 pg/mL, Free T4 1.08 ng/dL, and
Anti-TPO 353.3 IU/mL.
Vitamin D is 50.5 ng/mL,
B12 is 1210 pg/mL,
Ferritin is 19.3 ng/mL,
CRP is 6.9 mg/L and
hs-CRP is 4.71 mg/L.
I also have PCOD with irregular cycles and bulky ovaries.
We have been trying to conceive naturally for one year and my husband’s semen profile is normal. I follow a healthy lifestyle and exercise regularly, but my cycles remain irregular.
I would like guidance on lowering Anti-TPO antibodies, improving ovulation, and increasing the chances of natural conception.
Is spontaneous pregnancy possible for me, and what treatment or steps should I take for
thyroid health, PCOD, and fertility?
What treatment, Supplements should I take to lower antibodies, thyroid and PCOD?
Also, does high Anti-TPO increase miscarriage risk even if TSH is controlled?