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Podcast Episode #229

Thyroid concerns during pregnancy, with Nutritionist Shelley McKenzie

Join this podcast episode with Nutritionist and Natropath Shelley McKenzie, who shares her story with Hashimotos and thyroid concerns during pregnancy.

In this episode we discuss:

  • How does the thyroid affect pregnancy?
  • Thyroid pregnancy issues
  • Hashimotos pregnancy
  • Underactive thyroid during pregnancy
  • High thyroid levels during pregnancy
  • Thyroid disease pregnancy guidelines
  • Which foods to avoid with pregnancy thyroid issues

If you are wanting to learn more about thyroid concerns during pregnancy, then this episode is for you.

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Thyroid concerns during pregnancy

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In this article you'll find tips to:

  • Recognise common symptoms of thyroid issues during pregnancy and postpartum.
  • Understand the differences between hyperthyroidism and hypothyroidism.
  • Learn about the specific challenges and symptoms associated with Hashimoto’s thyroiditis.
  • Identify the importance of comprehensive thyroid testing, including TSH, T3, T4, and thyroid antibodies.
  • Explore natural management options for thyroid conditions, including diet and supplements.
  • Understand the role of gluten-free diets in managing thyroid health.
  • Discover which foods to avoid if you have thyroid issues during pregnancy.
  • Gain insights into managing thyroid health without medication.
  • Learn how to be your own health advocate and seek appropriate medical advice.
  • Understand the potential impact of thyroid issues on pregnancy and postpartum health.

Pregnancy is a period of significant hormonal changes, and for many women, it can also bring to light underlying thyroid issues. In this podcast episode, I talked with Nutritionist and Naturopath Shelley McKenzie as we delve into the impacts of thyroid conditions during pregnancy.

How Does Thyroid Affect Pregnancy?

The thyroid gland plays a crucial role in regulating metabolism, energy levels, and overall hormonal balance. During pregnancy, the thyroid gland works harder to meet the increased demands of both the mother and the developing baby. An imbalance in thyroid hormones can lead to various complications, making it essential to monitor and manage thyroid health during this critical time.

Thyroid Pregnancy Issues

Thyroid issues during pregnancy can manifest as either hyperthyroidism (overactive thyroid) or hypothyroidism (underactive thyroid). Both conditions can have significant impacts on maternal and fetal health if not properly managed. Symptoms such as fatigue, weight changes, and temperature sensitivity can overlap with normal pregnancy experiences, making diagnosis challenging.

Hashimoto’s during Pregnancy

Hashimoto’s thyroiditis is an autoimmune condition where the body’s immune system attacks the thyroid gland, leading to hypothyroidism. Shelley McKenzie, who has Hashimoto’s, shared her journey of managing the condition without medication through a combination of diet and supplements. It can be beneficial for women with Hashimoto’s to monitor their thyroid levels closely during pregnancy, as hormonal fluctuations can trigger or worsen symptoms.

Underactive Thyroid During Pregnancy

Hypothyroidism, or an underactive thyroid, occurs when the thyroid gland doesn’t produce enough hormones. This can lead to symptoms like extreme fatigue, weight gain, and constipation. During pregnancy, untreated hypothyroidism can increase the risk of miscarriage, preterm birth, and developmental issues in the baby. Proper diagnosis and treatment are essential for maintaining both maternal and fetal health.

High Thyroid Levels During Pregnancy

Hyperthyroidism, or an overactive thyroid, is less common but can still occur during pregnancy. Symptoms include weight loss, rapid heartbeat, and increased sensitivity to heat. Graves’ disease is a common cause of hyperthyroidism. Managing high thyroid levels is crucial to prevent complications such as preeclampsia, premature birth, and low birth weight.

Thyroid Disease Pregnancy Guidelines

For pregnant women with thyroid disease, regular monitoring and appropriate treatment are essential. Blood tests measuring TSH, T3, T4, and thyroid antibodies can help diagnose and manage thyroid conditions. Shelley emphasises the importance of comprehensive testing and not solely relying on TSH levels. Working with healthcare providers who understand the nuances of thyroid disease during pregnancy can ensure better outcomes.

Which Foods to Avoid with Pregnancy Thyroid Issues

Diet plays a significant role in managing thyroid health. For those with thyroid concerns during pregnancy, certain dietary adjustments may be beneficial. Shelley recommends a gluten-free diet, as gluten can be inflammatory and negatively impact thyroid function. She also suggests avoiding highly processed foods and focusing on nutrient-dense options. Additionally, monitoring iodine intake is important, as both deficiency and excess can affect thyroid function.

Understanding and managing thyroid concerns during pregnancy is important for the health of both mother and baby. By staying informed, advocating for comprehensive testing, and making appropriate lifestyle changes, women can effectively manage thyroid conditions and enjoy a healthier pregnancy journey. If you have thyroid concerns, consider consulting with a healthcare provider and naturopath to develop a personalised management plan.

** This podcast has general information only. Always seek the guidance of your doctor or other qualified health professional with any questions or concerns you may have regarding your health or medical condition. 

Links

Preparing for birth Pelvic health checklist
Free 7 Day Trial Pregnancy Workouts
Free 7 Day Trial Postnatal Workouts

FitNest Mama Website
Instagram 
@fitnestmama
Shelley McKenzie website: 
https://freedomwellness.com.au/about
Instagram 
@shelleymckenzie_naturopath/

Frequently asked Questions (FAQs)

What are the common symptoms of thyroid issues during pregnancy?

Common symptoms of thyroid issues during pregnancy include extreme fatigue, weight gain or loss, digestive issues (such as constipation), hair loss, and sensitivity to temperature. These symptoms can often be mistaken for typical pregnancy experiences, making proper diagnosis crucial.

How is Hashimoto's thyroiditis managed during pregnancy?

Hashimoto's thyroiditis can be managed through a combination of diet, lifestyle changes, and supplements. Shelley McKenzie recommends a gluten-free diet and specific supplements like myo-inositol and selenium to help stabilise thyroid health. Regular monitoring of thyroid levels is also essential.

What is the difference between hyperthyroidism and hypothyroidism in pregnancy?

Hyperthyroidism (overactive thyroid) leads to symptoms like weight loss, rapid heartbeat, and increased sensitivity to heat, while hypothyroidism (underactive thyroid) causes weight gain, extreme fatigue, and constipation. Proper diagnosis and treatment are crucial to prevent complications for both mother and baby.

Why is comprehensive thyroid testing important during pregnancy?

Comprehensive thyroid testing, including TSH, T3, T4, and thyroid antibodies, is important to accurately diagnose and manage thyroid conditions. Relying solely on TSH levels may not provide a complete picture of thyroid health, especially during pregnancy when hormonal demands are higher.

What dietary changes can help manage thyroid issues during pregnancy?

Shelley McKenzie recommends a gluten-free diet to reduce inflammation and support thyroid health. Additionally, avoiding highly processed foods and focusing on nutrient-dense options can be beneficial. Monitoring iodine intake is also important, as both deficiency and excess can impact thyroid function.