My TSH came back at 3.5, but my clinic isn’t concerned and won't treat it. They say guidelines have changed and anything under 4.0 is now acceptable (previously <2.5).
I’m feeling uneasy about not treating it before FET. Has anyone had a successful transfer with similar levels? Would love to hear your experience or thoughts.

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Yes, my TSH has been all over the place during few retrievals - from 0.5- 5.5. A week Before transfer it was closer to 4, I wanted to cancel, doctor insisted on moving forward with FET. they did blood work on a transfer day (was above 3, don’t remember exact number ). FET was successful. During pregnancy I was on Tirosint (112), levels were super steady, not once we had to change the dose. Synthroid never worked for me, always made it worse.

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Thanks for the insights. Do you remember when you were put on Tirosint, at what point during pregnancy?

My clinic wanted me at or under 2.5 and ideally under 2 before proceeding with a transfer (eggs had been retrieved a couple years before). We got it under 2 with a pretty high dose of synthroid that I continued all through my pregnancy. My TSH is back up to 3.6 now, 6 months postpartum, as my dosage was lowered at my 6 week postpartum OB appointment. I’m exhausted and my PCP just upped my dosage to somewhere between the two levels.

How do you feel, OP? At 3.5 I’m chronically exhausted. I feel best in the high 1s or low 2s. I am fortunate to have a PCP who doesn’t just say I’m within range and call it a day. She wants me to feel my best. I would advocate for that if I were you.

Interesting insights, didn't know that TSH can be linked to energy levels. Luckily I feel great. I am just concerned given that most RE's want TSH to be under 2.5. Also worried that a level of 3.5 doesn't leave much wiggle room should I get pregnant (read that it needs to be under 4.0).

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