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→Thyroid
*Total T3 and T4 in pregnancy can be 1.5x normal range and still be physiologic. TSH is suppressed. '''There is no role for measuring free T4 in pregnancy'''
*Total T3 and T4 in pregnancy can be 1.5x normal range and still be physiologic. TSH is suppressed. '''There is no role for measuring free T4 in pregnancy'''
*Amiodarone decreases peripheral conversion of T4 to T3, but generally this self resolves in 6-9 months after treatment initiation. Amiodarone has a half-life of 100 days.
*Amiodarone decreases peripheral conversion of T4 to T3, but generally this self resolves in 6-9 months after treatment initiation. Amiodarone has a half-life of 100 days.
*Low T4 and low TSH suggests central hypothyroidism. Measure ACTH levels and get an ACTH stim test as well as AM serum cortisol.
=Glucose Homeostasis=
=Glucose Homeostasis=