Get thyroid function tests before pregnancy or as soon as pregnancy is confirmed
Follow your doctor’s prescribed thyroid medication exactly as directed
Do not stop or change thyroid medication without medical advice
Take levothyroxine on an empty stomach
Separate levothyroxine from iron, calcium, and prenatal vitamins by at least 4 hours
Check TSH and free T4 regularly during pregnancy
Increase thyroid medication only if your doctor recommends it
Keep all prenatal and endocrinology appointments
Report symptoms of hypothyroidism or hyperthyroidism promptly
Maintain a consistent daily medication routine
Eat a balanced diet with adequate iodine as advised by your doctor
Avoid taking thyroid medication with food, coffee, or supplements
Monitor thyroid levels more often in the first half of pregnancy
Recheck thyroid function after any dose change
Continue thyroid follow-up after delivery as advised by your doctor