Since you are experiencing active muscle weakness, it is best to hold off on heavy strength training for now. Your weakness could mean your thyroid hormone (levothyroxine, which is in Thyronorm) levels need a slight adjustment, so please consult your doctor for a blood test. For your neck arthritis, heavy lifting can strain your joints. I recommend starting with gentle stretching, walking, or physical therapy. Once your thyroid levels are stable and your strength returns, you can safely resume modified strength training under guidance.

A TSH of 94 mIU/L indicates your body still needs significantly more thyroid hormone. Your current 50 mcg dose of Thyronorm (levothyroxine) is likely too low, or there may be an absorption issue. To ensure proper absorption, always take your medication first thing in the morning on an empty stomach with water, waiting at least 30 to 60 minutes before eating or drinking coffee. Please consult your doctor soon; they will likely need to adjust your dosage and run follow-up tests to help you find relief and start feeling much better.

A TSH of 7.8 uIU/mL is mildly elevated, indicating a slightly underactive thyroid. Typically, starting hormone replacement like levothyroxine (Thyronorm) is strongly recommended when TSH exceeds 10 uIU/mL. However, for levels between 4.5 and 10 uIU/mL, doctors often consider starting a gentle dose, such as Thyronorm 25 mcg, if you have symptoms like fatigue, high cholesterol, or positive antibodies. Please be reassured that this is very common and highly manageable. I suggest sharing any symptoms you might have with your doctor, who can help determine if starting this low dose is the best next step for you.

While a TSH of 4.26 might seem normal, during early pregnancy, target thyroid levels are actually much tighter to support your baby's development. Please do not stop taking your Thyronorm 25 (levothyroxine) without consulting your doctor. Keeping your thyroid levels stable is very important for a healthy pregnancy. I highly recommend discussing this result with your obstetrician or endocrinologist, as they will monitor your levels closely and ensure you and your baby have a safe, healthy journey ahead.

Managing weight with PCOS and mild hypothyroidism can feel challenging, but you can absolutely achieve your 10 kg goal! Your current medications, Krimsom 35 (cyproterone with ethinylestradiol) and Thyronorm 25 (levothyroxine), are wonderful tools already helping to balance your hormones. To support them, focus on a low-glycemic, high-fiber diet rich in lean proteins to help manage insulin resistance. Incorporating a mix of strength training and gentle cardio, like brisk walking, will boost your metabolism. Consistent sleep and managing stress are also key to hormonal health.

It is very common to experience mild mid-cycle spotting around day 14, which is often related to ovulation. Since you are breastfeeding once a night, your prolactin levels fluctuate, which can cause light spotting. Additionally, your body is adjusting to Thyronorm (levothyroxine). While this is generally normal and reassuring, it is always a good idea to share this with your doctor to ensure your thyroid levels are optimal.