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For most individuals on thyroid hormone replacement prior to pregnancy, the American Thyroid Association (ATA) and ACOG recommend TSH be within the trimester-specific reference range for pregnancy at a particular lab, or if not provided, preconception and first trimester TSH 200 mg/dL, with unexplained weight loss or who is unable to keep down food or fluids should check urine ketones at home

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What counts as an empty stomach for medication