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Laboratory Tests for Thyroid Function During Pregnancy

Test Item Normal Women Pregnant Women Pregnancy with Hyperthyroidism
Basal Metabolic Rate (BMR) % <+15 +20~+30 >+30
Serum Total Thyroxine TT4 (nmol/L) 64~167 Slightly elevated Significantly elevated
Serum Triiodothyronine TT3 (nmol/L) 1.8~2.9 Slightly elevated Significantly elevated
Thyroxine-Binding Globulin TBG (mg/L) 13~25 Slightly elevated Significantly elevated
Serum Free T3 (pmol/L) 6.0~11.4 Slightly elevated Significantly elevated
Serum Free T4 (pmol/L) 18~38 Slightly elevated Significantly elevated
Thyroid-Stimulating Hormone TSH (mU/L) 2~20 Normal Significantly decreased

Explanation

Clinical symptoms and signs of hyperthyroidism include: palpitations, resting heart rate over 100 beats/min, inability to gain weight according to gestational age despite good appetite and increased food intake, increased pulse pressure >50mmHg, heat intolerance, sweating, flushed skin, elevated skin temperature, exophthalmos, hand tremors, and diarrhea. Laboratory tests are important for diagnosing hyperthyroidism.

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