instruction: hi doctor I had postpartum thyearoiditis with my first child and it presented again with second child at months postpartum I am dealing with anxiety higher than normal heart rate fatigue and trouble sleeping during previous pt I could not tolerate medicines and it resolved when my child was 13 months old is it normal to cycle back and forth between hyper and hypo cycles numerous times with postpartum thyearoiditis is it fine to not treat it since it is cycling back and forth if it should be treated what would be the proper treatment since the levels fluctuate so rapidly my three months consecutive ash levels are 85 0 and respectively also tpoab 96 high and si 53 within normal limits my current medications include prenatal vitamin still nursing probiotic vitamin and moducare
output: hi for further information consult an endocrinologist online