In this episode, Dr. Eric Osansky welcomes thyroid patient advocate, speaker, and bestselling author Rachel Hill to discuss her book, The Positive Thyroid Pregnancy Book. Drawing from both her personal experiences and years of supporting thyroid patients, Rachel shares practical guidance for navigating fertility, pregnancy, and postpartum health while managing hypothyroidism and Hashimoto’s thyroiditis. While her focus is primarily on hypothyroidism, much of the conversation applies to anyone dealing with thyroid or autoimmune thyroid conditions.

Together, they explore some of the biggest challenges thyroid patients face when trying to conceive, including infertility, miscarriage risk, thyroid antibody management, medication considerations, and optimizing thyroid hormone levels. Rachel also discusses the importance of tracking thyroid labs throughout pregnancy, reducing thyroid antibodies before conception when possible, supporting gut and immune health, balancing blood sugar, addressing nutrient deficiencies, and understanding the role of hormones, diet, exercise, and environmental toxins in fertility and pregnancy outcomes.

The conversation concludes with practical advice on prenatal supplements, postpartum thyroid health, building a supportive healthcare team, and advocating for yourself throughout the entire pregnancy journey. If you want a clearer understanding of how to prepare for a healthy pregnancy while managing a thyroid condition, you’ll get a lot out of this episode.

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