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Having a Positive Thyroid Pregnancy with Rachel Hill

EPISODE 254

Having a Positive Thyroid Pregnancy with Rachel Hill

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.

Episode Timeline:

00:00 – Introduction to thyroid health and pregnancy
02:08 – Meet Rachel Hill and her thyroid journey
03:14 – Why Rachel wrote The Positive Thyroid Pregnancy Book
06:00 – The biggest fertility and pregnancy challenges for thyroid patients
08:07 – Thyroid medication options during pregnancy
09:58 – Rachel’s personal experience with thyroid medication
12:07 – Monitoring thyroid levels throughout pregnancy
14:03 – Which thyroid labs should be tested?
15:05 – Thyroid antibodies and pregnancy
16:56 – Can you conceive with elevated thyroid antibodies?
17:51 – Strategies to lower thyroid antibodies naturally
20:36 – Preventing miscarriage and supporting hormone balance
24:55 – Environmental toxins and fertility concerns
26:00 – Diet considerations before and during pregnancy
28:53 – Protein, fiber, and healthy fats for thyroid health
31:56 – Exercise recommendations during pregnancy
35:39 – Postpartum thyroiditis and immune changes
38:59 – Essential supplements during pregnancy
42:42 – Why male fertility matters too
45:27 – Home birth considerations with thyroid conditions
48:01 – Key takeaways for thyroid patients planning pregnancy
49:15 – Where to find Rachel Hill and her resources

Post-Episode Chat

51:36 – Preparing for a healthy pregnancy
53:00 – Thyroid medication considerations during pregnancy
54:56 – Lowering thyroid antibodies before conception
55:34 – Preventing miscarriage and supporting progesterone
56:45 – Endocrine disruptors and fertility concerns
57:46 – Preventing postpartum thyroiditis
58:30 – AIP and restrictive diets during pregnancy
59:33 – Prenatal nutrients, iodine, and supplementation
01:00:24 – Hyperthyroidism and pregnancy considerations
01:01:21 – Final thoughts and recommended resources

Guest Information

About Rachel Hill

Rachel Hill is a multi-award-winning thyroid patient advocate, speaker, blogger, and bestselling author. She is the creator of The Invisible Hypothyroidism, one of the leading online resources for people living with thyroid conditions. Rachel has authored multiple books focused on hypothyroidism, Hashimoto’s, thyroid-related relationships, and pregnancy, helping thousands of thyroid patients better understand and manage their health.

Connect with Rachel Hill

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