### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi, I am 11 weeks pregnant and I had abnormally high levels of TSH and I went in for further testing. Below are my results: Autoimmunity Test: Microsomal (TPO) Antibody titre serum by CMIA: 614.44 (Ref Interval upto 5.61 IU/ml) Thyroglobulin Antibody (ATG), serum by CMIA: 5.83 (Ref Interval upto 4.11 IU/ml) Hormones: Free T3, serum by CLIA: 2.64 (Ref Interval upto 2.0 to 3.8 pg/ml) Free t4, serum by CLIA: 0.77 (Ref Interval 0.7 to 2.0 ng/dl) TSH (Ultrasensitive, serum by CLIA: 9.58 (Ref Interval 0.3 to 4.5 microIU/ml) Can someone help?

### output:

Hi, You need to start Levothyroxine tablets and try to maintain the TSH levels below 3 micro/ml in first 12 weeks of pregnancy. And less than 2.5 micro/ml from 4th month till term. At 9.58 it is quite high, and you will need the advice of an endocrinologist regarding the dose adjustment of Levothyroxine. High TSH levels can affect pregnancy, there are more chances of problems during delivery, more chances of bleeding and High TSH is also known to cause developmental delays in the baby, so it is best that you get an opinion of an endocrinologist immediately and discuss all the reports with your Gynecologist. Hope this helps. Regards.