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My TSH and T4 have never been that far out of range but with the proper testing I found Hashimotos, which explained my constant fatigue and irregular periods (they can be anywhere from 14 days to 50+ and last 2-3 days or up to 10, and be very heavy or very light, truly irregular in all manner of ways!) Oh and folate needs testing too

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Yes — it is recommended during pregnancy to protect newborns from pertussis