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Reply to "What worked for you? RPL "
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[quote=Anonymous]Hi all, I have a somewhat complicated history, but I’m hoping to get some ideas and thoughts for things to explore or add. I’m 33 with two previous losses conceived through IVF. The first one was an untested embryo at 6 weeks. The second one was a MMC of a euploid embryo discover at 12w2d, but measuring 11w1d. No obvious cause for the second loss and all the recurrent pregnancy loss testing on me and my husband came back normal. I do have two autoimmune diseases that are very well managed (T1D and hashimotos with an A1C of 5.0 and TSH of around 1.0 and relatively low antibodies). Karotyping of fetus showed a complete normal male. So the loss was “just one of those things” or potentially a result of some underlying autoimmune issue associated with my autoimmune problems. My doctor proposes essentially the same protocol, which included baby aspirin and tapering of progesterone starting at 8 weeks, but adding 5mg of prednisone. I’m not sure when she plans to have me stop prednisone, but as far as I’m concerned if I don’t take it the whole first trimester, I’m not sure what the point would be. I’d also like to stay on progesterone through 13 weeks and plan to ask about supplementing with NAC, and avoiding gluten or dairy (although not sure how sustainable that would be once pregnant because those are about the only foods I was able to tolerate for my entire last pregnancy until it ended). Any other suggestions of things to add or tests to run? Thanks![/quote]
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