This article discusses the use of natural desiccated thyroid extract in pregnancy, which is a treatment option for hypothyroidism. Current guidelines recommend using only Levothyroxine during pregnancy, causing concern for some physicians about using Natural Desiccated Thyroid (NDT). However, many patients find NDT more effective than Levothyroxine for symptom control and are hesitant to switch to Levothyroxine during pregnancy. CountryHealth specialises in hypothyroidism treatment and predominantly prescribes NDT, as many patients did not find adequate symptom control from Levothyroxine. CountryHealth's approach is to use both NDT and Levothyroxine to ensure the pregnant woman's symptoms are controlled and the foetus receives sufficient thyroid hormones. Frequent thyroid function testing during pregnancy allows for regimen adjustments to maintain optimal maternal and foetal thyroid status. Patients who use our service are partners in their own care, empowered to fully understand and take ownership of their condition, monitoring and treatment. This is especially important during pregnancy and patients are encouraged to share their treatment plan with their own GP and specialist physicians who may be involved in their care.