Question

60-year-old newly diagnosed with primary hypothyroidism, TSH markedly elevated. What is the typical approach to starting levothyroxine?

Accepted Answer

Start at 50-100 micrograms daily depending on age/comorbidities

Answer

Start at 25 micrograms daily for all

Answer

Start high dose and taper down

Answer

Thyroxine is contraindicated in older patients

Answer

Combine levothyroxine with liothyronine at outset

Practice question

60-year-old newly diagnosed with primary hypothyroidism, TSH markedly elevated. What is the typical approach to starting levothyroxine?