A 45-year-old woman with Hashimoto's thyroiditis is commenced on levothyroxine for hypothyroidism. According to UK guidance, how should the levothyrox...

Question

A 45-year-old woman with Hashimoto's thyroiditis is commenced on levothyroxine for hypothyroidism. According to UK guidance, how should the levothyroxine dose be titrated after initiation?

Accepted Answer

Check TSH after 6 weeks and adjust dose accordingly

Answer

Maintain the same dose for 1 year

Answer

Switch to liothyronine if TSH is abnormal at 2 weeks

Answer

Only check T4 levels every 3 months

Answer

Adjust based on clinical symptoms only

NICE Hypothyroidism (NICE CKS) MCQ (SBA): Hypothyroidism

A 45-year-old woman with Hashimoto's thyroiditis is commenced on levothyroxine for hypothyroidism. According to UK guidance, how should the levothyroxine dose be titrated after initiation?