A 35-year-old woman presents with fatigue, weight gain (5kg in 3 months), constipation, and feeling cold. Her thyroid function tests show: TSH 15 mU/L...

Question

A 35-year-old woman presents with fatigue, weight gain (5kg in 3 months), constipation, and feeling cold. Her thyroid function tests show: TSH 15 mU/L (0.4-4.0), Free T4 8 pmol/L (10-22). What is the most appropriate initial treatment?

Accepted Answer

Levothyroxine 50 mcg daily

Answer

Levothyroxine 25 mcg daily

Answer

Levothyroxine 100 mcg daily

Answer

Liothyronine 10 mcg daily

Answer

No treatment, repeat TFTs in 3 months

mrcgp akt MCQ (SBA): Primary Hypothyroidism

A 35-year-old woman presents with fatigue, weight gain (5kg in 3 months), constipation, and feeling cold. Her thyroid function tests show: TSH 15 mU/L (0.4-4.0), Free T4 8 pmol/L (10-22). What is the most appropriate initial treatment?