Question

A 45-year-old woman presents with a 3-month history of fatigue, weight gain, constipation, and feeling cold. Her TSH level is 15 mU/L (ref 0.4-4.0 mU/L) and free T4 is low. What is the most appropriate initial management?

Accepted Answer

Start Levothyroxine 50 mcg daily

Answer

Start Levothyroxine 25 mcg daily

Answer

Start Levothyroxine 100 mcg daily

Answer

Start Liothyronine 10 mcg daily

Answer

Repeat thyroid function tests in 3 months

Practice question

A 45-year-old woman presents with a 3-month history of fatigue, weight gain, constipation, and feeling cold. Her TSH level is 15 mU/L (ref 0.4-4.0 mU/L) and free T4 is low. What is the most appropriate initial management?