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EasyEndocrinologyPrimary Hypothyroidismmrcgp aktukmlapanemrcp part 1

A 55-year-old woman presents with fatigue, constipation, weight gain, and cold intolerance over the past few months. Blood tests reveal: TSH 15.2 mU/L (ref 0.4-4.0), Free T4 7.8 pmol/L (ref 11.0-22.0). What is the most appropriate initial treatment?

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