A 50-year-old woman presents with fatigue, weight gain, constipation, and feeling cold over the past few months. Her TSH level is 15 mU/L (ref 0.4-4.0...

Question

A 50-year-old woman presents with fatigue, weight gain, constipation, and feeling cold over the past few months. Her TSH level is 15 mU/L (ref 0.4-4.0) and free T4 is 8 pmol/L (ref 11-23). What is the most appropriate initial treatment?

Accepted Answer

Levothyroxine 50 mcg od

Answer

Levothyroxine 25 mcg od

Answer

Levothyroxine 100 mcg od

Answer

Liothyronine 10 mcg od

Answer

No treatment, repeat TSH in 3 months

mrcgp akt MCQ (SBA): Hypothyroidism Treatment Initiation

A 50-year-old woman presents with fatigue, weight gain, constipation, and feeling cold over the past few months. Her TSH level is 15 mU/L (ref 0.4-4.0) and free T4 is 8 pmol/L (ref 11-23). What is the most appropriate initial treatment?