Question

A 40-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 7 pmol/L (ref 11-22). What is the most appropriate initial treatment?

Accepted Answer

Levothyroxine 50mcg daily

Answer

Liothyronine (T3) 20mcg daily

Answer

Levothyroxine 25mcg daily

Answer

Levothyroxine 100mcg daily

Answer

No treatment, repeat TFTs in 3 months

Practice question

A 40-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 7 pmol/L (ref 11-22). What is the most appropriate initial treatment?