A 45-year-old woman presents with fatigue, weight gain, and cold intolerance. Blood tests show: TSH 12.5 mU/L (NR 0.4-4.0), Free T4 9 pmol/L (NR 12-22...

Question

A 45-year-old woman presents with fatigue, weight gain, and cold intolerance. Blood tests show: TSH 12.5 mU/L (NR 0.4-4.0), Free T4 9 pmol/L (NR 12-22). She is otherwise healthy. What is the most appropriate management?

Accepted Answer

Commence Levothyroxine 1.6mcg/kg OD

Answer

Commence Levothyroxine 25mcg OD

Answer

Commence Liothyronine

Answer

Repeat TFTs in 3 months

Answer

Refer for thyroid ultrasound

mrcgp akt MCQ (SBA): Hypothyroidism

A 45-year-old woman presents with fatigue, weight gain, and cold intolerance. Blood tests show: TSH 12.5 mU/L (NR 0.4-4.0), Free T4 9 pmol/L (NR 12-22). She is otherwise healthy. What is the most appropriate management?