Question

A 52-year-old with long-standing hypothyroidism on levothyroxine 100 micrograms has TSH 8.2 mIU/L and free T4 low. She is adherent and takes medication with breakfast. Best advice?

Accepted Answer

Advise taking levothyroxine on an empty stomach before breakfast

Answer

Increase levothyroxine to 125 micrograms without other changes

Answer

Switch to liothyronine

Answer

Stop therapy and recheck in 6 weeks

Answer

Add iron supplementation

Practice question

A 52-year-old with long-standing hypothyroidism on levothyroxine 100 micrograms has TSH 8.2 mIU/L and free T4 low. She is adherent and takes medication with breakfast. Best advice?