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EasyEndocrinologyPrimary hypothyroidismau-amcau-racgp

A 28-year-old woman presents with fatigue, weight gain, constipation and cold intolerance. Examination reveals dry skin and delayed ankle reflexes. TSH is 18 mIU/L (reference 0.5-4.0) and free T4 is low. She is not pregnant. According to Australian guidelines, what is the most appropriate management?

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