Question

A 45-year-old woman presents with fatigue, weight gain, constipation and feeling cold. TSH is 18 mIU/L (elevated) and free T4 is low. Thyroid peroxidase antibodies are positive. What is the most appropriate management?

Accepted Answer

Start levothyroxine replacement therapy

Answer

Observe and repeat thyroid function tests in 12 months

Answer

Start carbimazole

Answer

Refer for radioactive iodine ablation

Answer

Start beta-blocker alone without thyroid hormone

Practice question

A 45-year-old woman presents with fatigue, weight gain, constipation and feeling cold. TSH is 18 mIU/L (elevated) and free T4 is low. Thyroid peroxidase antibodies are positive. What is the most appropriate management?