Question

A 45-year-old woman presents with fatigue, weight gain, constipation and cold intolerance. Her TSH is elevated and free T4 is low. She is otherwise healthy and not pregnant. What is the most appropriate initial management?

Accepted Answer

Start Levothyroxine and titrate according to TSH

Answer

Start Carbimazole

Answer

Start Propranolol only

Answer

No treatment is required as this will resolve spontaneously

Answer

Refer urgently for thyroidectomy

Practice question

A 45-year-old woman presents with fatigue, weight gain, constipation and cold intolerance. Her TSH is elevated and free T4 is low. She is otherwise healthy and not pregnant. What is the most appropriate initial management?