Question

A 45-year-old woman complains of fatigue, weight gain and cold intolerance. TSH is 18 mU/L (raised) and free T4 is low. She is not pregnant and has no major comorbidities. What is the most appropriate initial management?

Accepted Answer

Start Levothyroxine 75–100 micrograms once daily

Answer

Start Levothyroxine 25 micrograms once daily

Answer

Repeat thyroid function in 3 months without treatment

Answer

Start Carbimazole

Answer

Refer urgently for thyroid ultrasound

Practice question

A 45-year-old woman complains of fatigue, weight gain and cold intolerance. TSH is 18 mU/L (raised) and free T4 is low. She is not pregnant and has no major comorbidities. What is the most appropriate initial management?