Question

A 45-year-old woman presents with tiredness, weight gain and constipation. TSH is 18 mIU/L (raised) and free T4 is low. She is otherwise healthy and not pregnant. What is the most appropriate initial management?

Accepted Answer

Start Levothyroxine at an appropriate replacement dose

Answer

Observe and repeat thyroid function tests in 6 months

Answer

Start Carbimazole

Answer

Refer urgently to endocrinology without treatment

Answer

Start Liothyronine therapy

Practice question

A 45-year-old woman presents with tiredness, weight gain and constipation. TSH is 18 mIU/L (raised) and free T4 is low. She is otherwise healthy and not pregnant. What is the most appropriate initial management?