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Hypothyroidism monitoring — GPhC CRA MCQ

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EasyEndocrine TherapeuticsHypothyroidism monitoringGPhC CRA

A patient started levothyroxine six weeks ago and asks why the dose has not been increased after three days despite ongoing tiredness. What monitoring is required?

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Correct answer: C — Repeat thyroid function tests after an appropriate interval before titration

Levothyroxine has a long half-life and dose adjustments are guided by thyroid function tests after several weeks. Symptoms may lag behind biochemical correction. Rapid dose changes increase the risk of overtreatment.

Reference: BNF; NICE CKS