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Thyroid over-replacement — GPhC CRA MCQ

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ModerateEndocrine TherapeuticsThyroid over-replacementGPhC CRA

A patient taking levothyroxine reports palpitations, tremor and weight loss after their dose was increased two months ago. They ask for another repeat supply. What monitoring is required?

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Correct answer: C — Check thyroid function and refer for dose review

Palpitations, tremor and weight loss may indicate excessive levothyroxine replacement. Thyroid function tests and prescriber review are needed to adjust dosing safely. Increasing the dose would likely worsen symptoms. Permanent discontinuation without review risks hypothyroidism.

Reference: BNF; NICE CKS