Question

A 48-year-old woman presents with fatigue, weight gain, constipation, and feeling cold over the past few months. Her TSH level is 15 mU/L (Ref range 0.4-4.0 mU/L) and her Free T4 level is 7 pmol/L (Ref range 12-22 pmol/L). What is the most appropriate initial management according to NICE NG145?

Accepted Answer

Start Levothyroxine 50 micrograms once daily

Answer

Start Levothyroxine 100 micrograms once daily

Answer

Repeat thyroid function tests in 3 months

Answer

Refer to an endocrinologist

Answer

Measure thyroid antibodies (TPO) before starting treatment

Practice question

A 48-year-old woman presents with fatigue, weight gain, constipation, and feeling cold over the past few months. Her TSH level is 15 mU/L (Ref range 0.4-4.0 mU/L) and her Free T4 level is 7 pmol/L (Ref range 12-22 pmol/L). What is the most appropriate initial management according to NICE NG145?