A 40-year-old woman presents with fatigue, weight gain, constipation, and feeling cold over the past few months. Her TSH is 15 mU/L (Ref: 0.4-4.0) and...

Question

A 40-year-old woman presents with fatigue, weight gain, constipation, and feeling cold over the past few months. Her TSH is 15 mU/L (Ref: 0.4-4.0) and Free T4 is 7 pmol/L (Ref: 10-22). What is the most appropriate initial management?

Accepted Answer

Start Levothyroxine 50mcg OD

Answer

Start Levothyroxine 25mcg OD

Answer

Start Levothyroxine 100mcg OD

Answer

Repeat thyroid function tests in 3 months

Answer

Refer to an endocrinologist

mrcgp akt MCQ (SBA): Primary Hypothyroidism

A 40-year-old woman presents with fatigue, weight gain, constipation, and feeling cold over the past few months. Her TSH is 15 mU/L (Ref: 0.4-4.0) and Free T4 is 7 pmol/L (Ref: 10-22). What is the most appropriate initial management?