Question

A 35-year-old woman presents with fatigue, weight gain, constipation, and feeling cold over the past few months. Her TSH level is 15 mU/L (Reference range 0.4-4.0 mU/L) and free T4 is 8 pmol/L (Reference range 12-22 pmol/L). What is the most appropriate initial treatment?

Accepted Answer

Levothyroxine 50 mcg daily

Answer

Levothyroxine 25 mcg daily

Answer

Levothyroxine 100 mcg daily

Answer

Liothyronine 10 mcg daily

Answer

No treatment, repeat TSH in 3 months

Practice question

A 35-year-old woman presents with fatigue, weight gain, constipation, and feeling cold over the past few months. Her TSH level is 15 mU/L (Reference range 0.4-4.0 mU/L) and free T4 is 8 pmol/L (Reference range 12-22 pmol/L). What is the most appropriate initial treatment?