Question

A 50-year-old woman presents with a 3-month history of fatigue, weight gain (4kg), constipation, and feeling cold. Her thyroid function tests (TFTs) are: TSH 15 mU/L (0.4-4.0), Free T4 7 pmol/L (10-22). What is the most appropriate initial management?

Accepted Answer

Start levothyroxine 50 mcg daily

Answer

Start levothyroxine 25 mcg daily

Answer

Start levothyroxine 100 mcg daily

Answer

Repeat TFTs in 3 months before considering treatment

Answer

Refer to an endocrinologist

Practice question

A 50-year-old woman presents with a 3-month history of fatigue, weight gain (4kg), constipation, and feeling cold. Her thyroid function tests (TFTs) are: TSH 15 mU/L (0.4-4.0), Free T4 7 pmol/L (10-22). What is the most appropriate initial management?