Question

A 55-year-old woman presents with a 3-month history of fatigue, weight gain, and constipation. Her TSH is 8.2 mU/L, and free T4 is 9 pmol/L. What is the most appropriate initial management?

Accepted Answer

Start levothyroxine 50 mcg daily

Answer

Start liothyronine 20 mcg daily

Answer

Repeat thyroid function tests in 3 months

Answer

Refer to endocrinology

Answer

Start carbimazole 20 mg daily

Practice question

A 55-year-old woman presents with a 3-month history of fatigue, weight gain, and constipation. Her TSH is 8.2 mU/L, and free T4 is 9 pmol/L. What is the most appropriate initial management?