Question

A 50-year-old woman presents with a 6-month history of fatigue, weight gain (5kg), constipation, and feeling cold. Her thyroid function tests show: TSH 15 mU/L (0.4-4.0 mU/L), Free T4 8 pmol/L (10-22 pmol/L). What is the most appropriate initial treatment?

Accepted Answer

Levothyroxine 50 micrograms OD

Answer

Levothyroxine 25 micrograms OD

Answer

Levothyroxine 100 micrograms OD

Answer

Liothyronine 10 micrograms OD

Answer

No treatment, repeat TFTs in 3 months

Practice question

A 50-year-old woman presents with a 6-month history of fatigue, weight gain (5kg), constipation, and feeling cold. Her thyroid function tests show: TSH 15 mU/L (0.4-4.0 mU/L), Free T4 8 pmol/L (10-22 pmol/L). What is the most appropriate initial treatment?