Question

A 42-year-old woman has TSH 7.8 mIU/L (NR 0.4-4.0), free T4 normal, asymptomatic, non-pregnant. Anti-TPO antibodies positive. What is the most appropriate management?

Accepted Answer

Start levothyroxine only if TSH persistently ≥10 mIU/L or symptomatic/trying to conceive

Answer

Start levothyroxine immediately for all subclinical cases

Answer

Monitor TFTs in 3 months without treatment

Answer

Start liothyronine

Answer

Refer urgently to endocrinology

Practice question

A 42-year-old woman has TSH 7.8 mIU/L (NR 0.4-4.0), free T4 normal, asymptomatic, non-pregnant. Anti-TPO antibodies positive. What is the most appropriate management?