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ModerateEndocrinologyGraves disease managementus-abfmus-abimus-usmle-step-2us-usmle-step-3

A 28-year-old woman presents with heat intolerance, palpitations, weight loss, and tremor. Examination reveals a diffusely enlarged non-tender thyroid and fine tremor. Laboratory tests show TSH less than 0.01 micro IU/mL, elevated free T4, and thyroid stimulating immunoglobulins. Which therapy is most appropriate if she desires definitive non-surgical treatment and is not pregnant?

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