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MediumEndocrinologyPrimary hypothyroidismau-amcau-racp

A 55-year-old man presents with weight gain, fatigue and cold intolerance. Examination reveals dry skin and bradycardia. TSH is 18 mIU/L (elevated) and free T4 is 7 pmol/L (low). He has no history of ischaemic heart disease. According to Australian endocrine practice, what is the most appropriate initial management?

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