A 35-year-old woman presents with fatigue, weight gain, cold intolerance and constipation. Her TSH is 18 mIU/L (elevated) and free T4 is low. Accordin...

Question

A 35-year-old woman presents with fatigue, weight gain, cold intolerance and constipation. Her TSH is 18 mIU/L (elevated) and free T4 is low. According to Canadian thyroid guidelines, what is the most appropriate initial management?

Accepted Answer

Start levothyroxine replacement aiming for normal TSH

Answer

Observe and repeat thyroid function tests in 6 months

Answer

Start liothyronine (T3) monotherapy

Answer

Start combination T3/T4 therapy for faster symptom relief

Answer

Start iodine supplementation alone

ca-mccqe1 MCQ (SBA): Primary hypothyroidism

A 35-year-old woman presents with fatigue, weight gain, cold intolerance and constipation. Her TSH is 18 mIU/L (elevated) and free T4 is low. According to Canadian thyroid guidelines, what is the most appropriate initial management?