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MediumEndocrinologyPrimary hypothyroidism treatment initiationau-amcau-racgp

A 62-year-old man presents with fatigue and weight gain. Examination reveals bradycardia and dry skin. TSH is 18 mIU/L (0.4-4.0) and free T4 is low. He has no history of ischaemic heart disease. According to Australian guidance, what is the most appropriate initial dose of levothyroxine?

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