Question

A 29-year-old woman presents with 3 months of fatigue and weight gain. She has dry skin and constipation. TSH is 12 mIU/L (normal 0.4-4.0) and free T4 is 8 pmol/L (normal 10-20). What is the most appropriate management?

Accepted Answer

Start levothyroxine to normalise TSH

Answer

Reassure; repeat thyroid function tests in 12 months

Answer

Order thyroid ultrasound before treating

Answer

Start beta-blocker therapy only

Answer

Recommend iodine supplementation alone

Practice question

A 29-year-old woman presents with 3 months of fatigue and weight gain. She has dry skin and constipation. TSH is 12 mIU/L (normal 0.4-4.0) and free T4 is 8 pmol/L (normal 10-20). What is the most appropriate management?