Question

A 36-year-old woman presents with increasing fatigue and shortness of breath. Full blood count shows Hb 102 g per litre, MCV 88 fL and TSH 18 mU per litre with low free T4. What is the most appropriate first-line treatment

Accepted Answer

Levothyroxine

Answer

Oral iron supplementation

Answer

High-dose oral Prednisolone

Answer

Radioiodine therapy

Answer

No treatment required as anaemia is mild

Practice question

A 36-year-old woman presents with increasing fatigue and shortness of breath. Full blood count shows Hb 102 g per litre, MCV 88 fL and TSH 18 mU per litre with low free T4. What is the most appropriate first-line treatment