Question

A 50-year-old woman is found to have elevated TSH and low free T4 on routine bloods. She complains of tiredness and weight gain. She is otherwise well with normal ECG and no ischaemic heart disease. What is the most appropriate initial treatment?

Accepted Answer

Levothyroxine 75–100 micrograms once daily

Answer

Carbimazole 20 mg daily

Answer

Levothyroxine 25 micrograms once daily

Answer

Radioiodine ablation

Answer

No treatment and repeat thyroid function in 12 months

Practice question

A 50-year-old woman is found to have elevated TSH and low free T4 on routine bloods. She complains of tiredness and weight gain. She is otherwise well with normal ECG and no ischaemic heart disease. What is the most appropriate initial treatment?