Question

A 50-year-old woman presents with weight gain, cold intolerance and constipation. Examination shows dry skin and a delayed ankle jerk. Her TSH is 18 mU/L and free T4 is low. According to NICE guidance, what is the most appropriate initial treatment?

Accepted Answer

Start levothyroxine with dose titrated to TSH

Answer

Start liothyronine alone

Answer

No treatment is required

Answer

Start high-dose steroids

Answer

Start carbimazole

Practice question

A 50-year-old woman presents with weight gain, cold intolerance and constipation. Examination shows dry skin and a delayed ankle jerk. Her TSH is 18 mU/L and free T4 is low. According to NICE guidance, what is the most appropriate initial treatment?