Question

A 30-year-old woman presents with lethargy, weight gain, cold intolerance and constipation. Her TSH is 15 mU/L (reference 0.4–4.0) and free T4 is low. She is not pregnant and takes no regular medication. What is the most appropriate initial treatment?

Accepted Answer

Start Levothyroxine and titrate dose to normalise TSH

Answer

Start Carbimazole

Answer

Start Propranolol alone

Answer

Arrange annual thyroid function tests without treatment

Answer

Start radioactive iodine therapy

Practice question

A 30-year-old woman presents with lethargy, weight gain, cold intolerance and constipation. Her TSH is 15 mU/L (reference 0.4–4.0) and free T4 is low. She is not pregnant and takes no regular medication. What is the most appropriate initial treatment?