For most cases of mild to moderate hypothyroidism in patients who are younger and otherwise healthy, a starting dose of the thyroid hormone levothyroxine at anticipated full replacement doses may be works considered.
Doses about 25% higher may be needed by pregnant women. Treatment should begin with one fourth to one half the expected dosage in those with known ischemic heart disease and in older patients, waiting at least 4-6 weeks to adjust the dosage in small increments.
Patients with hypothyroidism rarely need surgery; it is more common in hyperthyroidism treatment. However, for large goiters that compromise tracheoesophageal function, surgery is indicated.
Learn more about hypothyroidism treatment.
This Fast Five Quiz was excerpted and adapted from the Medscape article Hypothyroidism.
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Cite this: Romesh Khardori. Fast Five Quiz: Hypothyroidism Practice Essentials - Medscape - Apr 11, 2022.