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thyroxine (synthetic T4) is given PO daily in the morning on an empty stomach. The usual replacement dose is based on ideal body weight. How much L-thyroxine would you start a healthy, young adult? 1.6 mcg/kg/day (e.g. 120 lbs = 55 kg –> replacement 88 mcg) Levothyroxine tabs: 25 mcg, 50, 75, 88, 100, 112, 125, 137, 150, 175, 200, 300 A 58-year old man has the following lab results. TSH 13.5 (normal 0.4-4.8), T4 B) Diagnose as subclinical hypothyroidism, treat with levothyroxine 1.1 (norm 0.8-1.8) 6 weeks later: TSH 15.6, T4 0.9 Treatment of subclinical hypothyroidism is controversial …. If patient has subclinical hypothyroidism with TSH > 10 –> Treat to PREVENT conversion to primary hypothyroidism If TSH < 10 --> monitor. Associated with risk of afib (immediate risk), accelarated bone loss (long-term risk, leeches calcium and vit D from the bones) Select the best answer.
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