Primary hypothyroidism is when the problem occurs in the thyroid gland
Screening and aggressive case finding for hypothyroidism: 1001: When to treat
The majority of patients with hypothyroidism feel better when levothyroxine treatment
Abstract
If patient has signs and symptoms of hypothyroidism, consider endocrinology consult
UpToDate, Inc
Primary hypothyroidism is when the problem occurs in the thyroid gland
Therapy consists of thyroid hormone replacement, unless the hypothyroidism is transient (as after painless thyroiditis or subacute thyroiditis) or reversible (due to a drug that can be discontinued)
Background: Patients with primary hypothyroidism are treated with levothyroxine (LT4) to normalize their serum thyrotropin (TSH)
Association Between Levothyroxine Treatment and Thyroid-Related Symptoms Among Adults Aged 80 Years and Older With Subclinical Hypothyroidism
Thyroid disease is common; the prevalence is higher in women and with increasing age
Hypothyroidism is characterized by a decrease in oxygen and substrate utilization by all the major organ systems of the body
BACKGROUND The treatment of hypothyroidism with levothyroxine is effective and simple; however, recommendations for the starting dose vary considerably
2013 Jul;23 (7):779-84
5 mU/L following a 6-week interval after the dosage was last increased] and/or unresolved hypothyroid
Roos A, Linn-Rasker SP, van Domburg RT, Tijssen JP, Berghout A
Treatment for hypothyroidism usually includes taking the thyroid hormone medicine levothyroxine (Levo-T, Synthroid, others) every day
These include palpitations, tachycardia, tremulousness, anxiety, and heat intolerance
The free T4 should be normal, but many assays will report slightly abnormal values; for example, the free T4 index and many direct free T4 assays report high values in familial dysalbuminemic hyperthyroxinemia
Background: Thyroid hormone replacement with levothyroxine (LT4) is a recommended treatment for
Initiate low dose levothyroxine at 25mcg daily only if patient has signs and symptoms of hypothyroidism
Chronic autoimmune thyroiditis (Hashimoto's thyroiditis) is the most common cause of hypothyroidism in iodine-sufficient areas of the world