Treatment Plan
Conservative:
- Morning levothyroxine on an empty stomach
Dosing:
- Age <65, no CVD: 6mcg/kg/day
- Age >65 with CVD: 25-50mcg/day
- Age 18-49: 50-100mcg/day, increase by 25-50mcg to max 100-200mcg
- Age >50: start 25mcg/day, increase by 25mcg every 3-4 weeks up to 50-200mcg
Monitoring:
- Check TFTs 3-monthly until stable
- Annual checks thereafter
- Lipid monitoring
- Pregnancy: increase levothyroxine dose