Don't Be In a Hurry to Start Intravenous Levothyroxine

Questions often come up about how to manage patients who don't respond well to levothyroxine for hypothyroidism.

Almost 15% of patients will continue to have fatigue and other hypothyroid symptoms on levothyroxine alone...despite taking adequate doses to achieve normal TSH levels.

Recommend ruling out other possible causes for these symptoms...underlying depression, anxiety, anemia, other autoimmune disorders, etc.

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