Community clinic for routine physical examination

Reference no: EM133688840

Question

A 45-year-old woman with a history of Hashimoto thyroiditis, obesity, and dyslipidemia presents to the community clinic for a routine physical examination. She takes levothyroxine 150 mcg daily and atorvastatin 40 mg daily. She reports that she has been eating healthier foods, exercising more regularly, and has lost 20 lbs in the past year. Her previsit laboratory tests show a TSH of 0.3 mU/L, FT4 of 2.6 ng/dL, total cholesterol of 165 mg/dL, LDL of 100 mg/dL, and HDL of 45 mg/dL. What is the best next step in managing this patient's condition? Add cholestyramine 4 g daily Decrease dose of levothyroxine by 12 mcg daily Follow-up and repeat labs in 6 months Increase dose of levothyroxine by 12 mcg daily.

Reference no: EM133688840

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