A 29-year-old female at 9 weeks gestational pregnancy presen…
A 29-year-old female at 9 weeks gestational pregnancy presents with palpitations, weight loss, tremor, and heat intolerance. Laboratory evaluation reveals suppressed TSH and elevated free T4. Thyroid-stimulating immunoglobulins are positive. She is diagnosed with Graves disease. Which of the following is the most appropriate initial pharmacologic management?