A 19-year-old woman has been diagnosed with hypothyroidism…

 A 19-year-old woman has been diagnosed with hypothyroidism and has started thyroid replacement therapy with levothyroxine (Synthroid). After 6 months, she calls the nurse to say that she feels better and wants to stop the medication. Which response by the nurse is correct? 

A 42-year-old woman presents with complaints of fatigue, col…

A 42-year-old woman presents with complaints of fatigue, cold intolerance, constipation, weight gain, and dry skin over the past few months. She mentions that her periods have become heavier. On examination, her heart rate is 58 bpm, her skin is dry, and she has a mildly enlarged, non-tender thyroid. Her lab values are:Test                                  Result                           Reference RangeTSH                               7.9 µIU/mL                  0.4–4.0 µIU/mLFree T4                         0.5 ng/dL                      0.8–1.8 ng/dLAnti-TPO Ab                Positive                        Negative/Low Based on the clinical findings and labs, what is the most appropriate initial treatment for this patient?