Levothyroxine is treatment of choice for hypothyroidism.
Hypothyroidism is one of the most common chronic disorders in western populations. Its management is considered straightforward but many patients are over or under-treated. The most common type develops slowly over years. Symptoms include: ■ Exhaustion. ■ Slow cognition. ■ Intolerance to cold. ■ Constipation. ■ Depression. ■ Weight gain. ■ Calf stiffness. ■ Carpal tunnel syndrome. ■ Hearing impairment. ■ Puffiness below the eyes. ■ Bradycardia. ■ Coarsening of facial features. ■ Non-pitting oedema of lower legs.