Low Free T4 in Medicine / Internal Medicine — 35yo Woman | Endocrinology | SMLE Q#18689

SMLE Question #18689

Medicine / Internal Medicine Endocrinology

Objective: OBJ-ENDO-THY-04

Last updated: February 2026
A 35-year-old woman has 5 months of fatigue, cold intolerance, and mild weight gain. She takes no regular medications and has no history of cardiovascular disease or diabetes. Physical examination is unremarkable. Laboratory tests show elevated TSH with low free T4 and hypercholesterolaemia. What is the most appropriate treatment for her dyslipidaemia?

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