Normal Free T4 in Medicine / Internal Medicine — 29yo Woman | Endocrinology | SMLE Q#494
SMLE Question #494
Medicine / Internal Medicine
Endocrinology
Last updated: February 2026
A 29-year-old woman has 3 months of fatigue, 4 kg weight gain, constipation, and cold intolerance. She is actively trying to conceive within the next few months and is not pregnant. She takes no medications. Examination shows dry skin and mild periorbital puffiness. Thyroid tests show elevated TSH with normal free T4. What is the most appropriate management at this time?
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