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Episode 25 Hyperthyroidism

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Intro Music: KI Instrumental (Rock Celtic) by Lyrium-2025

Outro Music: Blockbuster Trailer

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Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Answers for Episode 24 Hypothyroidism

Question 1: Cardiovascular Comorbidities

A 58-year-old woman with a 10-year history of subclinical hypothyroidism presents for routine follow-up. Her TSH is persistently 6.8 mIU/L. She reports no symptoms. Which of the following best describes her current cardiovascular risk profile according to population-based evidence?

C. She has an increased risk of cardiovascular disease, even in the absence of symptoms

Question 2: Persistent Symptoms Despite LT4

A 42-year-old man on levothyroxine (LT4) for overt hypothyroidism has normalized TSH but reports persistent fatigue and difficulty losing weight. Labs reveal normal free T4 and T3 levels. What is the most appropriate next step in management?

D. Assess for non-thyroidal causes of symptoms and comorbidities

Question 3: Comorbidity Patterns

Which of the following is most accurately described as a comorbidity that shares a possible genetic or autoimmune pathogenesis with hypothyroidism?

B. Rheumatoid arthritis

Paper for next week:

Susan Z. Yanovski,Jack A. Yanovski, Approach to Obesity Treatment in Primary Care: A Review, JAMA Intern Med. 2024 July 01; 184(7): 818–829.

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