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Optimizing the treatment of hypothyroidism

Daily levothyroxine (LT4) is the standard of care for the treatment of hypothyroidism; however, a small number of patients experience residual symptoms of hypothyroidism. Guidelines indicate that a trial with LT4 and liothyronine (LT3) could be attempted once other conditions have been addressed or excluded. Even so, currently, treatment of hypothyroidism can still be suboptimal.

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Correspondence to Antonio C. Bianco.

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A.C.B. is a consultant for AbbVie, Acella, Synthonics. P.N.T. declares no competing interests.

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Bianco, A.C., Taylor, P.N. Optimizing the treatment of hypothyroidism. Nat Rev Endocrinol 20, 379–380 (2024). https://doi.org/10.1038/s41574-024-00989-7

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