Dose of Levothyroxine Post Thyroidectomy

👉What is the best dose of levothyroxine post total thyroidectomy ?

👉Thyroid hormone replacement dosing is variable in overweight and obese patients after a thyroidectomy

👉https://www.thyroid.org/patient-thyroid-information/ct-for-patients/january-2020/vol-13-issue-1-p-3-4/

👉This study suggests that the use of a standardized dose for prescribing the initial dose of levothyroxine after surgery based on the actual body weight frequently will result in either too high or too low thyroid levels.

👉In overweight and obese patients, a much lower mcg/kg body weight dose should be used, while a higher dose should be used in patients with a normal BMI.

👉These results will benefit patients after thyroid surgery as they may start taking a more appropriate dose of levothyroxine as soon as possible after thyroid surgery, and require fewer blood tests for dose adjustments.

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