A patient reports fatigue,weight loss,and dry skin.The primary care nurse practitioner (NP)orders thyroid function tests.The patient's thyroid stimulating hormone (TSH)is 40 microunits/mL,and T₄ is 0.1 ng/mL.The NP should refer the patient to an endocrinologist and prescribe:

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This patient has hypothyroidism and should be treated with levothyroxine.Methimazole is a thyroid suppressant.Liothyronine is synthetic T₃.Propylthiouracil is a thyroid suppressant.

A Patient Reports Fatigue,weight Loss,and Dry Skin