When to Start Levothyroxine in Subclinical Hypothyroidism | Clinical Pearls by Dr. Ahmad Alam

Not every patient with subclinical hypothyroidism needs treatment — but some definitely do.


TSH ≥ 10 mIU/L
Pregnancy
H/o infertility or recurrent miscarriage
Symptoms of hypothyroidism (fatigue, weight gain, cold intolerance)
Positive TPO antibodies
Presence of goiter

Simple, evidence-based, and easy to remember.


#ClinicalPearls #SubclinicalHypothyroidism #Levothyroxine #Endocrinology #DrAhmadAlam #MedicalShorts #Thyroid #PracticalMedicine