1. A 50-year-old wom an com plained to her physician of sleepiness, fatigue, cold intolerance, weigh

1. A 50-year-old wom an com plained to her physician of sleepiness, fatigue, cold intolerance, weigh gain, and constipation. Medical history was signi cant for a reentrant supraventricular tachycardia presently treated w ith am iodarone and for t ype 2 diabetes presently treated w ith m etform in. Further exam s led to the diagnosis of m ild hypothyroidism , and an adequate treatm ent was planned. W hich of the follow ing would be the m ost appropriate initial therapeutic step for this patient? A. Start oral levothyroxine. B. Start oral potassium iodide. C. Start oral liothyronine. D. Withdraw m etform in. E. Withdraw am iodarone.

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