Endocrine Abstracts

Background: Oral levothyroxine (LT4) is usually an effective treatment for hypothyroidism. However, timing of meals, concurrent medications and gastrointestinal diseases causing malabsorption may impair absorption of oral LT4. We present a patient with Hashimoto’s thyroiditis on LT4 replacement through a gastrostomy tube causing the problem of erratic thyroid function test (TFT) results, successfully managed through the use of once-weekly intramuscular LT4 injection.<...