Are there specific populations with hypothyroidism for whom you would consider adding liothyronine to levothyroxine therapy, given observational data linking levothyroxine therapy alone to higher risks of dementia and mortality?

Are there specific populations with hypothyroidism for whom you would consider adding liothyronine to levothyroxine therapy, given observational data linking levothyroxine therapy alone to higher risks of dementia and mortality?

• Yes, I consider adding liothyronine in elderly patients with hypothyroidism to potentially reduce dementia risk
• Yes, I consider it for patients with a history of depression or cognitive decline where thyroid optimization may help
• No, I do not add liothyronine due to insufficient evidence of its benefits and potential risks
• Other