Is there a role for levothyroxine in managing the symptoms of a patient with euthyroid Hashimoto’s thyroiditis?

No, there is no role for levothyroxine in the management of symptomatic, euthyroid patients with Hashimoto’s thyroiditis. However, in some guidelines, serum TSH levels are recommended to be less than 2.5 milliunits per liter in women with positive TPO antibodies, who are pregnant or planning pregnan...

Prescribing thyroxine to such patients is giving false hope to them that their symptoms will now improve and also it is the wrong message which can not be altered later by other physicians.

I agree with Dr. @Dr. First Last reply. But I want to comment that he is suggesting titrating the Levothyroxine so the TSH is in the lower part of the normal range and not suppressed for nodules and goiter. Further, there is little evidence that thyroid hormone treatment will suppress the growth of ...