What strategies do you employ for adjusting the dosage of levothyroxine in hypothyroid patients who experience significant weight loss or are initiated on GLP-1 receptor agonists?
How often do you recommend monitoring thyroid function tests in these situations?
Community PollStarted
How do you adjust LTX dosage when treating patients with GLP1 R agonist?
19 physicians have voted
Join Mednetto vote and see how they answered.
1 Answer
Mednet MemberInvited Expert
Endocrinology · Tufts Medical Center Physicians Organization
Answered on
In spite of significant weight loss, some patients may not require a dosage change for levothyroxine while others may require a dosage reduction. It is very reasonable to recheck a TSH with free T4 after a 10% weight loss to see if a dose adjustment is needed. Rapid weight loss may lead to a tempora...
Join for free or sign in to see the full answer