Would you recommend changing a patient from the pill form of levothyroxine to Tirosint-SOL if they are started on a proton pump inhibitor?

How do you manage levothyroxine therapy in a patient with hypothyroidism who is starting a PPI?

• Increase the dose of levothyroxine in pill form to offset the decreased absorption due to the PPI; continue to increase dose if hypothyroidism remains uncontrolled
• Switch the patient to Tirosint-SOL (liquid formulation) to avoid absorption issues caused by the PPI, if insurance approves
• Start with increasing the levothyroxine dose in pill form, but change to Tirosint-SOL if hypothyroidism remains uncontrolled
• Other