Thyroid stimulating hormone, radioiodination

Three main modalities of therapy should be considered for patients with thyrotoxicosis, namely, medical therapy, surgical thyroidectomy, and radioiodine. The choice between these therapies should be dictated by the clinical nature of the disease, the patient s general health, her desire for pregnancy or need to care for young children, and overall patient preference. Treatment is initially monitored by free thyroxine (T4) values, as suppression of thyroid-stimulating hormone (TSH) may persist for months despite adequate management. 

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