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OCR: ent 14 Hypothyroidism is treated with replacer sually start therapy (Fig. 15.35). Replacement doses fashion at at 50ug/d, being increased in a step- wise response ismonthly intervals to 100-150ug/d as the hen the assessed clinically and biochemically, W uppressed patient is euthyroid, the TSH should be also into the normal range and the T4 levels re just at returned to normal. Typically, T4 levels nts are top normal or above normal when patie nd TSH is eumetabolic clinically on T4 treatment, continued normal. Maintenance therapy should be Led for life, and the patient should be rechec ed with annually. While most patients are repla ily require 100-150ug/d of T4, some patients may o ement 75ug/d and others 200 g/d for full repla therapy.