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Patients with hypothyroidism can expect to be referred if:
- aged <16
- pregnant or post partum
- evidence of pituitary disease
- newborn infant
Referral should also be considered if (2)
- there are particular problems such as "active and unstableischaemic
heart disease (2)" or treatment with amiodarone or lithium
- symptoms do not respond or worsen after treatment with levothyroxine
- serum TSH level is persistently raised while on full dose of levothyroxine
Patients with hyperthyroidism can reasonably expect to be referred
for a specialist opinion at diagnosis.
Last reviewed 01/2018