Case Presentation 48 yo Black female with well controlled HTN, h/o borderline hyperthyroidism No specific complaints or concerns Meds: – HCTZ for BP control FHx remarkable for HTN, DM, no other endocrine D/O’s, no known AIDz SHx unremarkable

Case Presentation 48 yo Black female with well-controlled HTN, h/o borderline hyperthyroidism ROS positive for low but normal appetite, no wgt loss, no signif fatigue Pap UTD No prior BMD study – Physical exam = nonobese female; no obvious features c/w hyperthyroid state

Case Presentation LABS – WBC 6.0, Hgb 12.4, Platelets 378 – BMP unremarkable except for Ca 8.9 – LFT’s wnl – Fasting Lipid Profile Chol 173, HDL 45 TG 120, LDL 97 Serial thyroid testing – 11/00 TSH – 0.15 – 3/01 TSH – 0.35 – 7/01 TSH – 0.22 – 9/02 TSH – 0.16 – 2/03 TFT’s TSH Total T T3RU – 37.2% FTI - 10

Clinical Question Premenopausal female patient with hx of “borderline” hyperthyroidism, no obvious clinical signs nor subjective symptoms of thyroid hormone excess What are the management options for this patient in your practice?