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Pharmacology Pituitary-Hypothalmic System and Thyroid ac4ac213

Manish, a patient of hypothyroidism was prescribed thyroxine. Which of the following is the most reliable guide for adjustment of thyroxine dose in him?

A
Pulse rate
B
Body weight
C
Serum thyroxine level
D
Serum TSH level
High-Yield Explanation
* TSH levels are elevated in a hypothyroid patient (because feedback inhibition by thyroid hormones is not present). * Administration of thyroid hormones (T3 and T4) decreases TSH by contributing to feedback inhibition. * If TSH levels are less than normal, it signifies overeatment whereas high TSH level suggests inadequate treatment.

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