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Treatment of CH

● LT4 should be dispensed in tablet form.


● LT4 in suspension or syrup form is not recommended.
● In rare cases where oral administration is not possible, intravenous administration can be
considered with IV dose that is no more than 80% the oral dose
● LT4 tablets can be crushed, mixed in small amount of water or milk, and served using a
spoon.
● LT4 should not be served in a milk-bottle.
● Timing of LT4 administration should be consistent every day to ensure compliance.
● We recommend taking the medication in the morning upon awakening for all ages (expert
consensus opinion).
● LT4 can be taken before, with or after food.
○ Intake of soy, iron or calcium supplementation within an hour of LT4 administration should
be avoided

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