If Hashimoto’s thyroiditis causes thyroid hormone deficiency, replacement therapy with thyroid hormone is indicated. This usually involves daily use of the synthetic thyroid hormone levothyroxine which is identical to thyroxine hormone (T4). The oral medication with appropriate dosage regimen restores adequate hormone levels and reverses all the symptoms of hypothyroidism including reducing the size of goiter.
In patients without clinical symptoms (subclinical hypothyroidism) or patients who have developed goiters without the evidence of thyroid hormone deficiency, the endocrinologist may suggest a regular follow-up for monitoring signs and symptoms as well as thyroid hormonelevels. Medications might be considered and started if an indication applies. In general, the prognosis of Hashimoto’s thyroiditis is excellent with proper treatment. Restoration of thyroid hormonelevels with medical treatment substantially helps to reverse the signs and symptoms of hypothyroidism. Nevertheless, regular follow-up is required in order to closely monitor disease progression. Without treatment, hypothyroidism can worsen over years, potentially leading to organ damage and serious illness.
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