Early adjustment of levothyroxine treatment in pregnancy

Nature Reviews Endocrinology(2010)

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摘要
The THERAPY trial investigators conclude that, when pregnancy is confirmed in adequately treated women with hypothyroidism, doubling the dose of prepregnancy levothyroxine on 2 days each week safely prevents maternal hypothyroidism in the first trimester of pregnancy in most cases. Is this really the best strategy to adopt?
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