Title: From Resistance to Relief: IV Levothyroxine in Refractory Hypothyroidism ManagementMohammad Amro1Elias Edward Lahham2Ahmed Jalal Sawafta1Motaz Saifi1Nooreddin Saifi1Fadi Atrash2Salem Billan3Affiliations1: Faculty of Medicine, An Najah National University, Nablus, Palestine.2: Department of Radiation Oncology, Augusta Victoria Hospital, East Jerusalem, Palestine territories.3: Head and Neck Unit, Joseph Fishman Oncology Center, Rambam Health Care Campus*Corresponding Author:Elias Edward Lahham, Augusta Victoria Hospital, East Jerusalem, Palestine territories, [email protected], ORCID:0000-0002-6514-5206Funding sources: No specific grant from funding agencies was received for this work.Acknowledgment: We express our deep gratitude to the medical ward staff for their invaluable support in completing this report.Conflict of Interest: The authors state that they have no conflict of interest to be mentioned.Ethics approval: Our institution does not require ethical approval for reporting individual cases or case series.Informed consent: Written informed consent was obtained from the patient herself for her anonymized information to be published in this article.Title: From Resistance to Relief: IV Levothyroxine in Refractory Hypothyroidism Management