Outcome and Follow-up
Based on the above mentioned findings, and after excluding any other
potential cause, the patient was diagnosed with refractory
hypothyroidism and was prescribed IV thyroxine 300 mcg three times
weekly for the last four years. During the last follow-up visit, the
patient was asymptomatic, showing no abnormalities, with a normal range
of TSH (Figure 1) , t3, t4, and thyroglobulin (Figure
2) . Additionally, the patient is not complaining of any other medical
conditions.