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Question 1

how to decide on changes to thyroxine dose according to TSH?

Answer 1

• in primary hypothyroidism the thyroid doesn’t make enough T4 so the pituitary produced more TSH. giving thyroxine should reduce the TSH range

<0.5 TSH -> decrease dose
0.5-5 keep the same dose
> 5 increase dose

Question 2

how is insulin given?

Answer 2

all insulin is given subcutaneously except sliding scale IV insulin which uses short acting insulins such sd act rapid or novo rapid

Question 3

what is the adverse reaction with carbimazole?

Answer 3

neutropenia

Question 4

what is the adverse reaction to metformin?

Answer 4

lactic acidosis