A Child Who Has Congenital Hypothyroidism Takes Levothyroxine 75 Mcg/day

A child who has congenital hypothyroidism takes levothyroxine 75 mcg/day.The child weighs 15 kg.The primary care NP sees the child for a 3-year-old check-up.The NP should consult with a pediatric endocrinologist to discuss:

A) increasing the dose to 90 mcg/day.
B) decreasing the dose to 30 mcg/day.
C) stopping the medication and checking TSH and T4 in 4 weeks.
D) discussing the need for lifetime replacement therapy with the child's parents.

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