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Levothyroxine sodium oral solution to control thyroid function in a patient with hypothyroidism and celiac disease
  • Ernest Asamoah
Ernest Asamoah
Community Physicians Network
Author Profile


A patient with hypothyroidism, Addison’s disease, and celiac disease had persistent hypothyroid symptoms, and frequent fluctuations in TSH, prompting transition to L-T4 sodium oral solution (Tirosint®-SOL). Implementing a gluten-free diet and switching to the oral solution significantly improved malabsorptive and subsequent hypothyroid symptoms without the need to increase L-T4 dosage.

Peer review status:ACCEPTED

15 Sep 2020Submitted to Clinical Case Reports
10 Dec 2020Submission Checks Completed
10 Dec 2020Assigned to Editor
22 Dec 2020Reviewer(s) Assigned
13 Jan 2021Review(s) Completed, Editorial Evaluation Pending
13 Jan 2021Editorial Decision: Revise Minor
29 Jan 20211st Revision Received
30 Jan 2021Submission Checks Completed
30 Jan 2021Assigned to Editor
30 Jan 2021Review(s) Completed, Editorial Evaluation Pending
11 Feb 2021Editorial Decision: Accept