Levothyroxine sodium oral solution to control thyroid function in a
patient with hypothyroidism and celiac disease
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.