QUESTION IMAGE
Question
question 7
a patient taking levothyroxine is being over-replaced. what condition is he at risk for?
osteoporosis
constipation
depression
exophthalmia
Levothyroxine is a synthetic form of thyroid hormone. Over - replacement of levothyroxine can lead to hyperthyroidism - like effects. One of the long - term risks associated with hyperthyroidism (or iatrogenic hyperthyroidism due to over - replacement of levothyroxine) is osteoporosis. This is because excess thyroid hormone can increase bone turnover, leading to a net loss of bone mass over time. Exophthalmia is more commonly associated with Graves' disease (an autoimmune form of hyperthyroidism) rather than iatrogenic hyperthyroidism from levothyroxine over - replacement. Depression is not a typical direct consequence of levothyroxine over - replacement. Constipation is more likely to be seen in hypothyroidism (when there is an under - replacement or lack of thyroid hormone), as thyroid hormone increases metabolic rate and gut motility.
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Osteoporosis