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    Hello – We see this approach more commonly used for kids, but yes, you can take a fixed amount of methimazole and then tweak a small additional dose of thyroid hormone replacement until you get to a point where your levels are stable.

    A full block and replace regimen – where you take massive doses of antithyroid medications to completely shut down the thyroid and then a full dose of replacement hormone – is not typically used in the USA.

    As for work, we do hear complaints from patients who struggle with issues like fatigue and computer work. This link from the Job Accommodation Network might be of interest: