Hello – The American Thyroid Guidelines note that: “We suggest that patients with overtly TMNG or TA be treated with RAI therapy or thyroidectomy. On occasion, long-term, low-dose treatment with MMI may be appropriate.”
You can read the full document here – the section on TMNG is about halfway down.
https://www.liebertpub.com/doi/full/10.1089/thy.2016.0229
