PT - JOURNAL ARTICLE AU - Xu, Risheng AU - Abate, Nicola AU - Ram, Nalini AU - Little, Kristina TI - Most elderly patients with subclinical hypothyroidism do not need to be treated AID - 10.3949/ccjm.92a.24098 DP - 2025 Apr 01 TA - Cleveland Clinic Journal of Medicine PG - 221--231 VI - 92 IP - 4 4099 - http://www.ccjm.org/content/92/4/221.short 4100 - http://www.ccjm.org/content/92/4/221.full SO - Cleve Clin J Med2025 Apr 01; 92 AB - Whether subclinical hypothyroidism should be treated in elderly patients (≥ 65 years) is controversial. The authors argue for a personalized, wait-and-see approach rather than universal treatment, pointing out that randomized clinical trials have not shown that levothyroxine treatment makes any difference in terms of hard clinical end points, quality of life, or hypothyroid symptom relief in elderly patients with this condition.