TABLE 3

Factors favoring levothyroxine therapy in subclinical hypothyroidism

Thyroid-stimulating hormone (TSH) level > 2 times the upper limit of normal or > 8 mIU/L
Progressive rise in TSH
Goiter
Positive antithyroid antibodies
Pregnancy or planning pregnancy
Infertility or ovulatory dysfunction
Childhood or adolescence
Dyslipidemia
Established cardiovascular disease or risk factors for cardiovascular disease
Depression or bipolar disease
Therapeutic trial for clinical symptoms of hypothyroidism
Patient preference