مريض بدأ ليفوثيروكسين. أي تعليم صحيح عن طريقة أخذه؟

A client starts levothyroxine. Which teaching about taking it is correct?

1. Only when feeling tired, not every day
2. Empty stomach before breakfast, apart from iron and calcium
3. With breakfast and milk to reduce stomach upset
4. Together with calcium and iron tablets at exactly the same time

Answer: B) Empty stomach before breakfast, apart from iron and calcium. Levothyroxine absorbs best on an empty stomach and is reduced by calcium, iron and coffee. It is usually lifelong, with TSH checked 6–8 weeks after any change.