Levothyroxine Treatment and Cardiometabolic Biomarkers in Older Adults with Subclinical Hypothyroidism: A Comprehensive Review

Highlights

  • Levothyroxine therapy shows minimal overall effect on lipid and cardiometabolic biomarkers in older adults with subclinical hypothyroidism (SCH).
  • Potential beneficial lipid and lipoprotein profile changes were observed in individuals with baseline TSH ≥10 mIU/L, warranting further investigation.
  • Evidence from randomized controlled trials and meta-analyses indicates levothyroxine’s lipid-lowering effects are more pronounced in younger or milder SCH populations.
  • Adjunctive lifestyle interventions like Baduanjin exercise may complement pharmacotherapy by improving lipids and reducing TSH in elderly SCH patients.

Background

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