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The treatment goals for hypothyroidism are to reverse clinical progression and correct metabolic derangements, as evidenced by normal blood levels of thyroid-stimulating hormone (TSH) and free thyroxine (T4). Thyroid hormone is administered to supplement or replace endogenous production.
Treatment of Hashimotoâs disease, the autoimmune condition that often results in hypothyroidism, is more controversial. Most mainstream practitioners believe that Hashimotoâs requires no treatment, and they only treat with thyroid hormone replacement drugs when Hashimotoâs has resulted in hypothyroidism.