25th August 2020

A 52-year-old gentleman with known Graves’ disease returned to his GP complaining of worsening symptoms

A 52-year-old gentleman with known Graves’ disease returned to his GP complaining of worsening symptoms of tremor, diarrhoea, palpitations, restlessness, unintentional weight loss and lower limb weakness. This is in spite of his recent thyroidectomy done 8 months ago and a 3 year trial of carbimazole therapy, in hope to reduce his symptoms of hyperthyroidism. 

What would be the next line of management in managing his symptoms? 

Select ONE option.