Please respond to Each post with one citation                     Dina post 1  G

Please respond to Each post with one citation                    
Dina post 1 
Gretchen (11 years old) – Treatment is not always needed. It depends upon the thyroid hormone levels. Her endocrinologist may want to just monitor her. If medication is warranted, levothyroxine (generic for Synthroid) is a synthetic version of the hormone thyroxine (T4) and it’s used to help balance the thyroid levels. She may need to take this medicine (or a derivative of it) for life and she’ll have regular lab work to monitor her thyroid levels. There aren’t any dietary restrictions for Hashimoto’s, just a healthy diet and active lifestyle.  
post 2 samantha
The second patient being discussed is Anna, a 31-year-old female who reports weight loss, restlessness and increased sweating. Similar to the diagnostic testing for Ember, Anna will have blood tests completed as well as a radioactive iodine uptake test, ultrasound and further imaging such as an MRI or CT scan. Treatment would also be similar to that of Ember’s including anti-thyroid medication. However, Anna may also undergo radioactive iodine therapy. The thyroid requires iodine to produce hormones, during radioactive iodine therapy Anna will take oral radioiodine, over time the radiation destroys the overactive thyroid cells. Anna should be educated on the increased risk of developing symptoms of Graves ophathalmopathy associated with radioactive iodine therapy. Other side effects include neck tenderness and a temporary increase of thyroid hormone. Furthermore, Anna should be aware that this therapy is not used for woman who are pregnant or breastfeeding as she is of childbearing age. (Papadakis MA, et. al., 2020). 
Pos