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2 mIU/L). In the SH group, 58.3% of patients normalized their TSH. With immediate TH start, 45% developed suppressed TSH. Those on LT4 1.05 mcg/kg/d were more likely to suppress (sensitivity 89%). Most patients post-HT will remain EU, and immediate start of TH may lead to TSH suppression. Those with SH may ultimately normalize TSH. These findings together suggest that observation may be a better option than TH replacement after HT. Most patients post-HT will remain EU, and immediate start of TH may lead to TSH suppression. Those with