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9%), and approximately two-thirds of patients used MMI for 3 months prior to RAI therapy. Use of ATD prior to RAI therapy (P = .003) and higher 6-hour I-123 thyroid uptake prior to I-131 RAI therapy (P.001) were associated with treatment failure. MMI use 3 months was also associated with treatment failure (P = .002). More patients may be presenting for RAI therapy after failing first-line ATD therapy. MMI use 3 months was associated with RAI treatment failure. Further studies are needed to investigate the association between long-term first-
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