Clinical recommendation	Evidence rating	References
The choice of radioactive iodine, antithyroid medication, or surgery for hyperthyroidism should be based on the cause and severity of the disease as well as on the patient’s age, goiter size, comorbid conditions, and treatment desires.	C	16
Total thyroidectomy is recommended only for patients with severe disease or large goiters in whom recurrences would be more problematic.	C	22,23
Nonselective beta blockers such as propranolol (Inderal) should be prescribed for symptom control because they have a more direct effect on hypermetabolism.	C	25