<prompt> Therapy of choice for diffuse toxic goiter in a patient over 55 years:SurgeryAntithyroid drugsRadioiodineAntithyroid drugs first followed by surgery  <response>: Management- For sympathetic stimulation, first drug given is Propranolol- Antithyroid drugs - symptomatic improvement within 2 weeks- Patient becomes euthyroid within 6 weeks- Antithyroid drugs Methimazole Carbimazole Propylthiouracil Anti-thyroid DOC In Graves disease - Methimazole In Pregnancy - Carbimazole In Thyrotoxic crisis - Propylthiouracil- TOC - Total Thyroidectomy- Alternative treatment - Radioactive Iodine Ablation- Indications of RAI Ablation Elderly Patients Patient with surgical co-morbidities Recurrence after surgery 