Q. A 55-year-old female patient presents to the clinic with swelling in her neck that has gradually increased in size over the past few months. She has no history of neck radiation or thyroid surgery and denies any symptoms of hyperthyroidism or hypothyroidism. Physical examination reveals a diffusely enlarged thyroid gland without any nodules or tenderness. No thyroid bruit seen. TSH levels are normal, but ultrasound confirms the presence of a multinodular goiter. What is the appropriate management for this patient?