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April 12, 2024

Cindy is a 29-year-old female who presents to the ER complaining of feeling weak, tired with joint and muscle pain.

Cindy is a 29-year-old female who presents to the ER complaining of feeling weak, tired with joint and muscle pain. She reports feeling “cold all the time” and a 30 lb. weight gain in the last 8 months. Patients states that she has been experiencing recurrent headaches, mild constipation and a lack of a menstrual period. A pregnancy test was determined to be negative. The physician noted that her voice was hoarse and her hand and face were puffy with dry and flaky skin. Blood test revealed high levels of TSH

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