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Doctor, I would be grateful if you could see the 50-year-old woman has been increased by 20 kg in weight, despite eating less than usual. she describes herself as tired and at first she thought that losing weight rather than gaining weight. but recently she developed palpitations, constipation and hair loss. she has noticed that her hands have a tendency to shake. Her sysptoms suggests hypothyroidism and confirmed by testing which revealed my thyroid a narrow, dry skin and a subtle tremors of the hands.
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