### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hello, I am a 33 year old mother of 3. I am 5 2 and 114 pounds these are my symptoms that I have had for 15 years: hair loss that is progressing, abdominal pain, colon polyp at the age 20, hands and mouth shaky, muscle cramps in calves, tmj, pain during sex, lower back pain, headaches, severe headaches with exercise, nausea, lightheaded when standing and sometimes almost blackout and shake, heart palpitations, severe cold intolerance, numbness in hands and feet, night vision not so good at all, poor posture, acne, flushing, depression, and anxiety. New symptoms: night sweats, sweating during the day, hands swelling, joint swelling in hands, wrist pain, nose bleeds, hard to get up from couch, shortness of breath, vision disturbance, headaches more often, unexplained weight loss of 20 pounds, more hair growth, and change in menstrual. I feel like there is something wrong and has been for a long time. I am just getting worse. Went to endocrinologist and said nothing is going on everything is within normal ranges. My lab results are Dheas- 178.4 Cortisol- 6.3 IGF-1. - 170 A1C- 5.3 TSH- 1.470 Prolactin- 12.2 17-OH Progestrone LCMS. - 26 Testosterone, serum- 14 Testosterone, % free + weakly bound. - 7.9 Testosterone, F + W bound. - 1.1 Anti-Mullerian Hormone (AMH). - 1.61 CMP was done as well Please help me!!!

### output:

Thanks for consultation. I have gone through from your complaints and full case history and investigation. Clinically all the symptoms are with clinical diagnosis of hypothyroidism.advise:Repeat with thyroid a fiction tests including with TSH,T3,T4,thyroid antibodies, thyroglobulin level. Blood vitamin D level. Blood Phosphate.calcium.magnesium, LFTs, if still no diagnosis then you can start thyroxine after consultation with your endocrinologist.