Jane Lives in Appalachia and Suffers from Hypothyroidism

question 119

Essay

Jane lives in Appalachia and suffers from hypothyroidism.Her thyroid gland is enlarged,her body temperature is low,and her hair and skin look brittle and dry.Blood tests show very low levels of circulating iodine,T3,and T4,but high levels of TSH.What is your diagnosis? What treatment would you recommend?

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