Chief complain : Patient has known h/o hypothyroidism since age of 32 yrs old. Due to thyroid problem. She feels healthy but with low energy levels. She feels swelling over body with water retention and with swelling feet and ankles, also she feels forgetfulness..

PRESENT ILLNESS: she has sufferings of symptoms and signs associated with hypothyroidism. c/o, headaches, tiredness, bloating, coughing especially at night, swollen hands and feet, forgetting, persistent allergies, hyperpigmentation on face, lower abdominal discomfort, burning chest. c/o arthritic pain in hands – fingers bending unnaturally