ABSTRACT
Case study 9.1 When you first saw Mrs Weary last week she had consulted you because she had felt ‘tired all the time’ for the last six months. On questioning, she admitted that she had gained a stone in weight in the last year but had not eaten any more than usual. She felt a bit down but attributed that to her nearing 60 years of age. She has come back to hear the results of blood tests you organised last week. Her blood count, renal and liver function and fasting glucose are normal. Her TSH level is raised at 6.6 mu/1 and her thyroxine level is normal at 17.4 pmol/1. You diagnose her as having subclinical hypothyroidism.
