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Case 1. . 30 yr femalePuffiness around eyes, hair loss, 15kg weight gain, cold intolerance, dry skin, nausea, giddiness, vomitingFree T4 0.2 pmol/lTSH 129 mIU/l. . Examination. Puffy around eyesSlow-relaxing reflexesCool dry skinSmall goitre - diffuseDark skin (father ? Polynesian ancestry

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