This document discusses a case of hypothyroidism in a female patient. Key details include: - The patient presented with depressed mood, lethargy, lack of initiative, heavy menstrual bleeding, and low hemoglobin. - Examination found cold skin, mild goiter, slowed pulse, high blood pressure, and signs of hypothyroidism like delayed ankle jerk. - Laboratory tests found elevated TSH, anemia, and other signs consistent with hypothyroidism. - The patient was diagnosed with hypothyroidism, likely autoimmune/Hashimoto's thyroiditis based on her symptoms and laboratory results. She was started on levothyroxine treatment.