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15

Do you have an enlarged thyroid gland, a feeling of suffocation, or discomfort when clothing comes into contact with the skin in the area of the thyroid gland?

Yes No

14

The eyeballs have noticeably increased in size.

Yes No

13

Skin, hair, nails have become significantly thinner?

Yes No

12

Have you become more sensitive to heat, experiencing hot flashes and a feeling of warmth?

Yes No

11

Recently, the weight has decreased, and it's hard to gain it back?

Yes No

10

Is the body temperature often elevated?

Yes No

9

Do you feel nervousness, anxiety, excitement, aggression?

Yes No

8

Do you experience trembling in your hands, difficulties with concentration?

Yes No

7

Are you troubled by insomnia?

Yes No

6

Do you feel an increase in appetite?

Yes No

5

The heartbeat has become rapid, do you feel an irregularity in the heart rhythm?

Yes No

4

Do you feel weakness in your muscles?

Yes No

3

Are there any irregularities in the menstrual cycle?

Yes No

2

Having trouble conceiving?

Yes No

1

Have there been cases of pregnancy loss?

Yes No