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27

High cholesterol?

No Yes

26

Do you have a bowel movement less than once a day, or do you feel that you are not fully relieved?

No Yes

25

Periodic headaches?

No Yes

24

Reduction of sweating?

No Yes

23

Muscle or joint pain or weak muscle tone (are you becoming an old lady)?

No Yes

22

Tingling in the hands and feet?

No Yes

21

Cold hands and feet? Too cold? Too hot?

No Yes

20

Sensitivity to cold (you feel cold more often than others and always wear a lot of clothing)?

No Yes

19

Slow speech, possibly with a rough voice or hesitations?

No Yes

18

Low pulse, or bradycardia (below 60 beats per minute, and not because you are an outstanding athlete)?

No Yes

17

Lethargy (do you feel like you're moving in molasses)?

No Yes

16

Fatigue, especially in the mornings?

No Yes

15

Slow brain function, slow thinking? Hard to concentrate?

No Yes

14

Lethargic reflexes, decreased reaction, even some apathy?

No Yes

13

Low sexual activity, and you don't know why?

No Yes

12

Depression or mood swings (the world is no longer as rosy as it used to be)?

No Yes

11

You were recently prescribed an antidepressant, but you don't feel like taking it yet?

No Yes

10

Heavy periods or other menstrual issues?

No Yes

9

Infertility or miscarriages? Premature birth?

No Yes

8

Enlarged thyroid gland or goiter? Difficulty swallowing? Enlarged tongue?

No Yes

7

Family history of thyroid problems?

No Yes

6

Hair loss, including on the outer third of the eyebrows and/or eyelashes?

No Yes

5

Dry skin?

No Yes

4

Dry hair that resembles straw and easily tangles?

No Yes

3

Thin, brittle nails?

No Yes

2

Fluid retention or swollen ankles?

No Yes

1

A few extra kilograms, or about ten, that you can't seem to lose?

No Yes