Hypothyroidism review

*

Confirmation of consent for information about your/the patient’s health to be sent to the email address provided

Weight:

Pulse:

If it is less than 60 or above 80 when resting please discuss this with your doctor

Change in Weight:

Abnormal weight gain

Abnormal weight loss

About stable weight

Have you had your blood tested for thyroid in the last 9 months?

Yes

No

I can’t remember

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