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4th March 2024
A 34-year-old female presents to her GP with difficulty losing weight.
A 34-year-old female presents to her GP with difficulty losing weight. She has gained 4 kg over the last 2 months despite having no appetite. She feels tired all the time despite getting 10 hours of quality sleep every night. She also complains that she is always feeling cold. She has a past medical history of type 2 diabetes, bipolar disorder, depression and chronic back pain.
She has some blood tests:
| Results | References | |
| Hb | 109 | 130-180 g/L |
| MCV | 100 | 76-96 fL |
| TSH | 8.4 | 0.5–5.7mU/L |
| T4 | 35 | 70–140nmol/L |
| HbA1c | 44 | 20–42mmol/mol |
Which one of her regular medications is most likely to explain her blood results?
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