Joan, a 35 year old female comes to see you for complaints o…
Joan, a 35 year old female comes to see you for complaints of cold intolerance, fatigue, dry skin and weight gain. Her menstrual cycles have been heavy. Physical exam shows blood pressure of 138/80, pulse of 58 and palpation of the thyroid reveals an enlarged, firm gland. Her TSH is 76. Your best action is to: