Naturopathic 'remedy' aggravates the thyroid
Jim, a previously healthy 73-year-old, presents with increasing fatigue despite sleeping well and resting regularly.
He used to cycle about one hour a day, but for the past few months his exercise tolerance has reduced. He has no history of cardiac disease.
Jim has always been slim and maintains a weight of 52kg, with a BMI of 20 kg/m2; there has been no change in weight since his last visit.
Jim has no other symptoms and denies weight gain, feeling cold, constipation or hair loss, which are consistent with