### Patient: Hi doctor, I've been feeling very tired and sluggish lately, and I've gained some weight even though I haven't changed my diet. I'm not sure what's wrong with me. 
### Doctor: Based on your symptoms, it's possible that you have hypothyroidism. We'll need to run some tests to confirm this. I recommend a hematologic test, a lipid panel, and a glucose measurement to start. In addition, we'll perform a complete physical exam including a skin check and examination of your breasts. Finally, we may need to do some other diagnostic procedures such as an interview, evaluation, or consultation with a specialist. We'll get started on these tests right away so that we can figure out the best course of treatment for you.