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You should seek medical attention if you experience: Unexplained weight changes either significant weight gain or loss without changes to diet or activity levels, which may indicate thyroid disorders, diabetes, or other metabolic conditions Persistent fatigue despite adequate rest, which could suggest hypothyroidism, anaemia, or other systemic conditions Symptoms suggestive of thyroid dysfunction , including cold intolerance, dry skin, hair loss, constipation (hypothyroidism), or heat intolerance, palpitations, tremor, and anxiety (hyperthyroidism) Difficulty losing weight despite sustained lifestyle modifications, which may warrant investigation for conditions such as polycystic ovary syndrome (PCOS), Cushing's syndrome, or insulin resistance Your GP can arrange appropriate investigations, which may include thyroid function tests (TSH, free T4), full blood count , liver and kidney function tests , fasting glucose and HbA1c to assess for diabetes, lipid profile , and other relevant blood tests based on your symptoms

DOI: 10.1016/j.psyneuen.2009.04.015

It is particularly important to her that patients feel comfortable in their own skin