A 27 yr female patient with a complaint of hypothyroidism for about 12 yrs with a symptom of obesity and soarness of throat . Appetite- normal Sleep-not well No complaints of HT,DM . *Chief Complaints* Obesity, soarness of throat ,sleeplessness *History* No relevenat history of HT,DM ,anemia ,PCOD, and menstrual problem *Vitals* HR- NORMAL PR- NORMAL BP- NORMAL