Above: A severely affected 14-year-old hypothyroid girl with puffiness around the eyes, thickened lips, depressed root of the nose (saddle nose), and straight, coarse hair. The second picture was taken after only 6 months of treatment with desiccated thyroid. Note the elevated bridge of the nose, brighter eyes, thinner lips, and glossy, curly hair. Her constipation had resolved and her appetite improved.


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