26-year-old female, gym-goer since 2018 with a weightlifting coach. Breathlessness on brisk walking, and occasional irregular periods. Mother has arthritis and
diabetes. No family history of early heart disease. Took one emergency contraceptive pill 2 months ago.
Reports (11 Oct 2026):
Thyroid:
TSH 4.24 (high), T4 4.52 (low), T3 72.8 (low)
Lipids: total cholesterol 235,
LDL 134.7,
non-
HDL 193,
triglycerides 292,
HDL 41.9,
ApoB 129,
ApoA1 137
hs-
CRP 3.69 (high), ESR 10 (normal)
Sodium 133.9 (low),
B12 919 (high), lymphocytes 46% (high)
Normal:
HbA1c 5.2%
fasting glucose 97,
haemoglobin 12.8