Case description:
A 22 years old college going individual was referred to the Thyroid Clinic with symptoms of dizziness, palpitations and episodes of shakiness of his hands which he could not elaborate more. He had persistent anomalous thyroid test (table 1) results with free T3 level being in the normal range, slightly raise FT4 levels and normal TSH of 1.08 mU/l. There was no history of weight loss, increased bowel movements of hair loss. He was an adoptee and had been told that his biological mother probably had a thyroid abnormality diagnosed in Hong Kong. He had recently split from his girlfriend and was coming to terms in coping with the separation.