You need to do a comprehensive evaluation based on your symptoms. First, you need to test your blood through a blood test, and then you need to do a full physical test to make sure that your skin is abnormal, and then you need to do a liposuction panel test to check your cholesterol levels, and then you need to do a biopsy and an ultrasound to find signs of inflammation or damage. Finally, you need to measure the hemoglobin A1c and check the correct treatment.
Doctor, I think I'm suffering from hypothyroiditis, fatigue, hair loss, weight gain, dry, pale skin.