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A 30 year old female came in for a check-up complaining of weight gain, sluggishness, intolerance to cold, and constipation for the past 6 months. On examination: your findings are: blood pressure 110/70 mmHg, pulse 60 bpm, dry and cool skin, delayed deep tendon reflexes, and goiter. Laboratory findings reveals elevated TSH level, low T3 and T4 levels, and positive anti-thyroid peroxidase (anti-TPO) antibodies. What is the most likely diagnosis?
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