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This is Dr. David
with your symptoms and your high TSH level at 4.5, you could have hashimotos thyroiditis.
ask your doctor to check your anti thyroid antibody levels and see if they are elevated.
also ask to check for myositis inflammation of your muscles with a creatinine kinase level
also ask to have your ESR and ANA levels checked to look for autoimmune conditions
your WBC count is elevated up to 14.9
this can be due to an infection or due to inflammation in your body
your diastolic lower blood pressure number is ***** this can be due to pain or due to high blood pressure.
let me know if you have questions.