An adult patient with recently diagnosed hypothyroidism may suffer from:
a. lethargy, weight gain, cold extremities, and constipation
b. acromegaly
c. diarrhea and elevated body temperature
d. cretinism

a. lethargy, weight gain, cold extremities, and constipation  

Explanation:

Caused by a decrease in thyroid hormone T3 (triiodothyronine) and T4 (thyroxine) production, hypothyroidism can lead to fatigue (lethargy), weight gain, cold intolerance, constipation, skin dryness, thinning hair, increased rates. cholesterol and menstrual flow, plus infertility and depression. These symptoms are not always all present, which makes it necessary to research thyroid dysfunction in front of any of them.

Although the reason has not yet been discovered, diseases caused by thyroid malfunction are more common in females. In addition, the risks increase with age. Thus, endocrinologists advise women over 40 in particular to have their thyroid self-examination periodically.

the answer for this question would be d. glaciers