Common symptoms include abnormal weight gain, chronic fatigue, Falling of hair, Dry Skin, depression and constipation. Hypothyrodism is often associated with PCOS, Insulin Resistance and Diabetes. In many cases the blood tests positive for Thyroid antibodies in which case the condition is known as Autoimmune (Hashimoto’s) Thyroiditis The condition is diagnosed through lab tests and is treated by thyroid hormone replacement therapy, conventional by Levo thyroxine. A more progressive approach to Thyroid replacement is through use of combination of T3 and T4 through dessicated/Armour/Compounded Thyroid. Optimization of Vit D, Vit B12 along with supplementation with appropriate dose of Belle-OMEGA+ = Fish Oil Omega3 Fatty Acids, Iodine and Probiotics form an integral part of the Comprehensive management of Hypothyroidism through BHRT.