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Other associated laboratory findings of hypothyroidism may include hypercholesterolemia, increased liver enzymes, increased creatine kinase, hypoglycemia, albuminuria, and anemia.36,41,42 Serum studies often miss cases of mild hypothyroidism for several reasons, including the fact that patients with this condition tend to have low blood volume, which produces a concentration effect and results in thyroid hormones being interpreted as at normal levels when they are actually low