text_1: 18-year-old male with a thyroid stimulating hormone of about 300, triglycerides 2000, low-density-lipoprotein cholesterol 450, high-density-lipoprotein cholesterol 20.  My question was, "With that high a thyroid stimulating hormone, do we start with a higher than normal dose of Synthroid (0.1 milligrams)?  And is any other evaluation indicated?"
text_2: 42-year-old woman with upper respiratory infection. Wants to know when she should go back to work.