Symptoms develop slowly over a number of years. Many of the symptoms can also be associated with many other types of conditions, but any combination of fatigue, increased sensitivity to cold, constipation, dry skin, weight gain, muscle stiffness or weakness, thinning hair, depression, and/or impaired memory will mostly likely lead you to hypothyroidism. If left untreated, hypothyroidism can become a serious problem. Physically, it could lead to a goiter and mentally lead to depression. Myxedema, or advanced hypothyroidism, is rare but can become life-threatening. Low blood pressure, decreased breathing, lowered body temperature, unresponsiveness, and a coma are signs and symptoms of the advanced stage that could ultimately lead to death. Because of the risk of intellectual disability in infants, get your newborn tested while still in the hospital. An early diagnosis, within the first month of life, will make it easy for your baby to reverse any effects of hypothyroidism. A simple blood test can detect the condition and then, once the proper medication is prescribed, your doctor will monitor the thyroid hormone levels with regularly scheduled blood tests. Newborns who suffer from hypothyroidism will exhibit jaundice, frequent choking, a large, protruding tongue, and a puffy face. If the condition progresses, your infant may have trouble feeding, constipation, poor muscle tone, or be excessively sleepy. If untreated, hypothyroidism could lead to severe physical and mental underdevelopment. If you are pregnant or thinking about becoming pregnant then you should test your thyroid. Thyroid disease is common in women of childbearing age. Therefore, this condition could dramatically impact both mother and baby during the course of pregnancy. All pregnant women with an enlarged thyroid (goiter), family history of hypothyroidism, or high blood levels of thyroid antibodies should get tested. Ask your doctor for selenium supplementation if you have high antibody levels at the time of preconception. Women taking thyroid hormone replacement prior to pregnancy need to monitor their levels, especially during the first trimester. Doses might increase as the pregnancy progresses. After delivery (postpartum hypothyroidism), women may experience depression, memory and concentration issues, or thyroid enlargement. Children and teens will experience the same signs and symptoms as adults, but since they are still growing and have very active thyroid glands, they may also suffer poor growth resulting in shorter stature, delayed development of their teeth, slowed mental development, or a longer time period to enter puberty. Children with hypothyroidism need to see a doctor regularly because, as they grow, the dosage of medication will change. Severe consequences may occur if the dosage is incorrect. People with conditions such as Down syndrome or Turner syndrome or those taking certain medications (amiodarone, lithium, thalidomide, interferon, sunitinib, and rifampicin) or treatments (radiation therapy to neck, radioiodine treatment, subtotal thyroidectomy), should be screened yearly for hypothyroidism. Screening those who are not at risk and show no symptoms provides little benefit and is not encouraged. Women who are over 50 and have one or more symptoms, however, should be screened.
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One-sentence summary -- Get tested if you see symptoms. Test newborn babies. Examine pregnant women. Watch for signs in children and teens. Screen patients with conditions or exposures associated with high risk of developing hypothyroidism.

Article: You should begin the cleaning process with your tape fast-forwarded all the way to the end. Press the button to open your cleaner. You should be able to easily slide the VHS tape in. Close the cleaner and press the clean button. Allow the cleaner to fully rewind the tape, cleaning the film as it goes. The precise directions for tape cleaners vary, so refer to your instruction's manual to make sure you're using your cleaner correctly. Close the cleaner and press the clean button. Allow the cleaner to fully rewind the tape, cleaning the film as it goes. Most cleaners will have a button you press to run a cycle. If you're unsure how yours works, refer to the instruction's manual. Once the tape has run one cleaning cycle, remove the tape from the machine. Use a Phillips head screwdriver to remove the screws from the casing that houses the film. After removing all the screws, separate the casings so you can reach the reels and film found inside. Sometimes, tapes will have a sticker or seal on the side to keep the casing together. If your tape is sealed, use a small knife to gently slice open the seal to open the tape. The majority of tapes can be opened with a Phillips head screwdriver. However, if a Phillips screwdriver does not work, use a flathead screwdriver instead. Store the screws in a safe place as you'll need them later to reassemble your tape. Dip a Q-tip in a small amount of isopropyl alcohol. Swab the sides of the casing and around the empty reel to remove mold, dirt, and debris. Avoid cleaning near the reel that the film is currently wrapped around. Only use your tape cleaner to remove mold from the film itself. You can purchase isopropyl alcohol at most drug stores. After running the tape through the cleaner again, you will clean the other reel. Therefore, do not screw the tape back together yet. Simply place the casings together again so they're loosely secured. Place your tape in the cleaner as you did before. This time, allow the tape to fast forward completely to remove any mold remaining on the film. Simply place the tape in the cleaner and then press the cleaning button. Once the tape runs through the cleaner again, remove it and open it up. Again, dip a q-tip in isopropyl alcohol. Use this to clean the empty real and around the interior of the casings. Remove any lingering mold, dirt, or debris. Remember not to clean near the reel that contains the film. Place the casings back together. Place the screws back in place. Use your screwdriver to securely screw the tape back together. If your tape had a sticker in place as a seal, it is not necessary to reseal your tape after cleaning it. You should always end the cleaning process with a rewound tape. Pop the tape back in the cleaner one last time. Rewind it to the beginning. When you're done, your VHS tape should be clean and ready to watch. Keep in mind, no method is ever 100% successful. Very dirty or damaged tapes may not come completely clean. You may need to consult a professional if your tape remains dirty or will not play after using a tape cleaner.
Question: What is a summary of what this article is about?
Insert your VHS tape into the machine. Run the machine for a full cycle. Use a screwdriver to open the casings. Remove mold and dirt from the casings with alcohol. Place the casings back together. Use the cleaner to fast forward your tape. Clean up any lingering mold manually. Screw the casings together. Rewind the tape again.