Which of the Following Is the Most Likely Diagnosis for the Patient Based on the Symptoms

a Patient Presents with Symptoms Such as Fatigue, Weight Gain, Cold Intolerance and Dry Skin. Examination Reveals Bradycardia, Sluggish Reflexes and Coarse Hair. Laboratory Tests Show Elevated Thyroid-stimulating Hormone (TSH) Levels and Decreased Levels of Thyroxine (T4)