Causes of HypothyroidismPrimary Hypothyroidism (low T4, high TSH):Autoimmune - Hashimoto's thyroiditisIodine deficiencyDrugs - Amiodarone, antithyroid medicationsCongenital hypothyroidismSecondary Hypothyroidism (low TSH and T4):HypopituitarismIsolated TSH deficiency