A 38-year-old female complains of a recent onset of increased fatigue and muscle weakness. She also reports feeling very cold most of the time and states that she has gained 15 pounds in the last 2 months without changing her diet or exercise routine. There is also noticeable atrophy of her shoulder and gluteal musculature. Based on the clinical findings, which of the following diagnoses is MOST likely present? 

1.     Addison’s disease
2.     Cushing’s syndrome
3.     Graves’ disease
4.     Hashimoto's thyroiditis

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