Diminished thyroid hormone levels can lead to elevated homocysteine levels (an independent risk factor for ASCVD), dyslipidemia, especially elevated LDL-C (a major risk factor for atherosclerosis), systolic hypertension (a major cause of stroke), and hypercoagulable state of the blood, which can lead to pathological changes such as vascular endothelial damage and lipid deposition (11). Here, TG is linked to atherosclerosis.