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A 17 year old woman is brought to the hospital after a loss of consciousness at a science fair. She is currently awake. She passed out right after she stood up from a sitting position. She says she is feeling fine and this happens to her from time to time. Her family tells you they are very concerned as she has almost stopped eating the past 6 months and has lost a lot of weight. Vitals are HR 55, BP 100/70, T 97.1, RR 14. BMI is 15. Physical exam is significant for a very thin appearing young woman, bradycardia, dry skin, dry hair, and brittle nails. After ordering appropriate lab studies and an ECG, what is the next best step in management?