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Aim: To assess the frequency of hypertension and diabetes mellitus in hypothyroid patients. Methodology: This cross-sectional study was conducted in Union council (UC) Zargar Abad, District Peshawar for a period of six months. Sample size was 200 patients and technique used was convenient random sampling. Results: In hypothyroid cases, 200 cases were selected. Female were 40 and male were 160. They were divided into three groups i.e. 18-28 years, 29-40 yrs and 41-50 yrs. Maximum subjects fall in the age group of 29-40 years. In this group 100 were male and 20 were female. BMI of this group was notably higher than the other age groups. Out of 200 subjects 83 had hypertension of variable intensity. 60 male patients had hypertension and 23 female patients had hypertension. Out of 160 male subjects 42% had hypertension and 57% had hypertension. Conclusion: There is an association of hypertension and DM in hypothyroid patients. Keywords: Hypothyroidism, DM, Hypertension