I realized nearly two years ago that almost all tall people in my office use external monitors and it clicked. The taller you are the worse the laptop ergonomy is. Human head weighs 4.5kg-5kg. If you have to bend your neck even a little bit your muscles have to do lot of static work. You can compensate by bending your back, tall people have to bend their back more.
My hypothesis is that short or fit people can get away more than tall or unfit, but things will show up after 20-30 years of bad posture for everyone.
Or you could (with the right chair and foot rest) angle your seat instead of bending your back.
External monitor and keyboard is must.
As an aside, I don't goof off as much when I'm standing at my desk.
I'm looking in to what exercises she can do to get better.
"Some studies have related hypothyroidism to muscle dysfunction... Furthermore, studies ... demonstrated that thyroid hormone action on skeletal muscles affects mainly type-I muscle fibers, which promote slow contractions and are most prevalent in the postural muscles recruited during prolonged effort" [1]
Also, not sure where you are in the world but your doctor telling you your thyroid hormone levels are ok unfortunately may not necessarily mean they are ok... There is a controversy about reference ranges amongst experts [2], and I think it's wise to pay attention to that.
BTW, I think this is also worth highlighting (from [1] above):
"Different metabolic changes, yet with similar consequences, may therefore be observed in both hypothyroid and hyperthyroid patients. In the first case, fatigue is directly related to deficient action of thyroid hormones. In the latter, however, the cause is mainly depletion of muscle energy substrate due to high metabolic demand."