ryutdoihe cski mendyosr si emtseimso lelcda wlo" T3 mnres"o.yd Alos ouy wkno taht eht enpttai is iuodhryte ebecusa reh 4T dan TSH are twiihn teh nceerfree garen. eSh si k.ics

I ma rof osme snroae inlaegnr uoatb tihs for eth sritf ietm so l'lI iterw a itb tauob toyuredih ciks ndymrseo in aesc it shlep soeeo.mn

tI's a ssideea of iuesocnxl - the otdhriy esoomrhn era hwcak utb het diyhort lgnda sfietl emses ot eb llyatto n.fie ilcfipSycela, 3T slveel rea wlo, rT3 si hgih (teh tctvyiia fo fedrtifen onsdaedsiie era f,fo so 3rT is emda emro adn edgeddar ,slse huohgt ti nesd'to eesm eikl eth 3rT vleel has yan rheto ailcciln c.sa)ipinilmto sA het toehr ecmmtsno ahev noeim,netd HTS dan T4 rea tylyclipa marl,on halought ethy can eb aderdsece sa lewl in ereevs asse.c

idorthyuE kcsi ymnsrdoe is alycyiptl ued ot na ruiengyldn iltrcica ilnssel or tosniratva - hte doby pstos nkimag hte sronohme sa an xemeert eumarse ot seva eynegr nda ruco.reses Teh retteanmt is ot artte the nugilnydre nse;llis dytrhio hoenmro phtaeyr is not cmdmredneoe sa tis eescvnfsteeif si oliecinuvs.nc

nI sith sutnqioe semt, the ietntpa has na edlunynrgi n.esllis rHe dhtoriy dlgan okswr fnei srsnedp(o orpytaaelrppi to HT.S) aslCcsi seca fo uydrtioeh iksc dmnyr.soe

evinG hatt ehr T4 elsevl rae am,rlon ew can rlue uto ,B D, and .E mI' a dmuumd nda ptu C bcesuae I hda no deai wtha tihruodye kcis eomynrsd .was uBt ivgne taht reh HST ellve is osla oa,mlrn is't ont na siues wtih the hslmhtpuyaao or iatutpyri dna.lg

urec:(Sos kiiw geap adn hist etlriac)

hEiuytodr iksc doynrsem = levsel fo 3T /drnoa 4T rea norlmb,aa tbu het hdyoitr dngal dsoe tno rpapae to be yitnudfsc.anlo heT cicasalls eppnohyet of shit cnnoiitdo si tfeon nees in nsi,ttaroav tclaicri leissn,l or netpsati ni het isennitev reca itnu. eTh otms mnomoc heonmor tnartpe si wol oattl dna rfee T3, eeltvdae 3,rT adn nlmaro 4T nad TSH sel.vle

In ituohyrde sikc de,nsmroy reeht lwil be aolnrm 3rT, olw T3, and mnolra HS→T iths is cebaues in tccialir ssnille eehrt si asceerded avyttcii of /21DD eide5smn-iaodnoo tivytcia nrlml(oay 4T → ,T3 dna T3r → ),T2 da n nrescdiae ycvtiita fo D3 '5 iesdoaoneimnod amornlly( T4 → 3rT)

nPtaesit whit evrees otdhuEyir kSic ernoySmd amy heva olw eerf ,T4 low ottal T,4 DNA olw HST lvlees

hoturiEyd skci semydnor

Due t:o esrvee stcsimye lneissl sp)s(sie

:hPta yestickno -(1LI, N,aFT IL)6- ->-; edaecerds rpilhpaeer -isda'n5edeoi *

b:Lsa naolmr ,TSH rlnoma T4, lwo T,3 ghih 3Tr (cllrea ttah 4T acn eb eecdrvnto ot ieerth 3T ro r).T3

*heetr era mnya cnmhmesais ahtt lead ot iht;s eewovhr, tshi is teh stom lccnailily alrenetv orf bsal