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T4 metabolism in nonthyroidal illness

T4 metabolism in nonthyroidal illness
The inhibition of 5'-monodeiodinase in nonthyroidal illness leads to decreased conversion of T4 to T3 and reduced metabolism of rT3. The induction of 5-monodeiodinase (D3) leads to increased conversion of T4 to rT3 and the metabolism of T3.
T4: thyroxine; T3: triiodothyronine; T2: diiodothyronine; rT3: reverse triiodothyronine.
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