iThs sha to od wiht utdneginrsdna wto tnhig,s tath mnelaart ihyyosptorimhd si dkieln to nCemliu/niertasr mopnetldvee fo hte fs,uet nad raolnm gnpneyacr yoog.phisly nI ycrgepna,n iaerncsed hoemrons tueltimsa ervli urtoopdinc fo oraivsu psrnioet ielk eSx neoHomr dgininB nGllobiu BiTHnorxS(hG)ey, giBinnd lGlbnoiu B,T()G ct.e rMoe BTG peorcdud = mroe T/T34 si n.dbou seLs 3T/T4 suesca mreo HRT laesre,e omer TSH r,leasee nad rmeo /TT43 proionuctd tilun eerf /TT34 seevll rea abkc ot nmlo.ar In a almonr ngnapcy,er isht eppanhs on boeprl.m In mesnooe ihtw piere-isgtnx tyyporiodhhsim hh,gout eayrald ahs eiirmapd 43T/T pnooducrt,i nad t'nwo be blea ot epke pu htwi iesrdacen mdda.ne hieTr T3 lwli rsie, tbu ihst o'ntw lsurte ni drcneeias 4.TT3/ il,ayTylpc mwoen whti Hsoti'mhaos grdnisie ot egt npetangr iwll dene to ecraisen ither onhvyeeloritx dseo ni ionacpntatii of shti nyangrcpe gnac.he
mrllaNoy mtaanlre /4T3 are uierderq fro eftal ainbr etoedvmelnp rbefeo lefta ryidtoh dlnga is me.ford ndA taefr tflea iotryhd langd is dm,oerf atfle 3/4T ephls in naibr vdmneelp.teo oS risnceea TSH mesna eeadcesrd mnetrlaa /3T4 nad tush avhe ban ibran edle.ntpeomv nAd sye T/43 seosscr tl.apnaec
tAmnuiumeo iisdihtyrto (kaa s)omiHhaot + ntp&et-naggr-; hTkni uaotb tyiboilisps fo falet myhtsdorypoiih eud to inobtayd mtaidede mntleara yhsorytidph.mio aedLs ot rtsmnCi.ie sdiFgnin in fintna aer teh P'6 oPt( ylleb, ealP, fyufP fc,ae dnuirPortg bumisuli,c ntatoPbreru uo,gten nda rPoo niarB pevmotnee.ld
hTe earl hgnti si ST,H T,3 T4 nad rlhbunogilyot anntoc ssocr atela.npc T,HR ,oiendI ITS nca ors.c Ifs tmreoh sha ghih HTS gnrns(dicoei arirymp yhopithmioyds)r ;—gt& oorP iabrn neeItlo fvpdem oehtmr sha ITS o)(Hmoashit t;—g& cossr eht caaellptn rairerb ensarecI— ni hyrtodi ldang y(Ma sentrpe iwht drtirso ta ri.tbh
lxyacet how eods arntlema ahsotihom nca csuea sncm?etiri
I iknth htsi setg at a cnotecp etdlrea ot dorythi lleevs nda /rsnncaynr.pggeeoet
gnstoerE escensair eht vleel fo hb-ixengniridonyt bi,lguonl hicwh otreprmilya eedseascr rfee T4 nda T3, nad recsieasn STH lintu eth dtiloanadi BGT cesmobe aeau,rtdst nda lomran sleevl rae rrosdtee.
ciSen tshi eanpitt sah tnueumimao yiotid,tirsh nad reuerisq eri,onytxh henw hre refe 4T seecsd,rea dan rhe STH sgeo up, hes owtn amke retax 4T. So elnssu esh cneseiasr ehr ynxthroie e,ods hse liwl eb opoiryhdhyt gt--;& emnsciitr in the fuets
here is a ycpo etpsad lkni .
irf,st ghhi hst = shtoyriyomphid
oHw can yhooirsmtdhyip ffatec me nda ym byb?a ydiorht ehmsoorn rea poranmtit ot uyor 'ybabs bnair adn eurvson semtys ,enmlpeetdov euaendttr yarhetelpmly—ohcssyiopiid digrnu eth fsrti cimrt—tsnaere suaec owl QI and boresplm thwi olmanr evnmt.opedel
/m79.1h.8w/2ntn/2pl/v.Mietlso0rba.cg/piwh:msCccP/wnit
sihT aceltir lfasi ot mnionet ropo barin eevpednlmto ni hdRrmHsP.oiEyiYt The tourah stum hvea anmte ihHmOdr.ysPtiYo
hTis qnsoitue uptess em to on nd.e
yM ohhtutg psercso saw if eht moehrt ash enaricsed ,STH dseh' eb snigu rmoe nedoii ot cdeopur T/.43 nngiaMe ssle udwol eb bela ot gte ot hte yabb ofr ibnra d.eevmnploet
hsTi si a revy ckyrit niuoqets ni emrst of ghipsanr it. Tehy kmea us hntki uoabt hawt effcte high HST sdeo on a sutfe lihew ti lyeral antem awht cna haeppn to hte abby ni an ebyaddamiitet-nod myyidoptsrhohi th.oro meS nayesk os os san..e.ky
ehT ohertm ash tmunimoaeu tdytrihsioi adn amtrttnee is eingv rof rhymthoiyosipd nl.oy why dose it mrtaet if the thrme'os HST is high ro w?lo ubeiattooisdnA dulow still eb nsteepr dan yteh uodlw ywslaa scaue mitecrnis ercviepriest of rthoem omonserh lvele. sInt' ?it
sinCimtre (lcitognean prihdsohtym)oiy is teh msot ocnmmo uaesc fo tltabraee elamnt atlsi.dyiib Ceuass orpo binar voled.mnteep
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$279$49ihTs toqnusei si rdspeha el,sgytrna but t'si nesailtlesy iksgna "whta owudl hepanp if hsti oawm'ns otoyydpsmhirhi amecbe lotrunelndoc ervo hte eucrso fo erh epanc?gnr"y
nrryluetc erh STH si gdoo &-tg;- rlnelolctol-ewd yisLTCiOhYIPmhpdTrH yHotAoE ighh HST -;g&-t ehr dtmoioyphihysr stmu TON be -llwortenolcdle (due ot isiutpdnro of hte R4HTT//SHT3/T edieorncn s)aix
So, won hatt ew dtunardesn taht the ioquestn is igaksn "awht lwuod phnpae fi rhe sioymhohdytpri swa ullno"rn?tecdo
A:swnre iicemtsrn
I ktnih that hits eiunosqt si reapshd ltsrayicoo,u btu far eb it omfr em ot zitciecri hte UELMS igeclsnni a..ro.db
$279$49