edrhyoitu iksc odmesnyr si smeoiesmt alceld "low T3 eroyndms." Alos uyo wnko ahtt teh tenpati is uodreythi aeeucsb ehr T4 nad HST are ithinw eth nrceeeref rega.n She is ksic.

I am for osem nsorea rgneialn uabot hist rof eth siftr tmei os 'llI trwei a tbi btuoa eutdoirhy kics oensmdyr in easc ti hlpes .soenemo

tIs' a iaeedss fo xecluisno - hte oithrdy ohmenors are akwch but teh dhyrito dgnla ilfste messe ot eb talolty f.nei clifSiaeylc,p T3 ellsev era ,wol Tr3 si hhig t(he iayvittc of fedrentfi eosddenaiis rea f,of os 3rT is eadm reom adn gdearedd sl,es hougth it ostdn'e esem keli eht T3r velel has any roeht liiacncl i)moip.caltsni As het eroht emtncmso vhea n,emtniedo THS dna 4T aer cpiyyllat ,lrmona olhthagu yeth nca be derdacese sa llwe in eesver .cseas

drouiyhtE scki rnedmyso si illcaypty deu ot an denrngliuy liictcra slielns or inatrtovas - teh yobd sstpo gknaim eth hnomoser as na rxeeemt maeures ot seav regyne and oreusc.sre ehT taementtr si ot traet teh ylungnedri slesnil; rtdyiho eohomrn yptarhe is nto mrdeonmcdee sa sti tvefeicssnfee is eoclsuivcin.n

nI hist qsuetion stm,e hte ettapin hsa an ylrndnegiu ie.lnssl reH tydhroi gnlad wksor ifen ndpssr(eo prretaypopial to )TSH. saiClcs scae of iueyhodtr scik sondeymr.

enGiv atht her T4 llsvee rae noma,rl we cna elur out B, D, dna E. m'I a duumdm nda put C besuaec I hda on iaed twah eirhudoty ksic dyosnmer was. utB vigne taht hre HTS elvle is olsa o,nrmal s'it not na essiu whti the hyhslptamoua ro tiytuipra ldnga.

co:s(eSur kiiw egap adn htsi rtielca)

idhotruyE ksci ronmsyde = esllev of T3 dran/o 4T ear mnaalb,ro tbu the hiydtor lnagd esod ont paepra to be caiytnnloufs.d heT lcclsiasa ypoetpnhe fo hits noinodtic is teofn esne ni ,itnatsvrao tirlcica ssle,nil ro spttniea in het ennisivet earc nt.ui ehT sotm cmnmoo horomen arptnet is olw ltaot nad fere T,3 eadeetlv ,T3r nad arolnm T4 dna HTS evll.es

In tihourdey isck rdsneyom, reeth lwil eb lranmo T3r, wlo T3, dan mlaonr →TH S ihts is buacees ni caicltir snsiell rehet si recasddee yicivatt fo 12DD/ ioemeo5dnanos-di yacvtiti amlrl(noy T4 → 3T, nad T3r → )2T, dna aerscnide tcivatiy of 3D '5 ieosodanomnide lol(nmray T4 → T3r)

iatsePnt ithw eeserv iuyohErtd kiSc oyrSmden amy vhea olw feer 4,T low lotat T4, DNA wlo HTS elvels

ortiEhduy scki rnmdyeso

eDu t:o rsveee myetiscs essnill )es(sisp

ath:P csktnyieo 1(IL,- N,TaF -6LI) ->- eradeedsc rpiaeeprhl doiinae-'de5s *

bL:sa amnrol HS,T marlno ,T4 olw T3, hghi T3r ll(rcea htat 4T acn be tecornedv to rehite 3T or )r3T.

*reeth rae anym mhimecnssa htta dale ot ;stih ,oeevrwh iths si teh ostm lnaylilcic eavlrtne rfo basl