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Tertiary hypothyroidism
Definition:
Tertiary hypothyroidism is characterized by abnormally low levels of thyroid hormone (T3 and T4) production, where the defect is at the level of the hypothalamus.

In tertiary hypothyroidism, the hypothalamus is unable to produce sufficient levels of thyrotropin release hormone (TRH). Low TRH levels lead to low production of the thyroid stimulating hormone (TSH) by the anterior pituitary gland which, in turn, leads to insufficient stimulation of the thyroid gland to produce the thyroid hormones (T3 and T4).

Thus, in tertiary hypothyroidism, the circulating levels of TRH, TSH, T3, and T4 are all abnormally low.

Related glossary terms/phrases:
Hypothyroidism
Primary hypothyroidism
Secondary hypothyroidism






Posted: Sunday, January 25, 2015
Last updated: Sunday, January 25, 2015