Thyroid Hormone Conversion Support is the clinical strategy focused on optimizing the peripheral enzymatic process that transforms the prohormone thyroxine (T4) into the biologically active triiodothyronine (T3). While the thyroid gland produces mostly T4, the conversion to T3 primarily occurs in the liver, kidneys, and other tissues via deiodinase enzymes. Effective support is crucial for ensuring adequate cellular T3 action, which governs metabolism, energy production, and mood.
Origin
This concept is central to modern thyroidology, moving beyond the traditional focus on TSH and T4 levels alone. Conversion refers to the deiodination process, and support denotes the therapeutic interventions, often involving cofactors like selenium and zinc, necessary to ensure the enzyme’s optimal function.
Mechanism
The deiodinase enzymes, particularly D1 and D2, are highly dependent on specific micronutrients and are sensitive to factors like stress and inflammation. Support involves ensuring adequate levels of cofactors like iodine, selenium, iron, and zinc, while simultaneously addressing systemic inflammation and cortisol dysregulation that can promote the formation of inactive reverse T3 (rT3). This targeted support maximizes the availability of the potent T3 at the cellular level.
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