Thyroid Stimulating Hormone Suppression is a clinical state characterized by a measurably low concentration of Thyroid Stimulating Hormone (TSH) in the circulation, which is caused by high levels of circulating thyroid hormones, either produced endogenously or administered exogenously, acting on the pituitary gland. This suppression indicates that the pituitary is appropriately detecting sufficient or excessive thyroid hormone levels and is reducing the release of its stimulating hormone. While often a desired therapeutic effect, it is also a key diagnostic marker of hyperthyroidism or iatrogenic over-replacement.
Origin
This term is a cornerstone of clinical endocrinology and the functional understanding of the Hypothalamic-Pituitary-Thyroid (HPT) axis. The concept of suppression is a direct and predictable consequence of the negative feedback loop that is designed to maintain precise, stable thyroid hormone regulation.
Mechanism
The mechanism is a classic endocrine negative feedback loop: the thyroid gland produces T4 and T3, which circulate and bind to receptors on the pituitary and hypothalamus. High concentrations of these active thyroid hormones signal the pituitary to significantly decrease its secretion of TSH. This TSH suppression acts as the body’s primary control mechanism to reduce the stimulation of the thyroid gland, preventing excessive hormone production and maintaining metabolic equilibrium.
We use cookies to personalize content and marketing, and to analyze our traffic. This helps us maintain the quality of our free resources. manage your preferences below.
Detailed Cookie Preferences
This helps support our free resources through personalized marketing efforts and promotions.
Analytics cookies help us understand how visitors interact with our website, improving user experience and website performance.
Personalization cookies enable us to customize the content and features of our site based on your interactions, offering a more tailored experience.