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Human Body & Health

A patient with iodine deficiency consumes goitrogenic foods (cassava). Which feedback response most likely exacerbates thyroid enlargement?

A)Increased T4 production compensates T3
B)Deiodinase activity converts T4 to rT3
C)Elevated TSH stimulates thyroid growth
D)Suppressed TRH reduces pituitary activity

💡 Explanation

Goitrogens inhibit thyroid hormone synthesis; because iodine is deficient, the thyroid can't produce enough T3/T4. This leads to chronically elevated TSH (thyroid-stimulating hormone) levels via negative feedback. Therefore, the thyroid enlarges (goiter) due to TSH's growth-promoting effects, rather than increased hormone production directly compensating.

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