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Human Body & Health

If a patient with iodine deficiency receives a fixed dose of exogenous T4, which consequence follows regarding T3 production?

A)Peripheral T3 production increases sharply
B)Central T3 production compensates fully
C)Serum T3 levels remain stable
D)Peripheral T3 production remains suppressed

💡 Explanation

Peripheral conversion of T4 to T3 relies on deiodinase enzymes, which require selenium as a cofactor. Iodine deficiency often coexists with selenium deficiency, therefore the deiodinase enzymes are less effective and conversion is impaired, rather than being enhanced or fully compensated. Thus, even with T4 supplementation, T3 production remains suppressed.

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