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What factors increase conversion of T4 hormone to T3? 


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Lean body mass is a significant factor influencing the peripheral conversion of thyroxine (T4) to triiodothyronine (T3) in individuals with hypothyroidism and minimal functioning thyroid tissue . Additionally, during prolonged fasting, an increased peripheral T4 to T3 conversion occurs, especially in the presence of growth hormone (GH) . Furthermore, stimulation of sympathetic nerves to interscapular brown adipose tissue (IBAT) by neostigmine injection in the hippocampus can increase T3 levels and 5'-deiodinating activity of IBAT, enhancing the conversion of T4 to T3 . These findings collectively suggest that factors such as lean body mass, GH, and sympathetic nerve stimulation can contribute to the increased conversion of T4 to T3 in various physiological conditions.

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Factors increasing T4 to T3 conversion in Elaphe taeniura include substrate concentration, dithioerythritol, temperature, pH, and sensitivity to iopanoic acid, propylthiouracil, salicylate, and propranolol.
Neostigmine injection in the hippocampus increases T4 to T3 conversion by elevating blood T3 levels and stimulating sympathetic nerves to interscapular brown adipose tissue.
Growth hormone (GH) and prolonged fasting stimulate the conversion of thyroxine (T4) to triiodothyronine (T3) in dwarf goats, indicating GH's role in enhancing this conversion during food deprivation.
Increased conversion of T4 to T3 is influenced by autonomously functioning thyroid adenoma (AFTA) tissue, leading to elevated serum T3 levels and suppressed TSH, especially in evolving hyperthyroidism.
Lean body mass is a significant factor that increases the conversion of T4 to T3 hormone in athyreotic individuals during levothyroxine replacement therapy.

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