Analyze Diet

Topic:Thyroid Hormones

Thyroid hormones in horses are biochemical substances produced by the thyroid gland, primarily including thyroxine (T4) and triiodothyronine (T3). These hormones are involved in regulating metabolism, growth, and development in equine species. They influence various physiological processes such as energy production, thermoregulation, and cardiovascular function. Abnormal levels of thyroid hormones can indicate thyroid dysfunction or other metabolic disorders in horses. This page compiles peer-reviewed research studies and scholarly articles that explore the synthesis, regulation, and clinical implications of thyroid hormones in equine health and disease.
Hemithyroidectomy due to a large, solid follicular thyroid adenoma in a 19-year-old thoroughbred mare.
Journal of equine veterinary science    February 16, 2026   Volume 159 105810 doi: 10.1016/j.jevs.2026.105810
Bramall LM, Hinnigan GJ, Wattam AD, Owen KR.This case report describes the successful hemithyroidectomy of the largest equine solid follicular adenoma described in the veterinary literature to date. A 19-year-old thoroughbred mare was referred to Oakhill Veterinary Centre for the surgical removal of a large, left-sided thyroid gland measuring 26cm in diameter. Pre-operative considerations, the hemithyroidectomy surgical technique as well as the intra- and post-operative complications encountered, are discussed. Following surgery the horse had no long-term complications and continues to thrive four and a half years post-operatively.
Effects of total parenteral nutrition and electrolyte solutions with or without glutamine on the hormonal profiles of horses subjected to exploratory laparotomy.
Brazilian journal of veterinary medicine    January 14, 2026   Volume 48 e005725 doi: 10.29374/2527-2179.bjvm005725
Ferreira C, Palhares MS, de Melo UP, Leme FOP, Maranhão RPA, Garcia HC, Gheller VA.Starvation and nutritional support clinically influence horses, particularly during the treatment of gastrointestinal diseases and post-surgical recovery. In this study, we aimed to evaluate the effects of different nutritional strategies on the endocrine response of horses subjected to exploratory laparotomy followed by food deprivation. Sixteen healthy adult horses were randomly allocated into four groups (n=4) based on treatments: enteral fluid therapy without (ENTFL) or with glutamine (ENTGL), and parenteral fluid therapy with glucose (PARFL) or total parenteral nutrition with glutamine (P...
Thyroid Disease in Horses-Retrospective Case Series on Patients Examined for Thyroid Disease in an Equine University Clinic (2009-2024).
Veterinary sciences    November 27, 2025   Volume 12, Issue 12 1127 doi: 10.3390/vetsci12121127
Stoeckle SD, Stage HJ, Gehlen H.Thyroid diseases in horses are rare and pose challenges for veterinarians due to the complexity of clinical and diagnostic approaches. This retrospective case series describes cases of equine thyroid disease in a referral hospital population. Files of horses examined for suspected thyroid disease at an equine university clinic between 2009 and 2024 were reviewed. Data from nine horses examined for suspected thyroid disease, including signalment, clinical presentation, laboratory results, imaging findings, fine needle aspirates, biopsies, diagnoses, and treatments, were summarised. Diagnoses in...
Associations between immunological and hormonal parameters during healthy pregnancy in mares.
Theriogenology    October 22, 2025   Volume 250 117719 doi: 10.1016/j.theriogenology.2025.117719
Feijo LS, Ledeck J, Wolfsdorf K, Ponthier J, Parry S, Felippe MJB.Associations between the immune and endocrine systems during equine pregnancy remain poorly understood. Based on the hypothesis that distinct phases of the equine healthy gestation are characterized by specific associations between circulating immunological and hormonal parameters, contributing to pregnancy maintenance, this investigation aimed to: (i) evaluate how circulating immunological and hormonal parameters change across different phases of pregnancy; (ii) investigate associations between changes in circulating immunological and hormonal parameters; and (iii) propose potential hormonal ...
Transcriptome Analysis of Muscle Tissue from Three Anatomical Locations in Male and Female Kazakh Horses.
Biology    September 8, 2025   Volume 14, Issue 9 1216 doi: 10.3390/biology14091216
Wubuli A, Su Y, Yao X, Meng J, Wang J, Zeng Y, Li L, Ren W.The Kazakh horse, a versatile breed, is renowned for stable genetic performance and strong tolerance to coarse feed. Sex is a key factor influencing skeletal muscle development. However, the mechanisms underlying sex-specific regulation of equine muscle growth remain obscure. This study employed transcriptomic analysis to investigate sex-associated molecular differences in skeletal muscle of Kazakh horses. The experimental cohort comprised four three-year-old Kazakh stallions and four three-year-old Kazakh mares. After slaughter, six groups of muscle samples were collected immediately, includi...
Melatonin receptors and thyroid stimulating hormone in the equine pars tuberalis: Potential modulators of seasonal reproduction in the mare.
Journal of neuroendocrinology    August 10, 2025   e70077 doi: 10.1111/jne.70077
Bailey VN, Gilbert BM, Vetter M, Oberhaus EL.The mechanism by which photoperiod influences the hypothalamic-pituitary-gonadal (HPG) axis and regulates seasonal reproduction in horses has yet to be fully elucidated. The hypophyseal pars tuberalis (PT) has been indicated as a critical site for the transduction of melatonin signals through melatonin-responsive, PT-specific cells that produce thyroid-stimulating hormone (TSH) in many mammalian species. However, this has yet to be investigated in horses. The objective of this study was to explore the interaction of melatonin and thyroid-stimulating hormone in the equine HPG axis. Pituitaries ...
Effect of birth month on endocrine function in Thoroughbred foals born in Hokkaido, the northern part of Japan.
The Journal of veterinary medical science    May 23, 2025   Volume 87, Issue 7 804-815 doi: 10.1292/jvms.25-0061
Ishimaru M, Kume K, Murase H, Sato F, Matsui A, Ohmura H, Taya K.Thoroughbreds born early in the year are believed to have an advantage in racing. However, the development of endocrine functions in early-born foals in the cold winter climate is unclear. The present study was conducted to elucidate the effect of birth month on the development of endocrine function in Thoroughbred foals born from February to May in Hokkaido by comparing hypothalamic-pituitary axis, adrenal and thyroid functions from birth to 24 weeks of age. Eighty-seven Thoroughbred foals were used to compare the changes in circulating luteinizing hormone (LH), follicle-stimulating hormone (...
Investigation of the occurrence of low thyroxine concentrations and response to thyrotropin-releasing hormone using equine and canine assays in a population of Standardbred racehorses in Prince Edward Island, Canada.
Journal of equine veterinary science    February 21, 2025   105400 doi: 10.1016/j.jevs.2025.105400
MacMillan KM, Burns JJ, John E, Clancey N, Stull JW.Decreased total T4 (tT4) concentrations are frequently observed in racing Standardbred horses lacking clinical evidence of hypothyroidism. This poses a diagnostic challenge as primary hypothyroidism is reported to be rare in adult horses. Despite this, owners frequently wish to administer thyroid supplementation to horses having low tT4 concentrations. Forty racing Standardbred horses were sampled. Baseline tT4 concentrations were determined using human-based (equine) and canine-based chemiluminescent assays. Dynamic evaluation of tT4 was performed using a thyrotropin-releasing hormone (TRH) s...
Pergolide mesylate administration does not decrease blood thyroid hormone concentrations and thyroid function in horses.
American journal of veterinary research    November 27, 2024   1-5 doi: 10.2460/ajvr.24.09.0257
Jargielo MM, Kritchevsky JE, Bertin FR.Pergolide, labeled for the treatment of pituitary pars intermedia dysfunction, is 90% protein bound and might cause a decrease in blood thyroid hormone concentrations by displacing them from binding proteins. This study investigated the effect of pergolide on the equine thyroid function. Methods: This was an analytic, observational, cohort study. Six horses (17 to 24 years old and 530 to 599 kg) received 1 mg of pergolide mesylate orally once a day from days 1 to 6. Total T4 (tT4) was measured daily from day 0 to 11 (before, during, and after pergolide treatment). Thyrotropin-releasing hormone...
Effects of different winter paddock management of Thoroughbred weanlings and yearlings in the cold region of Japan on physiological function, endocrine function and growth.
The Journal of veterinary medical science    May 23, 2024   doi: 10.1292/jvms.24-0083
Ishimaru M, Tsuchiya T, Endo Y, Matsui A, Ohmura H, Murase H, Korosue K, Sato F, Taya K.Effects of different winter paddock management of Thoroughbred weanlings and yearlings in Hokkaido, Japan, which is extremely cold in winter, on physiological function, endocrine function and growth were investigated. They were divided into two groups; those kept outdoors for 22 hr in the paddock (22hr group) and those kept outdoors for 7 hr in daytime with walking exercise for 1 hr using the horse-walker (7hr +W group), and the changes in daily distance travelled, body temperature (BT), heart rate (HR), HR variability (HRV), endocrine function and growth parameters were compared between the t...
Clinical implications of imprecise sampling time for 10- and 30-min thyrotropin-releasing hormone stimulation tests in horses.
Equine veterinary journal    August 30, 2023   doi: 10.1111/evj.13991
Vorster DM, Wang W, Kemp KL, Bamford NJ, Bertin FR.The thyrotropin-releasing hormone (TRH) stimulation test is used to diagnose pituitary pars intermedia dysfunction (PPID) using 10- or 30-min protocols. Imprecise sampling time for the 10-min protocol can lead to misdiagnoses. Objective: To determine the effect of imprecise sampling time for the 30-min protocol of the TRH stimulation test. Methods: In vivo experiment. Methods: Plasma immunoreactive adrenocorticotropin (ACTH) concentrations were measured 9, 10, 11, 29, 30 and 31 min after intravenous administration of 1 mg of TRH in 15 control and 12 PPID horses. Differences in ACTH concent...
Diagnosis and management of thyroid disorders and thyroid hormone supplementation in adult horses and foals.
Equine veterinary journal    August 3, 2023   doi: 10.1111/evj.13981
Bertin FR, Frank N, Breuhaus BA, Schott HC, Kritchevsky JE.Equine thyroid disorders pose a diagnostic challenge in clinical practice because of the effects of nonthyroidal factors on the hypothalamic-pituitary-thyroid axis, and the horse's ability to tolerate wide fluctuations in thyroid hormone concentrations and survive without a thyroid gland. While benign thyroid tumours are common in older horses, other disorders like primary hypothyroidism or hyperthyroidism in adult horses and congenital hypothyroidism in foals are rare. There is a common misunderstanding regarding hypothyroidism in adult horses, especially when associated with the clinical pro...
Interplay Among the Daily Rhythm of the Thyroid Hormones, Uncoupling Protein 1 and the Clock Gene Per2 in Horses.
Journal of equine veterinary science    April 21, 2023   Volume 126 104496 doi: 10.1016/j.jevs.2023.104496
During husbandry, domestic animals are exposed to many factors that can influence their circadian physiology organization leading to an increase in animals' discomfort. Thermal homeostasis is at the basis of animal wellness, the aim of the present study was to investigate the daily fluctuation of serum concentrations of 3,5,3'-triiodothyronine (T3) and thyroxine (T4) in association with the daily fluctuation of uncoupling protein 1 (UCP1) and clock gene Per2 in healthy horses housed in individual box, to improve the knowledge on this matter. Seven clinically healthy female Italian Saddle horse...
Stress response as a contributing factor in horses with laminitis.
Journal of veterinary science    April 4, 2023   Volume 24, Issue 2 e33 doi: 10.4142/jvs.22039
Moss A, Leise B, Hackett E.Laminitis is a complex and debilitating disease of horses. Numerous predisposing factors contribute to laminitis development, however the exact pathogenesis remains undetermined. Serum T4, cortisol, and histamine are components of the innate stress response and could play a causative or contributory role. Stress hormone concentrations in laminitis are largely unknown. Objective: To evaluate parameters associated with stress response in horses with laminitis, and compare these to healthy horses and horses with gastrointestinal (GI) disease. Methods: Thirty-eight adult horses presenting for non-...
Ultrasonographic & biochemical analysis of thyroid bio-architecture for further pharmacological intervention in adult Arabian stallions & mares.
Research in veterinary science    January 7, 2023   Volume 155 44-50 doi: 10.1016/j.rvsc.2023.01.001
El-Sherif MA, Nabil G, Ibrahim R, Mohamed N, Mohamed M, Jaheen AH.Based on the growing attention to the Arabian horses with a lack of records regarding their normal physiological parameters, which are critically vital for disease diagnosis &convenient drug administration, we give great attention to their thyroid gland normalcy. The thyroid gland is one of the key players in regulating many physiological processes. Therefore, we tackled thyroid biology & morphology in 14 Arabian stallions & 18 Arabian mares from the beginning of March to the middle of April on animals from 4 to 19 years old. First, the blood samples taken from their jugular vein ...
Markers for internal neoplasia in the horse.
Veterinary medicine and science    December 10, 2022   Volume 9, Issue 1 132-143 doi: 10.1002/vms3.1042
Drozdzewska K, Gehlen H.The diagnosis of internal neoplasia in horses is challenging. Increased production of hormones physiologic for adult animals (e.g., adrenocorticotropin, norepinephrine, and erythropoietin) or typical for the foetal phase (alpha-fetoprotein, anti-Müllerian hormone, and parathyroid-hormone-related protein) might aid in tumour diagnostics. Thymidine kinase-1 and alkaline phosphatase are examples of intracellular enzymes, whose activity in the blood may increase in some neoplasia cases. Furthermore, inappropriate production of abnormal monoclonal or autologous antibodies can accompany lymphoma an...
Energy endocrine physiology, pathophysiology, and nutrition of the foal.
Journal of the American Veterinary Medical Association    October 26, 2022   Volume 260, Issue S3 S83-S93 doi: 10.2460/javma.22.08.0348
Kinsella HM, Hostnik LD, Toribio RE.Most homeostatic systems in the equine neonate should be functional during the transition from intra- to extrauterine life to ensure survival during this critical period. Endocrine maturation in the equine fetus occurs at different stages, with a majority taking place a few days prior to parturition and continuing after birth. Cortisol and thyroid hormones are good examples of endocrine and tissue interdependency. Cortisol promotes skeletal, respiratory, cardiovascular, thyroid gland, adrenomedullary, and pancreatic differentiation. Thyroid hormones are essential for cardiovascular, respirator...
Study on NGF and VEGF during the Equine Perinatal Period-Part 2: Foals Affected by Neonatal Encephalopathy.
Veterinary sciences    August 26, 2022   Volume 9, Issue 9 459 doi: 10.3390/vetsci9090459
Ellero N, Lanci A, Baldassarro VA, Alastra G, Mariella J, Cescatti M, Castagnetti C, Giardino L.Neonatal Encephalopathy (NE) may be caused by hypoxic ischemic insults or inflammatory insults and modified by innate protective or excitatory mechanisms. Understanding the underlying pathophysiology is important in formulating a rational approach to diagnosis. The preliminary aim was to clinically characterize a population of foals spontaneously affected by NE. The study aimed to: (i) evaluate nerve growth factor (NGF) and vascular endothelial growth factor (VEGF) levels in plasma samples obtained in the affected population at parturition from the mare’s jugular vein, umbilical cord vein an...
Study on NGF and VEGF during the Equine Perinatal Period-Part 1: Healthy Foals Born from Normal Pregnancy and Parturition.
Veterinary sciences    August 23, 2022   Volume 9, Issue 9 451 doi: 10.3390/vetsci9090451
Ellero N, Lanci A, Baldassarro VA, Alastra G, Mariella J, Cescatti M, Giardino L, Castagnetti C.The importance of trophic factors, such as nerve growth factor (NGF), vascular endothelial growth factor (VEGF), and brain-derived neurotrophic factor (BDNF) during the perinatal period, is now emerging. Through their functional activities of neurogenesis and angiogenesis, they play a key role in the final maturation of the nervous and vascular systems. The present study aims to: (i) evaluate the NGF and VEGF levels obtained at parturition from the mare, foal and umbilical cord vein plasma, as well as in amniotic fluid; (ii) evaluate NGF and VEGF content in the plasma of healthy foals during t...
Cardiovascular changes in horses with atrial fibrillation and high thyroid hormone concentration: a case-control study.
Journal of veterinary cardiology : the official journal of the European Society of Veterinary Cardiology    August 20, 2022   Volume 43 93-100 doi: 10.1016/j.jvc.2022.08.003
Ter Woort F, Stefanovski D, Reef VB.Hyperthyroidism is a predisposing factor for atrial fibrillation (AF) in humans. The relationship between high thyroid hormone (TH) and AF in horses has not been evaluated. Objective: The aim of this study is to identify whether (1) high TH concentrations were present in horses with AF, (2) other cardiovascular effects were observed in horses with high TH and AF, and (3) TH status affected recurrence rate. Methods: Twenty-three horses presented with naturally occurring AF. Methods: Prospective case-control clinical study. Thyroid hormone concentration was measured in horses presenting with AF....
Comparative Histology of C Thyrocytes in Four Domestic Animal Species: Dog, Pig, Horse, and Cattle.
Animals : an open access journal from MDPI    May 23, 2022   Volume 12, Issue 10 1324 doi: 10.3390/ani12101324
Sokołowska J, Cywińska A, Puchalska M.The number, morphology, and distribution of C thyrocytes within the thyroid gland vary among species; however, studies in domestic animals are limited. In this study we compared the morphology, distribution pattern, and percentage of C thyrocytes in four domestic species: dogs, pigs, horses, and cattle. Eighty thyroid glands, 20 per species, were examined. C thyrocytes were visualized immunohistochemically with anti-calcitonin rabbit polyclonal antibody alone and combined with the periodic acid Schiff method to simultaneously visualize C thyrocytes with the basement membranes of thyroid follic...
The effect of pergolide mesylate on adrenocorticotrophic hormone responses to exogenous thyrotropin releasing hormone in horses.
Veterinary journal (London, England : 1997)    April 25, 2022   Volume 285 105831 doi: 10.1016/j.tvjl.2022.105831
Durham AE.Thyrotropin releasing hormone (TRH) stimulation testing is often used to support a diagnosis of pituitary pars intermedia dysfunction (PPID) in horses although it is unclear whether or not repeat TRH stimulation testing post-treatment is a valid means of assessing response to medical therapy. Laboratory submissions from 64 suspected equine PPID cases were examined including the initial pre-treatment TRH stimulation test and a follow up test within 100 days of starting medical therapy with pergolide. In a subset of cases, further follow-up tests were examined beyond 100 days of starting treatme...
Treatment of primary hyperparathyroidism in a Miniature Horse using chemical ablation of abnormal parathyroid tissue localized by 3-phase computed tomography.
Journal of veterinary internal medicine    February 12, 2022   Volume 36, Issue 2 798-804 doi: 10.1111/jvim.16390
Colmer SF, Wulster K, Johnson AL, Levine DG, Underwood C, Watkins TW, Van Eps AW.A 15-year-old Miniature Horse mare with persistently increased plasma calcium (total and ionized) and serum parathyroid hormone concentrations was presented for suspected primary hyperparathyroidism. Ultrasonography of the thyroid region identified an enlarged heterogeneous mass axial to the right thyroid lobe suggestive of an enlarged parathyroid gland, which was further confirmed using sestamibi nuclear scintigraphy and 3-phase computed tomography. Percutaneous ultrasound-guided ethanol ablation of the mass, a method not previously described in the horse, was performed under general anesthes...
Effect of early or late blood sampling on thyrotropin releasing hormone stimulation test results in horses.
Journal of veterinary internal medicine    January 20, 2022   Volume 36, Issue 2 770-777 doi: 10.1111/jvim.16362
Thane K, Uricchio C, Frank N.Diagnosis of pituitary pars intermedia dysfunction (PPID) using the thyrotropin-releasing hormone (TRH) stimulation test requires blood collection 10 minutes after TRH injection; it is unknown if small differences in timing affect test results. Objective: To determine whether early or late sampling results in a significant (≥10%) difference in plasma adrenocorticotropic hormone (ACTH) concentration compared to standard 10-minute sampling. Methods: Twenty-four healthy adult horses with unknown PPID status. Methods: In this prospective study, subjects underwent a single TRH stimulation test, ...
Effects of Standardized Exercise Tests on Plasma Thyroid Hormones’ Kinetics in Standardbred Racehorses.
Journal of equine veterinary science    December 28, 2021   Volume 110 103853 doi: 10.1016/j.jevs.2021.103853
Fazio E, Lindner A, Cravana C, Wegener J, Medica P, Hart-Mann U, Ferlazzo A.This study examined how a standard exercise test (SET) affected (1) thyroid hormones (THs) of horses and (2) the relationship between the V of horses and TH responses to the exercise in trained Standardbred racehorses (V is the velocity run at defined conditions at which a blood lactate concentration of 4 mmol/L is determined). Twelve trained Standardbred racehorses (six stallions and six mares) performed SETs until the horses' blood lactate concentration was at or above 4 mmol/L. The horses were divided into three age groups (2, 3, and 4 years old); each group consists of 4 horses respectivel...
Repeatability of a thyrotropin-releasing hormone stimulation test for diagnosis of pituitary pars intermedia dysfunction in mature horses.
Journal of veterinary internal medicine    October 13, 2021   Volume 35, Issue 6 2885-2890 doi: 10.1111/jvim.16281
Kam YN, McKenzie K, Coyle M, Bertin FR.Pituitary pars intermedia dysfunction (PPID) is a common endocrinopathy of horses diagnosed with a thyrotropin-releasing hormone (TRH) stimulation test. Objective: Describe the repeatability of TRH stimulation in horses with and without PPID in winter and autumn. Methods: Twenty adult horses; 6 controls and 6 with PPID tested in autumn, 8 controls and 6 with PPID tested in winter with 3 controls and 3 with PPID tested in both seasons. Methods: Thyrotropin-releasing hormone stimulation was performed on 2 consecutive occasions, 1 week before and 1 week after the winter solstice and the autumn ...
Assessment of qualitative and quantitative parameters of healthy thyroid gland in adult horses by magnetic resonance imaging.
Anatomia, histologia, embryologia    July 28, 2021   Volume 50, Issue 5 839-848 doi: 10.1111/ahe.12726
Viana GF, Midon M, Fonseca MW, Hataka A, Carandina L, Bueno LMC, Puoli Filho JNP, Machado VMV.In humans and pets, magnetic resonance imaging (MRI) provides important adjunctive anatomic information about the thyroid and its adjacent structures. To the best of our knowledge, however, no studies have been reported regarding the use of MRI for thyroid evaluation in horses. The aim of this study was to obtain qualitative and quantitative parameters of healthy thyroid gland in adult horses by MRI. Eleven horses were submitted to thyroid MRI evaluation. The healthy thyroid of these animals was ensured by normal examinations performed before (free thyroxine and ultrasound) and after (cytology...
A randomised, controlled trial to determine the effect of levothyroxine on Standardbred racehorses.
Equine veterinary journal    July 28, 2021   Volume 54, Issue 3 584-591 doi: 10.1111/evj.13480
Kritchevsky J, Olave C, Tinkler S, Tropf M, Ivester K, Forsythe L, Couetil L.The use of thyroid supplement is pervasive in athletic horses although its effects on measures of performance are not known. Objective: One purpose of this study was to determine whether supra-physiologic doses of levothyroxine affect the velocities at which blood lactate was greater than 4 mmol/L (VLa4 ) and heart rate was over 150 (V150 ) and 200 (V200 ) beats per minute respectively. Additionally, a survey of post-race blood samples was also conducted to determine whether high thyroxine concentrations were common in racehorses. Methods: A randomised, crossover, trial was performed in six h...
Improvement of the clinical signs of gait abnormality after treatment with levothyroxine in a horse with shivering and hypothyroidism.
Acta veterinaria Hungarica    October 13, 2020   Volume 68, Issue 2 147-153 doi: 10.1556/004.2020.00026
Saadi A, Dalir-Naghadeh B, Akbari H, Rashedi M, Mohammadi R.An 11-year-old Hanoverian gelding used for jumping was evaluated for gait abnormalities and hoof problems in the hindlimbs. Clinical examinations revealed signs consistent with shivers. A thyroid gland enlargement was noticed, baseline serum thyroid hormone (TH) concentrations were low, and a low response to thyrotropin-releasing hormone administration was observed. Hypothyroidism was suspected. The horse was treated with levothyroxine for 1 year. TH concentrations returned to the normal range by week 4 of treatment. Thirty weeks after the initiation of levothyroxine therapy, the gait abnormal...
Plasma prolactin, thyroid-stimulating hormone, melanocyte-stimulating hormone, and adrenocorticotropin responses to thyrotropin-releasing hormone in mares treated with detomidine and butorphanol.
Domestic animal endocrinology    August 7, 2020   Volume 74 106536 doi: 10.1016/j.domaniend.2020.106536
Oberhaus EL, Thompson DL, Kerrigan LE, Chapman AM.Stress or excitement is a concern when performing endocrine tests on fractious horses. Sedation may be a solution; however, perturbation of test results may preclude useful information. Thyrotropin-releasing hormone (TRH) is a known stimulator of prolactin, thyroid-stimulating hormone (TSH), melanocyte-stimulating hormone (MSH), and ACTH. Thyrotropin-releasing hormone-induced ACTH is a diagnostic tool for the assessment of endocrinopathies such as pituitary pars intermedia dysfunction. It is unknown if drugs commonly used for sedation alter endocrine responses. The objective of this study was ...
1 2 3 9