“…Alternatively, interference of binding of thyroid hormones to thyroid binding globulin may contribute to lowering of concentrations of both T4 and T3 with a rise in T3 resin uptake (Afandi et al, 2000;Chopra et al, 1986;Oppenheimer et al, 1982;Chopra et al, 1979). Finally, the inhibition of the deiodinase as well as impaired hypothalamic pituitary axis with lowering of circulating TSH concentration have been attributed to rising stress hormones i.e., catecholamines, glucocorticoid, and glucagon (Duntas et al, 1999;Langer et al, 1989;Hidal and Kaplan, 1988;Kabadi and Premachandra, 1988;Langer and Foldes, 1988;Bianco et al, 1987;Faber et al, 1987;Kabadi and Premachandra, 1987;Silva and Larsen, 1986;Chopra et al, 1985;Langer et al, 1985;Kabadi et al, 1982). These hormones also appear to play a role in the interference in binding between thyroid hormones and their binding globulin attributed to elevation of circulating free fatty acids by promoting lipolysis (Afandi et al, 2000;Faber et al, 1987;Chopra et al, 1986;Chopra et al, 1985;Oppenheimer et al, 1982;Chopra et al, 1979).…”