In 1944, Morton, Chaikoff, and Rosenfeld first made the seemingly paradoxical observation that the addition of large quantities of inorganic iodide to suspending media inhibited the total incorporation of iodide into organic compounds by surviving slices of sheep thyroid gland (1). Four years later, Wolff and Chaikoff, whose names have come to designate this effect, demonstrated that a similar acute inhibitory response could be elicited in vivo by giving rats single doses of stable iodide sufficient to increase greatly the concentration of iodide in the plasma (2). As time passed and the concentration of iodide in the plasma declined below an apparently critical level, organic binding of iodine within the thyroid returned. Subsequently, it was shown that despite the maintenance of high plasma concentrations of iodide by the administration of repeated doses, inhibition of organic binding abated, and hormone formation resumed (3) ; this is the "escape" or "adaptation" phenomenon. Since the acute Wolff-Chaikoff effect occurs in man (4, 5), adaptation may also be presumed to occur, since the vast majority of patients given prolonged iodide therapy are able to maintain a euthyroid state.Since the initial description of the Wolff-Chaikoff effect, several additional facts and hypotheses concerning it have been presented. Raben, in a group of ingenious experiments, provided evidence that the acute inhibition of organic binding depends more closely upon the intrathyroidal than *