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thyroid-stimulating hormone thyrotropin thyrotropic tsh pituitary thyroid gland thyroxine triiodothyronine glycoprotein thyrotrope cells anterior hypothalamic–pituitary–thyroid axis hormonal therapy function action endocrine endocrinology level prohormone hypothalamus thyroid iodine deiodinase hypothyroidism hyperthyroidism thyromimetic thermogenesis cell biochemistry biomolecule bioactive biochemical 3d molecule molecular formula skeletal subunits tsh receptor follicular graves' disease primary hyperthyroidism congenital primary hashimoto's thyroiditis