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thyrotropin-releasing hormone thyreorelin thyreoliberin trh hypophysiotropic hormonal therapy replacement function action endocrine endocrinology level prohormone analogue hypothalamus thyroid iodine deiodinase hypothyroidism gland hyperthyroidism thyromimetic thermogenesis thyroid-stimulating hormone tsh prolactin anterior pituitary spinocerebellar degeneration disturbance consciousness pharmaceutical protirelin paraventricular nucleus acromegaly anti-aging agent thyroid disorders cell biology biochemistry biomolecule bioactive biochemical 3d molecule molecular formula skeletal