What is the primary hormone responsible for the regulation of metabolism?

Study for the UWorld Endocrine Test. Dive into flashcards and multiple choice items with explanations and hints. Prepare yourself thoroughly!

The primary hormone responsible for the regulation of metabolism is thyroid hormones, specifically triiodothyronine (T3) and thyroxine (T4). These hormones are produced by the thyroid gland and play a crucial role in controlling the body's metabolic rate, influencing how the body uses energy.

Thyroid hormones increase the metabolic activity of various tissues, leading to enhanced protein synthesis, oxygen consumption, and overall metabolic processes. They influence the metabolism of carbohydrates, fats, and proteins, making them vital for maintaining homeostasis and energy balance in the body. Elevated levels of T3 and T4 boost metabolic rate, while lower levels can lead to a decreased metabolic rate and associated symptoms like fatigue and weight gain.

In contrast, while cortisol does have metabolic effects—such as promoting gluconeogenesis and influencing fat and protein metabolism—its primary role relates more to stress response and maintaining blood glucose levels during fasting or stress rather than overall metabolic regulation. Similarly, insulin is crucial for glucose metabolism and lowering blood sugar levels after meals, but it doesn't have the broad metabolic regulatory effects that thyroid hormones exhibit. Adrenaline is involved in the body’s 'fight or flight' response and stimulates immediate energy release but does not regulate metabolism in a sustained manner like thyroid

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