Hypothalamic–pituitary–thyroid axis and TSH receptor antibodies may be the reason for the observation that the relation between free T4 concentration and TSH levels deviates from a pure loglinear relation that has previously been proposed. Standard procedures cover the determination of serum levels of the following hormones: For special conditions the following assays and procedures may be required: Hypothalamic–pituitary–thyroid axis The hypothalamic–pituitary–thyroid axis (HPT axis for short, a.k.a. thyroid homeostasis or thyrotropic feedback control) is part of the neuroendocrine system responsible for the regulation of metabolism. As its name suggests, it depends upon the hypothalamus, the pituitary gland, and the thyroid gland. The
Pituitary stalk tract. It has been thought that the pituitary stalk may become compressed due to suprasellar tumors in the pars tuberalis region, and that the resulting compression may cause hyperprolactinemia. This phenomenon has been described as the stalk effect or pituitary stalk compression syndrome. However, at least one article suggests that the increase in prolactin in these cases may instead be caused by the tumor's secretion of preprotachykinin A-derived tachykinins, substance P, and/or neurokinin A. Damage to the pituitary stalk blocks the release of antidiuretic hormone, resulting in polydypsia (abusive water intake) and polyuria (excessive urination). Pituitary stalk The pituitary stalk