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Not-thyroidal illness (e.g. myocardial infarction or pneumonia): ï Decreased peripherial conversion of T4 to T3. ï ï ï Alterations in the binding proteins. Alterations in the affinity of binding proteins for thyroid hormones. âTSH levels as a results of the illness itself or the use of drugs (e.g. dopamine or corticosteroids). ï âTSH into the hypothyroid range during convalescence.