TG and cirrhosis of liver: The most common thyroid hormone abnormality described in cases of liver cirrhosis has been the low triiodothyronine (T3) pattern, also known as euthyroid sick syndrome (ESS), likely as a result of impaired hepatic uptake and conversion of T4 to T3 as a result of liver failure, but also suppression of hypothalamic thyrotropin-releasing hormone resulting from systemic inflammation (7-9).