AUTHOR=Zhao Xiaolu , Liu Fan , Yuan Saiya , Wang Fei , Li Chunyu , Guo Congcong , Zhao Junyu TITLE=Thyroid hormone replacement therapy in dialysis/renal insufficiency patients JOURNAL=Frontiers in Endocrinology VOLUME=Volume 16 - 2025 YEAR=2025 URL=https://www.frontiersin.org/journals/endocrinology/articles/10.3389/fendo.2025.1540802 DOI=10.3389/fendo.2025.1540802 ISSN=1664-2392 ABSTRACT=Dialysis/renal insufficiency patients are often accompanied by hypothyroidism due to renal damage, the mechanisms of which are complex. The use of thyroid hormone replacement therapy in such patients has become an important clinical issue. This article reviews the mechanism of hypothyroidism in dialysis/renal insufficiency patients and describes the importance and precautions of thyroid hormone replacement therapy to provide a reference for clinical diagnosis and treatment.