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Endocrine Function

The liver plays a central role in the metabolism of hormones and hormone-binding proteins.[115] It synthesizes (angiotensinogen, thrombopoietin, insulin-like growth factor 1[137] ) and inactivates (aldosterone, estrogens, androgens, antidiuretic hormone) a wide variety of hormones. Nearly half the insulin produced by the pancreas never reaches the systemic circulation because it is degraded during a single passage through the liver.[138] [139] Thyroxine (T4 ), the major secretory product of the thyroid gland, is actively taken up by the liver and converted to triiodothyronine (T3 ) or inactivated.

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