Thyroid hormones have important thermogenic function. Nevertheless, thyroid
dysfunctions are often associated with minor changes in body weight and fa
t mass. On the other hand, both overfeeding and fasting have important effe
cts on iodothyronine metabolism and regulation of deiodinase activity. Alth
ough under debate, there are clinical and theoretical reasons to administer
low-dose thyroid hormones (T3) in selected obese patients. This short revi
ew deals with both pathophysiological and clinical aspects of thyroid hormo
ne used in the therapy of obesity.