Abstract. Objective: Thyroid hormone affects adipocyte function, which in turn influences lipid and carbohydrate metabolism. Adiponectin is one of the adipocytokines that regulates lipid and carbohydrate metabolism. The aim of our study was to evaluate circulating levels of adiponectin in patients with thyroid dysfunction before and after normalization of thyroid function with appropriate medication. Design & Methods: One hundred and twenty patients with hyperthyroidism were recruited at the time of diagnosis. Measurements of free T4 (FT4), thyroid-stimulating hormone (TSH), thyrotropin binding inhibitor immunoglobulin (TBII), adiponectin, fasting blood glucose, fasting serum insulin, lipid profile, and body mass index (BMI) were taken before and after 6 months of medical treatment, at which point all patients were in a euthyroid state. Results: Any change in BMI was strongly correlated with changes in serum-adiponectin levels (r = -0.789, p<0.001). Any change in serum FT4 was also correlated with changes in BMI and serum adiponectin levels (r = -0.254, p = 0.05 and r = 0.501, p = 0.029 respectively). After controlling for BMI changes, we found correlation also between serum FT4 and adiponectin (r = 0.29, p = 0.005). Multivariate-regression analysis still revealed BMI to be a statistically strong predictor for serum-adiponectin level (p<0.001). However, that analysis also revealed thyroid function level as another predictor (p = 0.029). Conclusions: Although BMI is the best predictor of adiponectin, that thyroid hormone might influence circulating levels of adiponectin. PATIENTS with disturbances of thyroid function often experience changes in metabolic parameters, body weight, food intake, and thermogenesis. Hyperthyroid patients lose weight despite an increase in appetite, consistent with the fact that thyroid hormones play a role in energy expenditure. Thyroid function also affects adipocyte function, which influences lipid and carbohydrate metabolism, and can induce insulin resistance [1][2][3]. Adipose tissue performs complex metabolic and endocrine functions. Adiponectin is one of the important adipocytokines synthesized and secreted by adipose tissue, and is involved in regulating metabolism. Adiponectin has been shown to circulate in inverse proportion to the degree of insulin resistance [4,5] and reduced adiponectin levels have been found in patients with insulin resistance. Therefore, adiponectin and thyroid hormones are both involved in the energy homeostasis. Soltys et al. showed that circulating adiponectin could influence synthesis of thyroid hormones, especially free T4 (FT4). The mechanism may be through the carboxyl terminal-globular structure of adiponectin using the gC1q receptor found in thyroid mitochondria [6]. Although it is clear that adiponectin and thyroid hormone might both play an important role in metabolic regulation, their kinship in this aspect remains unclear. The aim of this study, then, was to explore the relationship between these two hormones in body homeostasis after control...