Free T3 (FT3)

Synonyms

   Free Triiodothyronine

Clinical Significance

   A free or total T3 test is often part of a thyroid panel, a group of tests which are used together to evaluate thyroid health. Free T3 testing may be used to determine whether thyroid replacement therapy is effective. It can also help diagnose abnormalities of the proteins that bind thyroid hormones.

   T3 measurements are typically used along with other thyroid function tests, like TSH and free and total T4, to evaluate how your thyroid is functioning. It is used to evaluate pituitary gland problems, to assess the severity and type of thyroid disease, and to monitor treatment for a thyroid condition.

Specimen

   Serum

Stability

   7 days at 4 to 8 °C

   30 days at -20 °C

   72 hours at ambient temperature

Reference Range

   3.1 – 6.8 pmol/L

Interpretation

TSH FREE T4 FREE OR TOTAL T3 THYROID FUNCTION
Normal Normal Normal Normal Thyroid Function
High Normal Normal Subclinical Hypothyroidism
High Low Normal or Low Primary Hypothyroidism related to the Thyroid gland
Low or Undetectable Normal Normal Subclinical Hyperthyroidism
Low High High Primary Hyperthyroidism related to the Thyroid gland
Low Low Low or Normal Secondary Hypothyroidism related to the Pituitary gland
Normal or High High High Secondary Hyperthyroidism related to the Pituitary gland

Limitation

   A number of factors can impact the free T3 level in the blood, including: Pregnancy, Disease and Medications.