Total T3 (TT3)

Synonyms

   Total Triiodothyronine

Clinical Significance

   Total T3 may be used to help diagnose hyperthyroidism or a pituitary gland disorder, evaluate the cause of an overactive thyroid, and monitor a patient’s response to treatment of hyperthyroidism. The total T3 test measures both bound and free T3, while the free T3 test measures only the T3 that is not attached to protein.

Specimen

   Serum

Stability

   7 days at 4 to 8 °C

   30 days at -20 °C

   72 hours at ambient temperature

Reference Range

   0.23 – 3.08 nmol/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 T3 level in the blood, including: Pregnancy, Disease and Medications.