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Free T3

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TEST: T3, FREE

PRINCIPLE:
The free fraction of the circulating triiodothyronine (T3) is considered to exert the main
influence on metabolic control. In hyperthyroidism, FT3 concentrations are generally
elevated and give efficient discrimination at the euthyroid/toxic borderline, providing an
effective method for confirming hyperthyroidism and monitoring of its treatment. In
hypothyroidism, FT3 concentrations tend to be lower, but the decrease is insufficient to
give clear diagnostic information. FT3 concentrations are independent of the
concentration of thyroid hormone-binding proteins, and may be measured in patients with
elevated or reduced binding protein concentrations without the need for additional tests of
binding capacity. FT3 determinations should be used as part of a thyroid test strategy,
which may include free T4 and high sensitivity TSH assays.

SPECIMEN REQUIREMENTS:
2ml serum collected in a red top tube with no additive or in a serum separator tube (gel
barrier). Store in the refrigerator at 2-8 for up to 7 days. For long term storage, freeze at
-20 C or below. Avoid thaw freeze cycles.

METHOD: Enhanced Chemiluminescence

REFERENCES:
1. Robbins J , Rall J E. Interactions of thyroid hormones and proteins in biological fluids.
Recent Prog Horm Res 13: 161-202; 1957.
2. Lewis M. Measurement of free thyroid hormones in health and disease. In Ekins R et
al (eds), International Symposium on Free Thyroid Hormones. Venice. Excerpta
Medica:167-180; 1979.
3. Pinchera A et al. Free thyroid hormones in thyroid disease and effect of thyroid
replacement therapy: observations by frequent sampling. In Ekins R et al (eds),
International Symposium on Free Thyroid Hormones. Venice. Excerpta Medica:208-220;
1979.
4. Avalos E et al. Diagnostic value of free triiodothyronine in serum. J Nucl Med
27:1702-1705;1986.

Normal Range: 2.77-5.27 pg/ml


Turnaround Time: 1 day

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