T3 and T4 are hormones that regulate internal body functions.
They are secreted by thyroid gland located on the throat, in front, just below the skin of neck
T3 is measured as part of a thyroid function evaluation. Most of the thyroid hormone made in the thyroid is in the form of T4 . The body's cells convert the T4 to T3, which is the more active hormone.
Sometimes it can be useful to measure both T4 and T3 when looking at thyroid function. For example, in some cases of hyperthyroidism , T4 may be normal but T3 will be elevated.
Most of the T4 and T3 in the body is attached to proteins in the blood. These proteins serve as carriers. The T3 test measures both the T3 that is bound to the proteins and the T3 that is "free" floating in the blood. The free fraction is the hormone that is active.
are indications to check for
- Unexplained tiredness,
- leg ache,
- fine tremors of finger,
- increased heart beat,
- lazy feeling (lassitude)
[1]DEPRESSION,
[2]DIABETES and
[3]THYROID FUNCTIONS
There may be no symptoms.
Conditions that increase the levels of the carrier proteins -- such as pregnancy and liver disease -- will falsely raise the T3 level. In these cases, it is useful to measure either the free T3 level or to perform the RT3U test, which gives a measure of the amount of carrier protein.
T4 and T3 are important hormones in the regulation of metabolism. The exact mechanisms are not understood, but it is known that T4 increases the concentrations of numerous enzymes involved in the production of energy in the body.
Normal Values:
100 to 200 ng/dL (nanograms per deciliter)
What abnormal results mean:
Greater-than-normal levels may indicate:
* throiditis (inflammation of thyroid gland) - as innocent as cold and commonest
* hyperthyroidism (for example, Graves' disease )
* T3 thyrotoxicosis (rare)
* thyroid cancer (rare)
NOTELower-than-normal levels may indicate:
[1]$ 30% - 35% of those with harmless increased T3 levels may LATER develop hypothyroidism
[2]$ Hypothyroid is as common as diabetes mellitus.
[3]$ Thyroid disorders are more common in women than men.
* chronic illness
* hypothyroidism (for example, Hashimoto's disease )
* starvation
Additional conditions under which the test may be performed:
* painless (silent) thyroiditis
* thyrotoxic periodic paralysis
* toxic nodular goiter
What the risks are:
The only risks of the test is those minor risks associated with having blood drawn.
Special considerations:
Drugs that can increase T3 measurements include clofibrate, estrogens, methadone, and oral contraceptives.
Drugs that can decrease T3 measurements include anabolic steroids, androgens, antithyroid drugs (for example, propylthiouracil), lithium, phenytoin, and propranolol.
T3
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