Test Detail
Understanding the Test
Test Measures
Interpreting Results
FAQ's
References
Other Tests
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Written by
Dr. Shreya Gupta
BDS, MDS - Oral and Maxillofacial Pathology
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MBBS, MD (Pharmacology)
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Triiodothyronine Total

Also known as Total Triiodothyronine, Total T3
You need to provide
Blood
This test is for
Male, Female

Understanding Triiodothyronine Total


What is Triiodothyronine Total?

A Triiodothyronine Total measures the level of total triiodothyronine hormone in the blood. This test helps assess overall thyroid function and detect possible thyroid disorders. It is also performed in combination with total T4 and TSH tests as part of a thyroid profile total test.

Triiodothyronine, also known as T3, is a hormone produced by the thyroid gland. The thyroid is a small, butterfly-shaped gland located at the front of your neck. It helps regulate the body’s metabolism and growth, heart rate, temperature, and the development of tissues. T3 along with thyroxine (T4), another hormone produced by the thyroid gland, plays an important role in the growth and development of the nervous system and the brain. T3 is the active form of thyroid hormone that exists in the blood in two forms: free T3 (the form that is not bound to proteins) and bound T3 (the form attached to proteins). More than 99% of the T3 is in the bound form; only a small proportion is free and not attached to proteins.

A Triiodothyronine Total measures the total level (both free and bound forms) of the T3 hormone in the blood. Abnormal levels of T3 hormone can result in either hyperthyroidism (the thyroid gland produces too much T3) or hypothyroidism (the gland produces less T3). Your doctor may suggest this test if you show symptoms of hyperthyroidism, like increased appetite, weight loss, sweating, anxiety, tremors, etc., or hypothyroidism, like fatigue, weight gain, dry skin, constipation, etc.

No special preparations are needed for a Triiodothyronine Total test. However, let your doctor know about all the medications you take as some of them can affect thyroid function. Biotin (Vitamin B7) is a commonly taken over-the-counter supplement that can lead to some aberrancy in your thyroid test results even if they are normal. Therefore, avoid taking biotin 2 days before this test.

Test result ranges are approximate and may differ slightly between different labs depending on the methodology and laboratory guidelines. Talk to your doctor about your specific test results. The results will help them evaluate your medical condition, make recommendations for lifestyle modifications such as diet and exercise, assess whether or not medication will be required to manage your condition, and formulate your overall treatment plan.

What is Triiodothyronine Total used for?

A Triiodothyronine Total is done:

  • To measure the levels of total T3 hormone in the body.

  • As part of a thyroid profile-total along with total T4 and TSH tests.

  • To evaluate symptoms suggestive of an imbalance in thyroid hormone levels, such as fatigue, weight loss, hair loss, and changes in heart rate.

  • To diagnose and monitor the treatment of hypothyroidism or hyperthyroidism.

  • To detect an underactive thyroid gland in newborn babies.

  • To evaluate disorders such as thyroid nodules, goiters, and pituitary or hypothalamus gland disorders.

What does Triiodothyronine Total measure?

A Triiodothyronine Total measures triiodothyronine, also known as T3, hormone that is produced by the thyroid gland. T3 hormone plays an important role in regulating the body's metabolism, energy levels, and growth & development. It exists in the blood in two forms: free T3 and bound T3. Free T3 is not bound to proteins in the blood and is the active form of T3. Whereas, bound T3 is bound to proteins, such as albumin and thyroid hormone binding globulin (THBG), which prevent it from entering the body tissues.

Interpreting Triiodothyronine Total results


Interpretations

T3 (Triiodothyronine), Total                Reference Range(s)

     
 

<1 Month

Not established

 

1-23 Months

117-239 ng/dL

 
 

2-12 Years

105-207 ng/dL

 
 

13-20 Years

86-192 ng/dL

 
 

>20 Years

76-181 ng/dL

 



Answers to Patient Concerns & Frequently Asked Questions (FAQs) about Triiodothyronine Total


Frequently Asked Questions about Triiodothyronine Total

Q. Why is a Triiodothyronine Total test done?

A Triiodothyronine Total test is done to measure the level of T3 hormone in the body and evaluate symptoms suggestive of an imbalance in this hormone, such as fatigue, weight loss, hair loss, and changes in heart rate.

Q. Is fasting required for a T3 Total test?

Usually, fasting is not required before taking this test. However, it’s recommended to follow any specific instructions provided by your doctor.

Q. Can I take a T3 Total test during pregnancy?

Yes, you can take a T3 Total test during pregnancy. This test along with some others is usually recommended during pregnancy to measure the levels of thyroid hormones, as thyroid disorders can complicate pregnancy.

Q. What happens when T3 levels are high?

High levels of T3 hormone can lead to a condition called hyperthyroidism in which the thyroid gland produces too much thyroid hormone. Some of the common symptoms of hyperthyroidism include weight loss, nervousness, irritability, increased sweating, and rapid heartbeat.

Q. What happens when T3 levels are low?

Low T3 levels can lead to a condition called hypothyroidism. Some of the common symptoms of hypothyroidism are fatigue, weakness, weight gain, cold intolerance, and constipation.
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References

  1. Thyroid Function Tests [Internet]. Alexandria, VA: American Thyroid Association; [Accessed 07 Feb. 2023]. Available from: https://www.thyroid.org/thyroid-function-tests/External Link
  2. University of Rochester Medical Center. Free and Bound Triiodothyronine (Blood) [Internet]. NY. [Accessed 07 Feb. 2023]. Available from: https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=167&ContentID=t3_free_and_bound_bloodExternal Link
  3. British Thyroid Foundation. Thyroid Function Test [Internet]. Scotland: British Thyroid Foundation; 2021 [Accessed 07 Feb. 2023]. Available from: https://www.btf-thyroid.org/thyroid-function-testsExternal Link
  4. Block-Galarza J. Thyroid Function Tests [Internet]. Alexandria, VA: American Thyroid Association. [Accessed 07 Jul. 2023]. Available from: https://www.thyroid.org/patient-thyroid-information/ct-for-patients/december-2018/vol-11-issue-12-p-3-4/#:~:text=Most%20commonly%2C%20biotin%20use%20can,hormone%20dose%20is%20too%20highExternal Link
  5. National Institute of Diabetes and Digestive and Kidney Diseases. Thyroid Tests [Internet]. National Institute of Health; May 2017 [Accessed 07 Feb. 2023]. Available from: https://www.niddk.nih.gov/health-information/diagnostic-tests/thyroidExternal Link
  6. Adhimoolam M, Arulmozhi R. Effect of antiepileptic drug therapy on thyroid hormones among adult epileptic patients: An analytical cross-sectional study. J Res Pharm Pract. 2016 Jul-Sep;5(3):171-4. [Accessed 07 Jul. 2023]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4966235/External Link
  7. Basile ML. What Is T3 (Triiodothyronine) [Internet]. EndocrineWeb; 2022 July 06 [Accessed 07 Feb. 2023]. https://www.endocrineweb.com/conditions/hashimotos-thyroiditis/what-t3External Link

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