Free T3 Assessment is a specific clinical laboratory test that measures the circulating concentration of unbound triiodothyronine (T3) in the serum. T3 is the most biologically active thyroid hormone, and the “free” fraction represents the portion immediately available to bind to cellular receptors and exert its metabolic effects. This assessment is considered a more accurate reflection of functional thyroid status at the tissue level than total T3 or T4 measurements.
Origin
This diagnostic term is a standard practice within clinical endocrinology and laboratory medicine, reflecting the physiological understanding that only the non-protein-bound fraction of a hormone is biologically active. The development of sensitive immunoassays allowed for the precise measurement of this crucial “free” fraction.
Mechanism
The assessment quantifies the free T3, which is not bound to carrier proteins like Thyroxine-Binding Globulin (TBG), providing direct insight into thyroid hormone bioavailability. Since T3 dictates the basal metabolic rate, protein synthesis, and sensitivity to catecholamines, its accurate measurement is vital for diagnosing subtle thyroid dysfunctions, even when TSH levels may appear deceptively normal. This precision guides targeted therapeutic interventions.
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