Free T3 Availability refers to the concentration of unbound, biologically active triiodothyronine circulating in the serum, which is available to enter target tissues.
Origin
This concept evolved from the limitations of measuring total thyroid hormone, recognizing that only the unbound fraction exerts physiological effects.
Mechanism
Its availability is dynamically regulated by the binding affinity of thyroid-binding globulin (TBG) and the efficiency of the deiodinase enzymes converting T4 to the active T3 form.
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