FT3 & FT4 (Free T3 & Free T4)

The thyroid gland is a butterfly-shaped organ in the neck that produces hormones like thyroxine (T4) and triiodothyronine (T3), which are responsible for regulating metabolism and other bodily functions. The production and release of these hormones are controlled by the pituitary gland's thyroid-stimulating hormone (TSH). FT4 and FT3 represent the free or unbound, active forms of thyroxine and triiodothyronine. It reflects the amount of available thyroid hormone circulating in the blood.

An FT3 & FT4 (Free T3 & Free T4) test is used to assess how well your thyroid gland is working and aid in the diagnosis and management of thyroid disorders, such as an overactive thyroid gland (hyperthyroidism) or an underactive thyroid gland (hypothyroidism). Your doctor may advise this test if you show symptoms suggestive of hyperthyroidism, such as weight loss, nervousness, irritability, increased sweating, and rapid heartbeat, or hypothyroidism, such as weight gain, fatigue, sensitivity to cold, constipation, and dry skin. It is also important for pregnant women to have healthy amounts of thyroid hormones to ensure the healthy development of their babies.

No special preparations are needed for this test. Usually, you do not need to stop taking your thyroid medication before taking this test. However, let your doctor know about all your medications, as some can affect thyroid function. Biotin (Vitamin B7) is a commonly taken over-the-counter supplement that can lead to some aberrancy in your test results even when the values are normal. Therefore, avoid taking biotin two days before an FT3 & FT4 test.

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