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T3-T4 Test

General Information About the Test

Free T3 (Triiodothyronine) and Free T4 (Thyroxine) are vital hormones produced by the thyroid gland located in our neck that control the entire body's energy metabolism, heart rate, body temperature, and weight balance. They are measured along with the TSH hormone in the blood for the definitive diagnosis of conditions where the thyroid gland works too fast leading to hormone toxicity (Hyperthyroidism) or becomes sluggish and produces too few hormones (Hypothyroidism).

Test Process and Preparation

Measurement of free thyroid hormones and metabolism monitoring.
What is the difference between Total and Free hormone?

The majority of hormones circulate in the blood bound to proteins (Total) and are inactive. Looking at the "Free" form, which is not bound to proteins and actively affects the cells, reflects the true function of the thyroid more accurately. Today, Free T3 and Free T4 tests are generally requested.

What happens if thyroid hormones are underproduced or overproduced?

If hormones are overproduced (Hyperthyroidism/Toxic Goiter); palpitations, rapid weight loss, sweating, and irritability are observed. If hormones are underproduced (Hypothyroidism); constant feeling of cold, weight gain, fatigue, hair loss, and dry skin are experienced.

Should I take my thyroid medication before the test?

If you are currently taking thyroid medication (Tefor, Levotiron, etc.), you should not take your medication when coming to give blood in the morning. You should give your blood on a full or empty stomach (fasting is generally preferred) and take your medication immediately after giving blood.

The information on this page is for informational purposes only. The results of medical tests must be evaluated by specialist physicians.


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