Total T4 Free T4: Me again! I can’t believe I’ve... - Thyroid UK

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Total T4 Free T4

cazmania7 profile image
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Me again! I can’t believe I’ve not noticed this before (actually, I can lol). My blood test results show Total T4 and Free T4. When considering future T3 dosing I need to consider reducing levo depending on where T4 is within the reference range. Am I looking at Free T4, or the other one?? Thanks guys!!

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SeasideSusie profile image
SeasideSusieRemembering

Free T4.

Total T4 isn't particularly useful, it measures the total amount of thyroxine bound to proteins and unbound (free). It's the Free T4 that tells us what we need to know.

cazmania7 profile image
cazmania7 in reply to SeasideSusie

Cheers susie! Thought I had better check lol. Thank you for helping me ❤️

You also need free T3.

cazmania7 profile image
cazmania7 in reply to Angel_of_the_North

Thanks angel! Yeh I always get my T3 tester now!

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