Test Code TT3 Total T3
Additional Codes
Cerner |
NextGen |
Total T3 |
Total T3 |
Alternate Name(s)
TT3
Total Triiodothyronine
Useful For
Triiodothyronine is transported in serum primarily by thyroxine-binding globulin (TBG), approximately 99.5 % T3 is protein-bound. T3 contributes significantly to the maintenance of the euthyroid state and the total T3 concentration has a role in screening for thyroid disease in conjunction with other tests. T3 alone cannot diagnose hypothyroidism, but it may be more sensitive than thyroxine (T4) for hyperthyroidism. A fall in T3 concentrations of up to 50% is known to occur in a variety of clinical situations, including acute and chronic disease. T3 concentrations may be altered in conditions affecting the capacity of the thyroid hormone binding proteins, e.g., pregnancy, when a test for T3 or T4 uptake may be used with the total T3 result to calculate the free T3 index (FT3I) to estimate the level for metabolically active free T3.
Methodology
Competitive Immunoassay
Patient Preparation
None
Collection Instructions
Standard phlebotomy practices.
Specimen Requirements
Container |
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Stability |
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Rejection Criteria |
Gross Hemolysis Turbid Specimens |
Result Reporting and Reference Values
Reported in ng/dL
Age |
Low |
High |
Birth – 18 Years |
Not Defined |
|
18-150 Years |
82.0 |
158.0 |
Reflex Testing
None
Limitations
- Contact the Laboratory for a full list of known interfering substances.
- Ortho reports a bias with the following:
- Albumin, Ascorbic acid, Bilirubin unconjugated, cholesterol, Hemoglobin, Levothyroxine Sodium, Naproxen sodium, Sodium azide, Triglycerides, and Acetylcysteine.
- Metabolites of the drug Diclofenac may cause inappropriately elevated results in this test.
- Ortho reports no significant effect with the following:
- Bilirubin, conjugated up to 40 mg/dL