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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

Specimen Type

Tube

Serum

 or 

SST

 or  or 

 

Stability

Storage

Temperature

Stability

Room Temperature

15-30°C

≤ 24 hours

Refrigerated

 2-8°C

≤ 1 week

Frozen

≤-20 °C

≤ 4 weeks

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