What is Free T4?

T4, or thyroxine, is one of two main thyroid hormones in the human body. Once released into the bloodstream, TSH is responsible for stimulating the thyroid gland to produce hormones T4 and T3. T4 is inactive and is converted to the active T3 form mainly in the liver, but also in the kidneys, brain, and other organs. While bound T4 (attached to proteins) is unable to enter the body’s tissues, free T4 is able to enter tissues more readily.

Why is it included in Thyroid+?

Tracking your free T4 levels allows you to understand the health of your thyroid gland, which is an integral part of your endocrine system. Free T4 tests may also provide more accurate information than a total T4 test, and are therefore used more frequently. Thyroid hormones are vital to metabolism, heart and digestive functions, muscle control, brain development, and bone maintenance, among other roles. Because of its significance, free T4 is included in Dr. Miltie’s Thyroid+ panel.

High free T4 may be indicative of thyrotoxicosis which can result from hyperthyroidism (overactive thyroid gland) or thyroid gland inflammation (thyroiditis). Low free T4 may point to hypothyroidism (underactive thyroid gland) which can be caused by autoimmune diseases, inadequate iodine intake, or certain medications. Symptoms of hyperthyroidism may include weight loss, rapid or irregular heartbeat, and increased bowel movements among other issues. Symptoms of hypothyroidism on the other hand may include fatigue, weight gain, sensitivity to cold, low heart rate, and other physical and mental issues. If you are concerned with your levels, it is important to consult with your physician.

How can I better understand my results?

According to the American Board of Internal Medicine, normal levels of free T4 are around 0.8 – 1.8 ng/dL. Free T4 test results are analyzed in conjunction with other thyroid tests to determine whether the thyroid gland is functioning properly.

While other thyroid hormones like T3 and TSH can fluctuate throughout the day, T4 remains relatively stable for each person.

If your T4 levels are high, you can try:

• Consuming less iodine
• Eating more cruciferous veggies

If your T4 levels are low, you can try:

• Obtaining adequate iodine and vitamin B2 intake
• Increase protein intake, specifically of the amino acids valine, arginine, and leucine
• Abstaining from alcohol

Where can I learn more?

MedlinePlus – Thyroxine (T4) test

Level Up RN (video) – TSH and T3/T4 – What’s the difference?

DISCLAIMER: IF YOU ARE CONCERNED WITH ANY OF YOUR RESULTS, PLEASE CONSULT WITH YOUR PHYSICIAN.