T3 test

  • Definition
    • Triiodothyronine (T3) is a thyroid hormone. It plays an important role in the body's control of metabolism (the many processes the body does to function).

      A laboratory test can be done to measure the amount of T3 in your blood.

  • Alternative Names
    • Triiodothyronine; T3 radioimmunoassay; Toxic nodular goiter - T3; Thyroiditis - T3; Thyrotoxicosis - T3; Graves disease - T3

  • How the Test is Performed
  • How to Prepare for the Test
    • Your health care provider will tell you if you need to stop taking any medicines before the test that may affect your test result. DO NOT stop taking any medicine without first talking to your provider.

      Drugs that can increase T3 measurements include:

      • Birth control pills
      • Clofibrate
      • Estrogens
      • Methadone
      • Certain herbal remedies

      Drugs that can decrease T3 measurements include:

      • Amiodarone
      • Anabolic steroids
      • Androgens
      • Antithyroid drugs (for example, propylthiouracil and methimazole)
      • Lithium
      • Phenytoin
      • Propranolol
  • How the Test will Feel
    • When the needle is inserted to draw blood, some people feel moderate pain. Others feel only a prick or stinging. Afterward, there may be some throbbing or a slight bruise. This soon goes away.

  • Why the Test is Performed
  • Normal Results
    • The range for normal values is 100 to 200 nanograms per deciliter (ng/dL) or 1.54 to 3.08 nanomoles per liter (nmol/L).

      Normal value ranges may vary slightly among different laboratories. Some labs use different measurements or test different specimens. Talk to your provider about the meaning of your specific test results.

  • What Abnormal Results Mean
    • A higher-than-normal level of T3 may be a sign of:

      A high level of T3 may occur in pregnancy or with the use of birth control pills or estrogen.

      A lower-than-normal level may be due to:

      • Severe short-term or some long-term illnesses
      • Thyroiditis (swelling or inflammation of the thyroid gland -- Hashimoto disease is the most common type)
      • Starvation
      • Underactive thyroid gland
  • Risks
    • Veins and arteries vary in size from one person to another and from one side of the body to the other. Obtaining a blood sample from some people may be more difficult than from others.

      Other risks associated with having blood drawn are slight but may include:

      • Excessive bleeding
      • Fainting or feeling lightheaded
      • Hematoma (blood buildup under the skin)
      • Infection (a slight risk any time the skin is broken)
  • References
    • Salvatore D, Davies TF, Schlumberger MJ, Hay ID, Larsen PR. Thyroid physiology and diagnostic evaluation of patients with thyroid disorders. In: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. Williams Textbook of Endocrinology. 13th ed. Philadelphia, PA: Elsevier; 2016:chap 11.

      Weiss RE, Refetoff S. Thyroid function testing. In: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Adult and Pediatric. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 78.