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Reverse T3 (rT3) - rT3

What does the Reverse T3 (rT3) - rT3 blood test mean? Get a free analysis of your blood test now. Here's what you get with our free analysis:

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The Reverse T3 (rT3) test measures the levels of an inactive form of thyroid hormone in the blood. rT3 is produced from T4 but does not have the same metabolic effects as T3. This test is often used to evaluate thyroid function in conjunction with other thyroid tests, particularly in cases where standard thyroid tests yield conflicting or unclear results. Elevated rT3 levels can indicate a condition called 'euthyroid sick syndrome' or 'non-thyroidal illness syndrome,' which can occur in severe illnesses, starvation, or chronic stress. The rT3 test can help distinguish between true hypothyroidism and other conditions that might affect thyroid hormone metabolism.

Acceptable Range:   9 to 25
Ideal for Women:   10-24
Ideal for Men:   10-24
Ideal for Girls:   10-24
Ideal for Boys:   10-24
Test Method: blood

What do readings below 9 ng/dL for Reverse T3 (rT3) - rT3 mean?

A low rT3 level is generally not considered clinically significant on its own. It may indicate:

  1. Hyperthyroidism: The body is converting more T4 to active T3 rather than rT3.
  2. Certain genetic conditions affecting thyroid hormone metabolism.
  3. Some medications that affect thyroid function.

However, low rT3 should always be interpreted in the context of other thyroid function tests and clinical symptoms. It’s rarely used as a standalone diagnostic tool.

What do readings above 25 ng/dL for Reverse T3 (rT3) - rT3 mean?

Elevated rT3 levels can indicate:

  1. Euthyroid sick syndrome: Common in severe illnesses, where the body conserves energy by producing more rT3 instead of T3.
  2. Chronic stress or malnutrition: Similar to euthyroid sick syndrome.
  3. Hypothyroidism: Sometimes seen in conjunction with high TSH and low T3/T4.
  4. Certain medications: Like beta-blockers or corticosteroids.
  5. Liver disease: Can affect thyroid hormone metabolism.

High rT3 should be interpreted alongside other thyroid tests and clinical presentation for accurate diagnosis and treatment planning.

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