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Home | FAQ | What is Thyroid Diseases | Q5

Q5.

What is rT3?

During the metabolism of the thyroid incretion, T4 get ride of Iodine in outside of No. 5 of benzene ring will become T3. However, if the inside Iodine of No.5 of benzene released it will cause rT3. rT3 is not active in our body. Its concentration in the blood proportional changes with T3 and T4, especially with T4’s change. It can also to be the index of the hypothyroid. Some of the hyperthyroid only have the high rT3 when in the early stage. It increase very quickly and to be the key index if get seriously cacotrophia or some systemic disease.

rT3 is useful in following:

1. To be used to diagnose hypothyroid is 100% correct. Its concentration increasing is much sensitive than TT3 and TT4.

2. To be used to diagnose the anti-thyroid medication. TT3 falls quickly in the hyperthyroid treatment, while rT3 falls slowly. When TT3 reaches the normal range, T4 will lower than the normal range. So, if both rT3 and T4 lower than the normal range, it means excessively in medication.

3. To be used to diagnose hypothyroidism. For such case, rT3 is much important than TT3 and TT4. But TSH is still to be the key index to diagnose hypothyroidism.

4. To be used to observe the treatment of Hypothyroidism. The sequence for the Hypothyroidism treatment by thyroid incretion are TT3, rT3, TT4 and then TSH. So combine rT3 result with TT3 and TT4 value can judge the curative effect. If rT3 and T3 rise quickly while T4 is in the normal range, it means the thyroid incretion is excessively used.

5. To be used to diagnose chronically lymphocyte hypothyroid. rT3 rise very quickly when it is acute miocardial infarction, hepatocirrhosis, diabetes, uraemia, cerebrovascular disease and tummy cancer. TT3 and TT3/Rt3 drop quickly. rT3 is very meaningful to the judgement and the over savation of non-hypothroid, especially the TT3/rT3.

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