Thyroid system

Free T4

The main thyroid hormone produced by your thyroid — the precursor that converts to active T3.

What is it

Free T4 — in plain English.

Free T4 (thyroxine) is the primary hormone produced by the thyroid gland and unbound to carrier proteins. It is converted to the active T3 in peripheral tissues.

Why it's measured

What Free T4 can reveal.

Free T4 is a foundational marker in thyroid evaluation, used alongside TSH to characterize thyroid status in research and clinical practice.

Reference range

Where most laboratories draw the standard line.

Standard laboratory reference

0.8 – 1.8 ng/dL

Reference ranges vary by laboratory. Your individual reference range will appear on your test report and should be interpreted by your physician in the context of your overall health profile.

What results may indicate

Higher vs. lower Free T4 — at a high level.

Elevated

Has been associated with hyperthyroidism in published research.

Lower

Has been associated with hypothyroidism in published research.

These associations are general. They are not a personal diagnosis or prediction. Discuss your individual results with your physician in the context of your full health profile.

When it's measured

When Free T4 is typically run.

Routinely measured alongside TSH in comprehensive thyroid evaluation.

Related markers

Often measured alongside Free T4.

Measured in

Free T4 is one of 160 biomarkers in the Apex Panel.

A complete look at your heart, hormones, metabolism, inflammation, and longevity systems — drawn at Quest or LabCorp, reviewed by a U.S.-licensed physician.

Explore the Apex Panel
160 biomarkers13 body systemsPhysician-reviewed
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This information is for general educational purposes only and is not medical advice. Lab results alone are not intended to diagnose, treat, or cure any condition and do not replace the advice of a healthcare provider. OPTML does not offer medical advice, a diagnosis, medical treatment, or any form of medical opinion.