Blood Testing

Free Triiodothyronine (T3)

Free Triiodothyronine (Free T3) is the active thyroid hormone that drives how your body converts energy and regulates metabolism. Measured in pmol/L, it reflects how efficiently your cells use fuel to maintain energy, heat, and performance.

Tracking Free T3 helps you see how lifestyle and stress influence metabolic pace. Staying within the optimal 3.5–6.5 pmol/L range supports energy balance, healthy weight, and long-term vitality.

T3 is available in Vively's Metabolic Essentials Test. Book your blood test now for only $199 per test.
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What is Free Triiodothyronine (Free T3)?

Free T3 is the fraction of the thyroid hormone triiodothyronine (T3) that circulates unbound (i.e. “free”), making it available to tissues to exert its metabolic effects. Unlike total T3 (which includes bound hormone), Free T3 more closely reflects what tissues can actually use.

Why does it matter for long-term health and wellbeing?

Free T3 sets the body’s metabolic pace — how fast you burn energy, produce heat, and maintain cellular turnover. Over years, small shifts in metabolic efficiency influence body composition, energy levels, resilience, ageing, and your body’s ability to adapt. Having clarity about your Free T3 adds a deeper lens into your metabolic health beyond weight or appetite alone.

What’s an optimal level of Free T3?

  • Laboratory (reference) range (Australia, example): ~ 3.5 to 6.5 pmol/L (as you provided)
  • Optimal (target) range: Because “optimal” varies by individual, a reasonable performance-oriented band might be the mid to upper portion of the reference range — for example 4.5 to 6.0 pmol/L (this is illustrative; your optimal may differ based on context)

Tracking within this narrower band helps identify drift before reaching extremes.

What influences Free T3 levels?

  • The conversion of T4 to T3 via deiodinase enzymes (especially in liver, muscle, brain
  • Nutritional factors (iodine, selenium, iron, zinc)
  • Energy balance (calorie restriction, overfeeding, metabolic stress)
  • Hormonal interactions (e.g. cortisol, insulin)
  • Age, circadian rhythm, and seasonal variation
  • Certain medications or supplements (which may shift conversion or clearance)

What does it mean if Free T3 is outside the optimal range?

  • If Free T3 is below optimal, your metabolic “throttle” may be underactive: you might feel more fatigued, see a tendency toward weight gain, or experience lower energy reserve. This is a signal to look upstream (nutrition, stress, organ conversion).
  • If Free T3 is above optimal, your metabolism may be overdriven. Over time, that can increase wear on tissues and energy inefficiencies (e.g. faster turnover, unintended loss).

Either direction signals an opportunity to adjust lifestyle levers before compensatory symptoms emerge.

How can I support healthy Free T3 levels?

  • Ensure adequate, consistent intake of key nutrients (iodine, selenium, iron, zinc).
  • Maintain regular protein intake and avoid extreme calorie restriction.
  • Support liver and muscle health (e.g. via resistance exercise) to optimise peripheral conversion.
  • Manage stress and sleep, as cortisol and circadian disruption can suppress T4→T3 conversion.
  • Monitor and adjust over time — small changes (e.g. improving sleep, moderating stimulant use) can shift conversion balance.

This information is provided for general health and wellness purposes only and does not replace medical advice.

References

  1. Mortimer, R. H. (2011). Thyroid function tests. Australian Prescriber, 34(12–5).
  2. StatPearls Publishing. (n.d.). Physiology, thyroid hormone. In StatPearls [Internet]. Retrieved from NCBI Bookshelf.
  3. Superpower Biomarker Database. (n.d.). Free T3 drives metabolic pace.
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Red Blood Cell (RBC) Count
Haemoglobin
Haematocrit
Mean Cell Volume (MCV)
Mean Cell Haemoglobin (MCH)
Mean Cell Haemoglobin Concentration (MCHC)
Red Cell Distribution Width (RDW)
Platelet Count
8 markers

Blood health

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Total Cholesterol
Triglycerides
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Heart health

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Dehydroepiandrosterone Sulfate (DHEA-S)
Free Thyroxine (T4)
Free Triiodothyronine (T3)
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Hormone balance

Evaluates hormone levels that impact energy, sleep, mood, and metabolism.
White Blood Cell (WBC) Count
Neutrophils
Lymphocytes
Monocytes
Eosinophils
Basophils
6 markers

Immune system

Measures immune activity and inflammatory responses to assess body defenses.
High-Sensitivity C-Reactive Protein (hs-CRP)
1 marker

Inflammation status

Tracks signs of chronic or acute inflammation that may affect long-term disease risk.
Bicarbonate
Chloride
Creatinine
Potassium
Sodium
Urea
Uric acid
Anion Gap
Estimated Glomerular Filtration Rate (EGFR)
9 markers

Kidney function

Assesses kidney health through creatinine and other markers of blood filtration.
Alanine Aminotransferase
Albumin
Alkaline Phosphatase
Aspartate aminotransferase (AST)
Bilirubin
Gamma-glutamyl Transferase (GGT)
Globulin
Total Protein
8 markers

Liver health

Measures liver enzymes and proteins responsible for detoxification and metabolic health.
Fasting Glucose
Fasting Insulin
Haemoglobin A1c (HbA1c) IFCC mmol/m
Haemoglobin A1c (HbA1c) NGSP/DCCT %
HOMA-IR score
5 markers

Metabolic health

Evaluates energy processing with glucose, HbA1c, insulin, and related biomarkers.
Magnesium
1 marker

Vitamins & minerals

Analyzes essential nutrients that support immunity, energy, and overall wellbeing.
Creatine Kinase
1 marker

Muscle strength

Assesses biomarkers related to muscle performance, function, and recovery.
Biological Age
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Biological age

A reflection of how your body is aging at the cellular level, linked to age risks and longevity.
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