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Free Triiodothyronine (T₃) with Triple Bolus Thyroid Stimulating Hormone (TSH) Test

Published: August 9, 2026Updated: August 17, 2026

This test measures free thyroid hormone (T₃) and thyroid-stimulating hormone (TSH) to help assess thyroid function, especially in cases where standard tests may not be sufficient.

Quick summary

Evaluates thyroid hormone balance and potential subclinical thyroid issues.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
40328-7
Short code
T3Free 2h p Triple Bolus SerPl-sCnc
Synonyms
T3Free 2h p Triple Bolus SerPl-sCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
80
Ref high
200
Critical range
20 N/A – 400 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
85610
SNOMED
396252006
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Might Be Ordered

Your doctor may recommend this test if you have symptoms like fatigue, weight changes, or unexplained thyroid dysfunction, or if standard TSH tests show borderline results. It can also help diagnose conditions like subclinical hypothyroidism or hyperthyroidism where other tests are inconclusive.

What to Expect Before the Test

No special preparation is needed for this test. Blood is drawn from a vein, usually in your arm. You may feel a slight pinch, but it typically takes a few minutes to complete. Avoid caffeine or alcohol before the test if instructed by your healthcare provider.

What the Test Measures

Free T₃ measures the active form of thyroid hormone circulating in your blood. TSH is a hormone produced by your pituitary gland to regulate thyroid function. This combination helps determine if your thyroid is producing too much or too little hormone.

Common Reasons for Abnormal Results

Abnormal results may indicate thyroid disorders such as hyperthyroidism (overactive thyroid), hypothyroidism (underactive thyroid), or conditions affecting thyroid hormone metabolism. It can also help identify thyroiditis or other thyroid-related conditions.

Reference range

Adult: 80-200 ng/dLN/A

Specimen: serum

Take your thyroid medication after the blood draw if applicable. No fasting required.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

T₃-Free TSH Profile

Frequently asked questions

What causes this test to be ordered?
This test is often ordered if symptoms of thyroid dysfunction are present, such as unexplained weight changes, fatigue, or mood alterations. It may also be used to confirm or refine diagnoses when initial TSH tests show borderline or inconsistent results.
How long will it take to get results?
Results are typically available within 1–3 business days, depending on your lab’s processing time. Your healthcare provider will discuss the results with you during your follow-up appointment.
Can I take anything before the blood draw?
Generally, no specific preparation is required, but follow any instructions your doctor gives you, such as avoiding certain medications or substances that might affect thyroid hormone levels.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 17, 2026. · Read our editorial policy