What is Free Thyroxine?
Free thyroxine is the unbound, biologically available fraction of the prohormone T4 secreted by the thyroid gland. Most T4 circulates bound to thyroxine-binding globulin, transthyretin, and albumin; only the free fraction enters cells for peripheral conversion to active T3. Dried blood spot free T4 measures the same physiological entity as serum free T4 but uses immunoassay adapted to the matrix.