What is Free T3 to Free T4 Ratio?
The free T3 to free T4 ratio reflects the efficiency of peripheral conversion of T4 to T3 by deiodinase enzymes. A low ratio may indicate impaired conversion due to illness, nutritional deficiency (selenium, zinc, iron), inflammation, or medication (beta-blockers, corticosteroids), while a high ratio can occur in hyperthyroidism or preferential T3 secretion.