Thyroid

Free T3/Reverse T3 Ratio

Unit: ratioID: T005

What This Test Measures

Balance of active to inactive thyroid hormone

Conventional vs. Functional Optimal Range

Conventional "Normal"
>20 ratio
Your doctor says you're "fine" anywhere in this range
Functional Optimal
>20 ratio
This is where you actually feel great

The gap between these ranges is why you feel terrible with "normal" labs. Conventional medicine waits for disease. Functional medicine optimizes for health.

Gabriel's Take

This ratio is CRITICAL. Calculate: (Free T3 × 100) / Reverse T3. Need >20 for good cellular thyroid function. Below 20 = tissue-level hypothyroidism even with normal TSH. This is the metric conventional docs miss that explains why you feel terrible with "normal" labs.

When This Test Is High

Better thyroid function, good T4-to-T3 conversion

When This Test Is Low

Poor conversion, metabolic resistance, cellular hypothyroidism

Related Conditions

Chronic fatigue, weight issues despite normal thyroid labs

Recommended Follow-Up

Address root causes: stress, inflammation, gut, liver support