Thyroid

Total T4

Unit: μg/dLID: T009

What This Test Measures

Total thyroxine (bound + unbound)

Conventional vs. Functional Optimal Range

Conventional "Normal"
4.5-12.0 μg/dL
Your doctor says you're "fine" anywhere in this range
Functional Optimal
6.0-11.9 μg/dL
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

Total T4 includes bound (inactive) hormone. Less useful than Free T4, but Gabriel's optimal band is 6.0-11.9. Low Total T4 suggests inadequate production. Functional medicine prefers Free T4/Free T3 for precision.

When This Test Is High

Hyperthyroidism, excessive T4 medication

When This Test Is Low

Hypothyroidism, poor thyroid production

Related Conditions

Overall thyroid production capacity

Recommended Follow-Up

Check Free T4 and Free T3 for more accurate functional assessment