Paul Saladino· MD
generally it's considered that a ratio of 20 and higher is healthy
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generally it's considered that a ratio of 20 and higher is healthy
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that's kind of what we're talking about here is el mentioned this this ratio between t3 and reverse t3 is important
the ratio between t3 and reverse t3 is important
but if your ratio is like 11 you know it's it's brutal it's a real state of serious hypothyroidism
so the common reasons that we see reverse t3 go up and/or free t3 go down but in particular this ratio go down is things like post obesity so when people who have lost a lot of weight insulin resistance leptin resistance infection inflammation sleep deprivation hypercortisolism alter that thyroid axis