Paul Saladino· MD
if you don't test the reverse t3 to see what's going on there you can really hurt the patient and make them worse
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The evidence is convergent. Multiple independent sources reach the same conclusion, the underlying mechanism is well-characterized, and even the field's most cautious voices treat it as worth doing.
if you don't test the reverse t3 to see what's going on there you can really hurt the patient and make them worse
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one the second one was a serious reverse t3 problem which are more on the rise now i see more people with reverse t3 issues than anywhere else and that is a topic that most doctors really don't know about
if you don't test it for example labs could the tsh could look great the free t4 could look great and so could the free t3 but then the person's like i'm still not doing great that's when you look at the reverse t3
every doctor should be taking a full thyroid panel on all of their patients including reverse t3
I should have gotten a reverse T3 but I didn't I'll get that one next time
if you have questions about how well your thyroid is functioning you need to get a TSH a T3 a T4 a free T3 a free T4 and a reverse T3 your reverse T3 should be low probably less than 13. something like that
so if the TSH is normal the T3 T4 are normal and the patient is asymptomatic I'm not looking at their reverse T3
so if the TSH is normal the T3 T4 are normal and the patient is asymptomatic I'm not looking at their reverse T3