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Questions for Dr. Kennedy
Welcome to Ask Dr. Kennedy. We encourage you to post your comments and questions here. We look forward to challenging questions as they are an education for us as well as for you. Please consider the following guidelines when posting:

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hypothyroidism/Wilson's syndrome
Posted by: Eimear
Date: April 12, 2000 7:45 PM

After feeling bad for ages, I tried to find on the Internet what was causing my problems. I finally decided I had the symptoms of hypothyroidism, and I am hoping it's Wilson's syndrome, as that would be curable. I just went to have blood tests for this (my doctor is much more obliging than many I hear about, including one who tore up a patient's records and threw them at her because she wanted to see them herself). Anyway, I read that the problem is if the ratio of T3 to Reverse T3 is not high enough; but should this ratio be calculated using Free T3 or Total T3? I really like to understand things myself, not just to do what I'm told.

hypothyroidism/Wilson's syndrome
Posted by: Ron Kennedy, MD
Date: April 13, 2000 1:51 PM

Both are used. I prefer Free T3 as that is the portion which is available for use. Total T3 includes the protein bound portion which is non-functional in that state.



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