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SUMMARY AND EXPLANATION
Over 99% of Triiodothyronine (T3) circulates in blood is bound to carrier proteins; thyroxine-binding globulin (TBG).However, only the free (unbound) portion of T3 is responsible for the biological action. Further, the concentrations of thecarrier proteins are altered in many clinical conditions, such as pregnancy. In normal thyroid function as theconcentrations of the carrier proteins alters, the total T3 level changes so that the freeT3 concentration remainsconstant. Thus, measurements of free T3 concentrations correlate more reliably with clinical status than total T3 levels.The increase in total T3 levels associated with pregnancy, oral contraceptives and estrogen therapy result in higher totalT3 levels while the free T3 concentration remains basically unchanged.