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Re: Re: $6M question

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Mo,

You wrote:

> ... I am

> interested though in knowing how cortisol increases globulin?

I think the main impact is a reduction in binding. Like thyroxine, cortisol is

stored by binding with a globulin. In addition to the specific globulins,

thyroxine and cortisol have a type a common. In other words, when there is more

cortisol around, there is less globulin to tie up the T4/T3.

> M: So RT3 is not an issue for me either as I am on T3 only and have

> cleared out the T4 to cover this eventuality....

RT3 can be subtle. If you have any T4 production left, you could still have an

RT3 problem. I would ask for an RT3 test, just to be sure.

Chuck

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Mo,

You wrote:

>

> I just checked Chuck and my recent TFT came in at:

> TSH 0.01

> FT4 3.1 (11.0 - 24.0)

> FT3 8.9 (3.9 - 6.8)

>

> You think I could have an RT3 issue with these levels?

Can't tell. Since the FT4 is so low, I would be more inclined to suspect

a binding issue. You need a complete panel after not taking the meds.

Chuck

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