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Endocrinology · Individual laboratory test

Thyroxine, Free (FT4)

Free T4 measures the proportion of thyroxine circulating independently of carrier proteins. It is frequently read alongside TSH.

Price for this test on its ownAED 135Test price AED 35
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Dr Nirupama SabhapathyClinical authorDr Nirupama SabhapathySpecialist Clinical Pathology
Loose pearls beside a ruby marker in water above a thyroid silhouette.
Sample
Serum
Laboratory turnaround
24 hours
Collection
Dubai
Laboratory
Intel Lab
Thyroxine, Free (FT4) specimen guide showing serum.

Understanding the test

What does the Free Thyroxine (FT4) test measure?

Also called Free Thyroid Hormone (FT4)

A free T4 result complements TSH in the assessment of thyroid symptoms, including when the two appear inconsistent with the clinical picture.

When it may be requested

Clarifying an abnormal TSH

Free T4 measures the fraction of thyroxine available outside its binding proteins.

Checking a change over time

The test can help a clinician interpret symptoms alongside the pituitary signal and treatment history.

Before your sample

Prepare for collection

SpecimenSerum
Your checklist0 of 2 ready

A recent thyroid hormone dose can affect free T4. Confirm whether the draw should precede your usual dose, and tell the team about biotin. Fasting is generally unnecessary.

A clinician takes a small sample of blood from a vein. The laboratory uses serum, the liquid separated from the blood after it clots.

Smart Report

Understanding your result

24 hoursLaboratory turnaround

Intel LabResult guide

Thyroxine, Free (FT4)

Reading your result

The relation between free T4 and TSH can suggest where further assessment is needed. A clinician also considers recent illness and thyroid medication timing.

What can affect it

  • Timing of thyroid medicines and some supplements can affect the measured result.

From sample to follow-up

Your testing journey

Intel Lab specimen collection kit

Arrange your collection

Choose your location, add the test to your care bag and select a time. If you are booking for someone else, assign the test to them in checkout.

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Intel Lab
Laboratory testThyroxine, Free (FT4)
Specimen
Serum
Turnaround
24 hours

Open your laboratory report

Look for Thyroxine, Free (FT4) in your report. Use the sample type and collection time when comparing it with an earlier report.

Explore Smart Report
clinician and adult patient discussing laboratory results

Discuss the next step

Ask how free T4 and TSH fit together and whether recent changes in medicines or illness affect the interpretation.

Clinical expertise

Your laboratory team

Patient questions

Before you book

What if I already take thyroid medication?

Tell the team the name of the medicine and the time of your last dose. Follow your prescriber's instructions about the timing of the blood draw.

Can biotin supplements affect a free T4 result?

High-dose biotin in some hair, nail or B-complex supplements can give a falsely abnormal free T4 result with certain testing methods. Tell the team the product, dose and time you last took it so they can advise whether to pause it or reschedule.

Why is free T4 tested together with TSH?

Free T4 carries its meaning next to TSH rather than alone. When the two move in opposite directions, the problem usually lies in the thyroid itself; when both are low, a pituitary cause comes into question. TSH is the more sensitive screen, while free T4 shows how much usable hormone is actually circulating and reacts to a dose change faster.

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Sources & further reading

Written by Dr Nirupama Sabhapathy, Specialist Clinical Pathology. Medically reviewed by Dr Joyce Jose, Specialist Clinical Pathology, on .

Catalogue information and AED price checked on 2 November 2026. Clinical suitability, preparation, collection arrangements and turnaround are confirmed for your selected test.