Hormones 10 min
What does a low free T4 with a normal TSH mean?
A low free T4 should raise TSH, so a normal TSH beside it points either to a free T4 pulled down by illness, medicines, pregnancy or the assay, or to central hypothyroidism, where the pituitary or hypothalamus does not drive the thyroid. The ETA confirms it only on repeat testing after the look-alikes are excluded.