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Free Thyroxine (FT4) Unit Converter
Medical Calculator

Free Thyroxine (FT4) Unit Converter

Free Thyroxine (FT4) represents the small fraction (approximately 0.03%) of circulating thyroxine that is unbound to proteins and biologically active. It is considered a more accurate indicator of thyroid status than Total T4, especially when binding proteins (like TBG) are abnormal.

Clinically, FT4 is measured alongside TSH to diagnose hypothyroidism and hyperthyroidism. Reporting units vary by region: the US typically uses mass units (ng/dL), while many other countries use the SI molar unit (pmol/L).

Mass Units (US)

Standard

Nanograms per deciliter (Common US Unit).

SI Units / Molar

Picomoles per liter (International Standard).

Clinical Context

Reference Ranges (Adults):
Conventional: 0.9 – 1.7 ng/dL (approx).
SI: 12 – 22 pmol/L.

Interpretation:
High FT4: Hyperthyroidism, acute thyroiditis.
Low FT4: Hypothyroidism, pituitary failure (central hypothyroidism).

Conversion Logic:
Molecular Weight of T4: ~776.87 g/mol.
1 ng/dL ≈ 12.87 pmol/L.
1 pmol/L ≈ 0.0777 ng/dL.

Clinical References

How to Use This Converter

Follow these steps to normalize FT4 values.

1

Enter Values

Input your laboratory result into the corresponding unit field (e.g., ng/dL).

2

Automatic Conversion

The calculator converts between mass units and the SI molar unit using the molecular weight of 776.87 g/mol.

3

Reset

Use the Clear button to reset all fields.

? Frequently Asked Questions
Is ng/dL the same as pg/mL?

No. 1 nanogram per deciliter (ng/dL) equals 10 picograms per milliliter (pg/mL).

Why is FT4 better than Total T4?

Total T4 is affected by binding proteins like TBG. Pregnancy or birth control pills increase TBG, raising Total T4, while FT4 often remains normal.

Disclaimer: This converter is for educational and reference purposes only. It is not intended for clinical diagnosis, treatment, or decision-making. Always verify results with your laboratory’s official reports and reference ranges.