The Reverse T3 test evaluates thyroid hormone metabolism and helps diagnose conditions where traditional thyroid function tests may be misleading. Elevated rT3 levels can be associated with symptoms like fatigue, weight gain, and general hypothyroid symptoms, often seen in non-thyroidal illness syndrome or under conditions of chronic stress or malnutrition. The test is useful for assessing thyroid function in complex scenarios where TSH and T4 levels alone do not fully explain the patient’s symptoms.