Blood tests · Thyroid

Thyroid, explained

TSH, free T4, free T3 and thyroid antibodies. The TSH range changes with age — we use the range for yours.

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Markers in this panel5
TSHmIU/LRead →
fT4 (free thyroxine)pmol/LRead →
fT3 (free triiodothyronine)pmol/LRead →
Anti-TPO antibodiesIU/mLRead →
Anti-Tg antibodies (thyroglobulin)IU/mLRead →
How we read it

Three things we do that a printed range doesn’t

Your age and sex

Ranges change with both. We use the set for you — 26 range sets in total.

Together, not alone

TSH is read with free T4 and antibodies; one high TSH is often temporary.

A source for every range

ETA (European Thyroid Association). Organisation, document, year.

Sample

TSH — the ranges we use

ETA: the main thyroid screening test; an abnormal result indicates an under-/overactive thyroid (energy, weight, mood).

RatingRangeWhat it means
Worth improvingbelow 0.4 mIU/LLow TSH — possible overactive thyroid; seek advice.
Good0.4 – 4 mIU/LTSH within the reference range.
Worth improving4 – 10 mIU/LSlightly elevated (subclinical) — monitor fT4/antibodies.
Talk to a doctor10 mIU/L and aboveElevated — possible underactive thyroid; seek advice.

This marker also has 4 age- or sex-specific range sets in the app — the table shows the general one.

Source: ETA (European Thyroid Association) · 2013 ETA Guideline: Management of Subclinical Hypothyroidism (Pearce SHS et al.) · 2013 · open

Full explanation of TSH →

Questions

Good to know

Is TSH 4.6 high?

Upload your report and you’ll see the answer for your exact value, age and sex — with the source of the range. In general: one value outside the printed range is rarely an emergency; the pattern and the trend matter more.

Do I need a new test?

No. Upload the one you already have. If a re-test is useful, the plan tells you when.

Is this a diagnosis?

No. It is an explanation to help you and your doctor. When a value needs a doctor, we say so.

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