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  1. Dec 22, 2023 · This article describes the TSH test and its results. We also discuss what high and low TSH levels indicate and available treatments.

  2. Sep 5, 2023 · Tests measuring free T4 – either a free T4 (FT4) or free T4 index (FTI) – more accurately reflect how the thyroid gland is functioning when checked with a TSH. The finding of an elevated TSH and low FT4 or FTI indicates primary hypothyroidism due to disease in the thyroid gland.

  3. The goal of this study was to evaluate different TSH cutoffs leading to reflex Free T 4 testing, with the purpose to determine whether a widened normal range could decrease the need for additional Free T 4 testing and not lead to missing cases of thyroid problems.

  4. An abnormal TSH result will reflex to a free thyroxine (T4) test to aid in diagnosis and guide further testing if needed. TSH stimulates the thyroid gland to synthesize and secrete triiodothyronine (T3) and T4.

  5. Jun 3, 2024 · For instance, free T4 and TSH are usually tested if a healthcare provider suspects thyroid dysfunction due to disease of the pituitary gland or hypothalamus. Likewise, if the TSH is normal but a person still has symptoms of hyperthyroidism or hypothyroidism, free T4 may be checked.

  6. Jan 22, 2024 · What are Free T4 and Free T3?: Active fractions of the T3 and T4 hormones, which effectively modulate metabolism. What is TSH?: A pituitary hormone, it regulates the production of T3 and T4 by the thyroid. Normal TSH values: 0.4 to 4.5 mU/L. Normal Free T4 values: 0.7 to 1.8 ng/dl.

  7. Accordingly, many UK laboratories now routinely offer combination screening with T4 and TSH. Box 1. Conditions in which measurement of TSH alone might be misleading.

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