Extended thyroid test panel+

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Pakiet tarczycowy+ (TSH, FT4, FT3, Anty TPO, Anty TG)

Podmiot leczniczy, nr księgi RPWDL 000000229528
700 punktów pobrań krwi, badań diagnostycznych i konsultacji specjalistycznych
Badania i konsultacje realizujemy samodzielnie oraz przez podwykonawców
Wynik online, bez skierowania
Działamy od 2020 r., kontynuacja pierwszego w Polsce internetowego sklepu z badaniami (sklep.etermed.pl, od 2013)

Original price was: 238,00 zł.Current price is: 161,00 zł. Oszczędzasz 32%!

Najniższa cena z 30 dni przed obniżką: 238,00 zł

Wybierz lokalizację

The panel includes: TSH, FT4, FT3, anti-TPO, anti-TG

Drodzy Pacjenci! W związku z częstymi pytaniami informujemy, iż prezentowane w portalu ceny obowiązują jedynie przy dokonaniu płatności przelewem. Poszczególne placówki mogą mieć te same usługi w innych cenach! Prosimy także o każdorazowe okazywanie aktualnego dokumentu tożsamości podczas realizacji wykupionych usług.

Category: Organ function assessment packages

Opis produktu

Whereany sample collection centre listed in the basket

Results turnaround timeup to 2 working days

Samplevenous blood (serum), a single blood draw

Preparationin the morning, fasting; take thyroid medicine after sample collection

Why this panel is tested

Five tests from one sample: TSH (the pituitary hormone that controls the thyroid), FT4 and FT3 (free thyroid hormones), and two antibodies: anti-TPO (against thyroid peroxidase) and anti-TG (against thyroglobulin). TSH alone indicates whether the thyroid is underactive or overactive; FT4 and FT3 show the extent; antibodies indicate whether the cause is an autoimmune disease (Hashimoto’s thyroiditis, Graves’ disease). This is the most commonly used panel for initial thyroid investigations and for identifying the cause of abnormal TSH results.

When to consider this test

persistent tiredness, weight gain, feeling cold, dry skin, hair loss, constipation or low mood (suspected hypothyroidism),
weight loss, palpitations, hand tremor, nervousness, insomnia, diarrhoea or protruding eyes (suspected hyperthyroidism),
abnormal TSH on screening: the panel helps identify the cause,
menstrual disorders, difficulty conceiving, miscarriages or planning a pregnancy,
a family history of Hashimoto’s thyroiditis or other autoimmune diseases, type 1 diabetes, coeliac disease or vitiligo,
a goitre or nodules on thyroid ultrasound, or unexplained high cholesterol.

How to prepare

Attend in the morning after fasting for 8–12 hours, drinking only water. TSH follows a daily rhythm and may be lower in the afternoon.
Take levothyroxine (Euthyrox, Letrox) after sample collection, not before.
Amiodarone, lithium, iodine-containing preparations and glucocorticoids affect results; do not stop them, but tell your doctor you take them.
Stop high-dose biotin for 2–3 days before the test.
Avoid testing during an acute infection or in the first few weeks after a serious illness; results may be temporarily abnormal.

Understanding your result

TSH is reported in mIU/l (the adult range is approximately 0,3–4,2 mIU/l according to Mayo Clinic Laboratories; doctors use different thresholds in pregnancy and in older people), FT4 and FT3 in pmol/l or ng/dl, and antibodies in IU/ml. Compare your results with the reference ranges on the report. Typical patterns:

TSH	FT4 / FT3	anti-TPO / anti-TG	What it usually means
within range	within range	within range	normal thyroid function
raised	within range	within range	subclinical hypothyroidism; repeat testing in 2–3 months
raised	within range	raised	subclinical hypothyroidism associated with Hashimoto’s thyroiditis
raised	low	within range or raised	overt hypothyroidism; without antibodies or associated with Hashimoto’s thyroiditis
within range	within range	raised	Hashimoto’s thyroiditis with normal thyroid function; observation, ultrasound, monitoring every 6–12 months
low	raised	variable	hyperthyroidism; the doctor also requests TSH receptor antibodies (TRAb) and ultrasound

A single TSH result outside the reference range does not establish a diagnosis: TSH returns to normal spontaneously in a substantial proportion of people, so the doctor usually repeats the test after 6–12 weeks. Results are interpreted alongside symptoms and thyroid ultrasound findings.

Other tests to consider alongside the thyroid panel

For hyperthyroidism, TSH receptor antibodies (TRAb); for tiredness and hair loss, full blood count, ferritin, vitamin D and vitamin B12; for Hashimoto’s thyroiditis, lipid profile and glucose. Read more: an article on hypothyroidism at Badania-Medyczne.pl.

Frequently asked questions

Should I take Euthyrox or Letrox before a thyroid test?

Take the tablet only after the blood sample has been collected. Taking it before the test raises FT4 and reduces the usefulness of the measurement. Do not stop treatment on your own.

My TSH is normal, but my anti-TPO is high. What does this mean?

Most commonly, this indicates Hashimoto’s thyroiditis with thyroid function still normal. It does not require treatment, but TSH should be checked every 6–12 months and thyroid ultrasound performed, as hypothyroidism may develop over time.

Can biotin distort the result?

High doses of biotin (hair supplements, 5–10 mg or more) can distort FT3, FT4 and antibody results obtained using immunoassays. Stop taking it for 2–3 days before the test.

Sources: ALAB laboratoria, TSH, FT3, FT4, anti-TG, anti-TPO panel (preparation, thyroid medicines after sample collection, interpretation); Mayo Clinic Laboratories, Thyroid-Stimulating Hormone-Sensitive, Serum (TSH reference ranges by age, subclinical hypothyroidism). For information only; does not replace medical advice.