{"id":63880,"date":"2013-07-05T17:12:56","date_gmt":"2013-07-05T15:12:56","guid":{"rendered":"https:\/\/badamysie.pl\/produkt\/thyroid-test-panel-ft4-tsh\/"},"modified":"2026-10-10T22:41:09","modified_gmt":"2026-10-10T20:41:09","slug":"thyroid-test-panel-ft4-tsh","status":"publish","type":"product","link":"https:\/\/badamysie.pl\/en\/produkt\/thyroid-test-panel-ft4-tsh\/","title":{"rendered":"Thyroid test panel (FT4, TSH)"},"content":{"rendered":"<div class=\"bm-kv\">\n<div><b>Where<\/b>any sample collection centre listed in the basket<\/div>\n<div><b>Results turnaround time<\/b>up to 2 working days<\/div>\n<div><b>Sample<\/b>venous blood (serum)<\/div>\n<div><b>Preparation<\/b>in the morning, fasting; take levothyroxine after sample collection; stop biotin 2\u20133 days beforehand<\/div>\n<\/div>\n<h2>What this panel is for<\/h2>\n<p>TSH (the pituitary hormone that controls the thyroid) and FT4 (free thyroxine, the main thyroid hormone) are a pair of tests sufficient to diagnose most thyroid disorders and monitor treatment. TSH responds first and is the most sensitive indicator: it rises when the thyroid is underactive and falls when it is overactive. FT4 shows whether the disorder is overt or still subclinical and detects the rare condition of secondary (pituitary) hypothyroidism, in which TSH does not rise. Recommended monitoring: 6\u201312 weeks after a medicine dose change, then annually.<\/p>\n<h2>When to consider this test<\/h2>\n<ul>\n<li>tiredness, weight gain, feeling cold, dry skin, constipation or low mood (suspected hypothyroidism),<\/li>\n<li>weight loss, palpitations, hand tremor, nervousness, insomnia or diarrhoea (suspected hyperthyroidism),<\/li>\n<li>monitoring treatment with levothyroxine or antithyroid medicines,<\/li>\n<li>planning a pregnancy or pregnancy (TSH in the first trimester), menstrual irregularities or infertility,<\/li>\n<li>unexplained high cholesterol, treatment-resistant depression or atrial fibrillation,<\/li>\n<li>a family history of thyroid disease, age over 60, or treatment with amiodarone, lithium or interferon.<\/li>\n<\/ul>\n<h2>How to prepare<\/h2>\n<ul>\n<li>Attend in the morning after fasting for 8\u201312 hours, drinking only water; TSH follows a daily rhythm and may be lower in the afternoon.<\/li>\n<li>Take levothyroxine (Euthyrox, Letrox) after sample collection.<\/li>\n<li>Stop high-dose biotin for 2\u20133 days; it distorts TSH and FT4 results obtained using immunoassays.<\/li>\n<li>Avoid testing during an acute infection or in the first few weeks after a serious illness; results may be temporarily abnormal.<\/li>\n<\/ul>\n<h2>Understanding your result<\/h2>\n<p>TSH is reported in mIU\/l (approximately 0,3\u20134,2 mIU\/l in adults according to Mayo Clinic Laboratories; doctors use lower thresholds in pregnancy), and FT4 in pmol\/l or ng\/dl. Compare your result with the reference range on the report.<\/p>\n<table>\n<tr>\n<th>TSH<\/th>\n<th>FT4<\/th>\n<th>What it usually means<\/th>\n<\/tr>\n<tr>\n<td>within range<\/td>\n<td>within range<\/td>\n<td>normal thyroid function<\/td>\n<\/tr>\n<tr>\n<td>raised<\/td>\n<td>within range<\/td>\n<td>subclinical hypothyroidism; repeat testing after 6\u201312 weeks, anti-TPO antibodies<\/td>\n<\/tr>\n<tr>\n<td>raised<\/td>\n<td>low<\/td>\n<td>overt hypothyroidism (most commonly Hashimoto&#8217;s thyroiditis); levothyroxine treatment<\/td>\n<\/tr>\n<tr>\n<td>low<\/td>\n<td>within range<\/td>\n<td>subclinical hyperthyroidism; FT3, TRAb, ultrasound, monitoring<\/td>\n<\/tr>\n<tr>\n<td>low<\/td>\n<td>raised<\/td>\n<td>overt hyperthyroidism (Graves&#8217; disease, an autonomous thyroid nodule); endocrinology assessment<\/td>\n<\/tr>\n<tr>\n<td>low or within range<\/td>\n<td>low<\/td>\n<td>secondary hypothyroidism of pituitary origin; pituitary investigations<\/td>\n<\/tr>\n<\/table>\n<p>A single abnormal TSH result returns to normal spontaneously in a substantial proportion of people, so the doctor usually repeats the test before starting treatment. The result is interpreted alongside symptoms and ultrasound findings.<\/p>\n<h2>Other tests to consider<\/h2>\n<p>For abnormal TSH: <a href=\"\/en\/?s=anty-TPO&amp;post_type=product\">anti-TPO<\/a>, <a href=\"\/en\/?s=anty-TG&amp;post_type=product\">anti-TG<\/a>; for hyperthyroidism, <a href=\"\/en\/?s=FT3&amp;post_type=product\">FT3<\/a> and <a href=\"\/en\/?s=TRAb&amp;post_type=product\">TRAb<\/a>; conveniently combined in the <a href=\"\/en\/?s=pakiet+tarczycowy&amp;post_type=product\">thyroid test panel+ (TSH, FT4, FT3, anti-TPO, anti-TG)<\/a>. Read more: <a href=\"https:\/\/www.badania-medyczne.pl\/?s=niedoczynno\u015b\u0107+tarczycy\">an article on hypothyroidism at Badania-Medyczne.pl<\/a>.<\/p>\n<div class=\"bm-faq\">\n<h2>Frequently asked questions<\/h2>\n<details>\n<summary>Is TSH alone sufficient?<\/summary>\n<p>Usually, for screening someone without symptoms. Including FT4 in the panel immediately distinguishes a subclinical disorder (abnormal TSH, normal FT4) from an overt disorder (both abnormal) and detects rare hypothyroidism of pituitary origin (low or normal TSH with low FT4), which TSH alone will not reveal.<\/p>\n<\/details>\n<details>\n<summary>Should I take Euthyrox before or after sample collection?<\/summary>\n<p>After sample collection. Taking the tablet before the test raises FT4 for several hours. TSH is usually checked 6\u20138 weeks after a dose change.<\/p>\n<\/details>\n<details>\n<summary>When should FT3 and antibody tests be added?<\/summary>\n<p>When hyperthyroidism is suspected (FT3 and TRAb), when TSH is raised or there is a family history of Hashimoto&#8217;s thyroiditis (anti-TPO, anti-TG), or when planning a pregnancy. In these cases, the extended thyroid panel with five tests is more suitable.<\/p>\n<\/details>\n<\/div>\n<p class=\"bm-src\">Sources: <a href=\"https:\/\/www.alab.pl\/pakiet\/pakiet-tarczycowy\" rel=\"noopener\">ALAB laboratoria, Thyroid panel (preparation, levothyroxine after sample collection, biotin, TSH\/FT4 interpretation, monitoring after 3 months)<\/a>; <a href=\"https:\/\/www.mayocliniclabs.com\/test-catalog\/overview\/8939\" rel=\"noopener\">Mayo Clinic Laboratories, Thyroid-Stimulating Hormone-Sensitive, Serum (TSH reference ranges by age, subclinical hypothyroidism and hyperthyroidism)<\/a>. For information only; does not replace medical advice.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The panel includes: TSH, FT4<\/p>\n","protected":false},"featured_media":63882,"comment_status":"open","ping_status":"closed","template":"","meta":[],"product_brand":[],"product_cat":[2227],"product_tag":[],"class_list":["post-63880","product","type-product","status-publish","has-post-thumbnail","product_cat-organ-function-assessment-packages","first","instock","sale","virtual","sold-individually","taxable","purchasable","product-type-simple"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.0.1 - aioseo.com -->\n\t<meta name=\"description\" content=\"Assess thyroid function with TSH and FT4 blood tests. 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