{"id":63883,"date":"2013-07-05T17:13:26","date_gmt":"2013-07-05T15:13:26","guid":{"rendered":"https:\/\/badamysie.pl\/produkt\/thyroid-test-panel-plus\/"},"modified":"2026-10-10T22:41:30","modified_gmt":"2026-10-10T20:41:30","slug":"thyroid-test-panel-plus","status":"publish","type":"product","link":"https:\/\/badamysie.pl\/en\/produkt\/thyroid-test-panel-plus\/","title":{"rendered":"Thyroid test panel+ (TSH, FT4, FT3, anti-TPO, anti-TG)"},"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), a single blood draw<\/div>\n<div><b>Preparation<\/b>in the morning, fasting; take thyroid medicine after sample collection<\/div>\n<\/div>\n<h2>Why this panel is tested<\/h2>\n<p>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&#8217;s thyroiditis, Graves&#8217; disease). This is the most commonly used panel for initial thyroid investigations and for identifying the cause of abnormal TSH results.<\/p>\n<h2>When to consider this test<\/h2>\n<ul>\n<li>persistent tiredness, weight gain, feeling cold, dry skin, hair loss, constipation or low mood (suspected hypothyroidism),<\/li>\n<li>weight loss, palpitations, hand tremor, nervousness, insomnia, diarrhoea or protruding eyes (suspected hyperthyroidism),<\/li>\n<li>abnormal TSH on screening: the panel helps identify the cause,<\/li>\n<li>menstrual disorders, difficulty conceiving, miscarriages or planning a pregnancy,<\/li>\n<li>a family history of Hashimoto&#8217;s thyroiditis or other autoimmune diseases, type 1 diabetes, coeliac disease or vitiligo,<\/li>\n<li>a goitre or nodules on thyroid ultrasound, or unexplained high cholesterol.<\/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, not before.<\/li>\n<li>Amiodarone, lithium, iodine-containing preparations and glucocorticoids affect results; do not stop them, but tell your doctor you take them.<\/li>\n<li>Stop high-dose biotin for 2\u20133 days before the test.<\/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 (the adult range is approximately 0,3\u20134,2 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:<\/p>\n<table>\n<tr>\n<th>TSH<\/th>\n<th>FT4 \/ FT3<\/th>\n<th>anti-TPO \/ anti-TG<\/th>\n<th>What it usually means<\/th>\n<\/tr>\n<tr>\n<td>within range<\/td>\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>within range<\/td>\n<td>subclinical hypothyroidism; repeat testing in 2\u20133 months<\/td>\n<\/tr>\n<tr>\n<td>raised<\/td>\n<td>within range<\/td>\n<td>raised<\/td>\n<td>subclinical hypothyroidism associated with Hashimoto&#8217;s thyroiditis<\/td>\n<\/tr>\n<tr>\n<td>raised<\/td>\n<td>low<\/td>\n<td>within range or raised<\/td>\n<td>overt hypothyroidism; without antibodies or associated with Hashimoto&#8217;s thyroiditis<\/td>\n<\/tr>\n<tr>\n<td>within range<\/td>\n<td>within range<\/td>\n<td>raised<\/td>\n<td>Hashimoto&#8217;s thyroiditis with normal thyroid function; observation, ultrasound, monitoring every 6\u201312 months<\/td>\n<\/tr>\n<tr>\n<td>low<\/td>\n<td>raised<\/td>\n<td>variable<\/td>\n<td>hyperthyroidism; the doctor also requests TSH receptor antibodies (TRAb) and ultrasound<\/td>\n<\/tr>\n<\/table>\n<p>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\u201312 weeks. Results are interpreted alongside symptoms and thyroid ultrasound findings.<\/p>\n<h2>Other tests to consider alongside the thyroid panel<\/h2>\n<p>For hyperthyroidism, <a href=\"\/en\/?s=TRAb&amp;post_type=product\">TSH receptor antibodies (TRAb)<\/a>; for tiredness and hair loss, <a href=\"\/en\/?s=morfologia&amp;post_type=product\">full blood count<\/a>, <a href=\"\/en\/?s=ferrytyna&amp;post_type=product\">ferritin<\/a>, <a href=\"\/en\/?s=witamina+D&amp;post_type=product\">vitamin D<\/a> and <a href=\"\/en\/?s=witamina+B12&amp;post_type=product\">vitamin B12<\/a>; for Hashimoto&#8217;s thyroiditis, <a href=\"\/en\/?s=lipidogram&amp;post_type=product\">lipid profile<\/a> and <a href=\"\/en\/?s=glukoza&amp;post_type=product\">glucose<\/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>Should I take Euthyrox or Letrox before a thyroid test?<\/summary>\n<p>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.<\/p>\n<\/details>\n<details>\n<summary>My TSH is normal, but my anti-TPO is high. What does this mean?<\/summary>\n<p>Most commonly, this indicates Hashimoto&#8217;s thyroiditis with thyroid function still normal. It does not require treatment, but TSH should be checked every 6\u201312 months and thyroid ultrasound performed, as hypothyroidism may develop over time.<\/p>\n<\/details>\n<details>\n<summary>Can biotin distort the result?<\/summary>\n<p>High doses of biotin (hair supplements, 5\u201310 mg or more) can distort FT3, FT4 and antibody results obtained using immunoassays. Stop taking it for 2\u20133 days before the test.<\/p>\n<\/details>\n<\/div>\n<p class=\"bm-src\">Sources: <a href=\"https:\/\/www.alab.pl\/pakiet\/pakiet-hashimoto\" rel=\"noopener\">ALAB laboratoria, TSH, FT3, FT4, anti-TG, anti-TPO panel (preparation, thyroid medicines after sample collection, interpretation)<\/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)<\/a>. For information only; does not replace medical advice.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The panel includes: TSH, FT4, FT3, anti-TPO, anti-TG<\/p>\n","protected":false},"featured_media":63885,"comment_status":"open","ping_status":"closed","template":"","meta":[],"product_brand":[],"product_cat":[2227],"product_tag":[],"class_list":["post-63883","product","type-product","status-publish","has-post-thumbnail","product_cat-organ-function-assessment-packages","first","instock","sale","featured","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=\"Five thyroid blood tests in one panel: TSH, FT4, FT3, anti-TPO and anti-TG. 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