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What Does My Thyroid Test Result Indicate?

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Posted on Fri, 7 Nov 2014
Question: Hi doctor,
I had the following test results for my thyroid hormones two weeks ago:
FT4 1,23 ng/dl - Normal value 0,89-1,76 (Direct Chemiluminometric immunoassay); FT3 3,57 pg/ml - Normal value 2,3-4,2 (Direct Chemiluminometric immunoassay); TSH 2,48 µIU/mL - Normal value 0,35 -4,78 (Direct Chemiluminometric immunoassay).

I see the levels are within the normal range. Is there any reason to suspect
a problem with my thyroid, such as "thyroid resistance", or the need to undertake further tests, such as Free T3, Free T4, or peroxidase antibodies?
Many thanks for your help and advice.
doctor
Answered by Dr. Shehzad Topiwala (1 hour later)
Brief Answer:
Thyroid

Detailed Answer:
It is very likely that the FT3 and FT4 values you have shared represent Free T3 and Free T4. In that case, you already have the test results for these two hormone levels and so further testing for these two is not necessary.
They are both perfectly within normal range as you can see, as is the TSH.

Typically when I see any person in my practice with this type of thyroid blood test results, I do not investigate any further, unless there are compelling signs of a thyroid problems such as:
Complaints highly suggestive of a thyroid problem
Thyroid swelling in the neck area
Evident signs of an overactive or underactive thyroid

If there are such reasons to strongly suspect a thyroid condition, only then do I proceed to check for antibodies and consider rare problems like thyroid hormone resistance.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shehzad Topiwala (3 hours later)
Thank you doctor.
I have no obvious signs of a thyroid problem. I understand there is no need to check my total T3 and T4 levels, and that FT3, FT4 and TSH results are sufficient.
doctor
Answered by Dr. Shehzad Topiwala (15 hours later)
Brief Answer:
Follow up

Detailed Answer:
I see. Best wishes for good health always
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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What Does My Thyroid Test Result Indicate?

Brief Answer: Thyroid Detailed Answer: It is very likely that the FT3 and FT4 values you have shared represent Free T3 and Free T4. In that case, you already have the test results for these two hormone levels and so further testing for these two is not necessary. They are both perfectly within normal range as you can see, as is the TSH. Typically when I see any person in my practice with this type of thyroid blood test results, I do not investigate any further, unless there are compelling signs of a thyroid problems such as: Complaints highly suggestive of a thyroid problem Thyroid swelling in the neck area Evident signs of an overactive or underactive thyroid If there are such reasons to strongly suspect a thyroid condition, only then do I proceed to check for antibodies and consider rare problems like thyroid hormone resistance.