Is a TSH level of 4.13 a cause for concern?
It appears you are not on thyroid medication at the moment.
In that case, your TSH is ok. Some may consider this to be slightly on the higher side. Regardless, nothing needs to be done right away for this.
I suggest you check it again in 3 to 6 months.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your 3 month glucose average)
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
Anti Thyroid Peroxidase (TPO) antibodies
Anti Thyroglobulin antibodies
25 hydroxy Vitamin D
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