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American Thyroid Association
thyroid.org › home › thyroid function tests
Thyroid Function Tests | American Thyroid Association
June 8, 2020 - A low TSH and low FT4 or FTI indicates hypothyroidism due to a problem involving the pituitary gland. A low TSH with an elevated FT4 or FTI is found in individuals who have hyperthyroidism.
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Medical News Today
medicalnewstoday.com › articles › 326774
TSH Levels: Low to high ranges, symptoms, and what they mean
April 22, 2025 - The following table provides estimates of TSH levels that doctors consider low (indicating hyperthyroidism), normal, and high (indicating hypothyroidism): Many labs use these reference values.
People also ask

What levels of TSH are concerning?
TSH levels below 0.4mU/L indicate hyperthyroidism, while levels of about 4.0mU/L and above indicate hypothyroidism. The further the result from these levels, the more severe the result is.
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medicalnewstoday.com
medicalnewstoday.com › articles › 326774
TSH Levels: Low to high ranges, symptoms, and what they mean
What is a normal TSH level in females?
Normal TSH levels, in both females and males, range from 0.4 to 4.0 milliunits per liter (mU/L).
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medicalnewstoday.com
medicalnewstoday.com › articles › 326774
TSH Levels: Low to high ranges, symptoms, and what they mean
What happens when TSH levels are high?
High TSH levels indicate that a person has an underactive thyroid, meaning it is not producing enough essential hormones. Symptoms of hypothyroidism include fatigue, weight gain, and thinning hair.
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medicalnewstoday.com
medicalnewstoday.com › articles › 326774
TSH Levels: Low to high ranges, symptoms, and what they mean
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Michigan Medicine
michiganmedicine.org › health-lab › thyroid-101-hypothyroidism-and-hyperthyroidism
Thyroid 101: Hypothyroidism and Hyperthyroidism
If the thyroid hormone levels are too low, referred to as hypothyroidism or underactive thyroid, the brain's pituitary gland will produce more thyroid stimulating hormone (TSH). TSH prompts the thyroid to make more thyroid hormones in response to low levels. If the thyroid hormone levels are too high, referred to as hyperthyroidism or overactive thyroid, the pituitary will produce less TSH in an attempt to decrease production of active thyroid hormone.
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UCLA Health
uclahealth.org › medical-services › surgery › endocrine-surgery › conditions-treated › thyroid › normal-thyroid-hormone-levels
Normal Thyroid Hormone Levels - Endocrine Surgery | UCLA Health
On the other hand, a low TSH level usually indicates that the thyroid is producing too much thyroid hormone (hyperthyroidism). Occasionally, a low TSH may result from an abnormality in the pituitary gland, which prevents it from making enough ...
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LabCorp
ondemand.labcorp.com › home › articles and blogs › hypothyroidism and hyperthyroidism: the differences, causes and treatments
Hypothyroidism vs hyperthyroidism What's the difference
A high TSH level indicates hypothyroidism, while a low TSH level points to hyperthyroidism. Hormones produced by the thyroid gland, T3 and T4, can also be measured in the blood, giving another indicator of thyroid activity. If you are concerned about your levels, you can purchase a Standard ...
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Verywell Health
verywellhealth.com › interpret-your-thyroid-test-results-3231840
Thyroid Blood Tests: Types and What Results Mean
May 15, 2000 - According to the American Association of Clinical Endocrinologists (AACE) and the American Thyroid Association (ATA), TSH values can be interpreted as follows: Subclinical hypothyroidism: 4.7 to 10 milliunits per liter (mU/L)
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UCLA Medical School
medschool.ucla.edu › news-article › hypothyroidism-vs-hyperthyroidism-whats-the-difference
Hypothyroidism vs Hyperthyroidism | UCLA Medical School
February 10, 2024 - Certain Medications: There are also medications that can cause hyperthyroidism, such as amiodarone, which is a used to treat heart arrhythmias. “Because it introduces a really big iodine load, and iodine is essentially food for the thyroid, it can cause overactivity.” · Too Much Levothyroxine: “Sometimes patients with hypothyroidism take too much thyroid medication, which can cause their TSH levels to be suppressed.”
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MedBullets
step2.medbullets.com › endocrine › 120098 › hypothyroidism-vs-hyperthyroidism
Hypothyroidism vs. Hyperthyroidism - Endocrine - Medbullets Step 2/3
Her past medical history is significant for asthma that is well controlled with her rescue inhaler. Her laboratory studies demonstrate elevated levels of thyroid stimulating hormone. (Hashimoto thyroiditis) ... primarily due to thyroid disease (primary hypothyroidism) but can be caused by secondary and/or tertiary hypothyroidism
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UpToDate
uptodate.com › contents › laboratory-assessment-of-thyroid-function
UpToDate
UpToDate, the evidence-based clinical decision support resource from Wolters Kluwer, is trusted at the point of care by clinicians worldwide.
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American Thyroid Association
thyroid.org › home › patients portal › clinical thyroidology for the public › february 2024 › vol 17 issue 2 p.5-6
The “new normal” for thyroid function test ranges
February 23, 2024 - The diagnosis of hyperthyroidism is made with the Free T4 levels is in the 2.5% above the normal range and the TSH is in the 2.5% below the normal range. Conversely, the diagnosis of hypothyroidism is made with the Free T4 levels is in the 2.5% ...
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PubMed Central
pmc.ncbi.nlm.nih.gov › articles › PMC6143469
Laboratory Testing in Thyroid Conditions - Pitfalls and Clinical Utility - PMC
Equally, only 2.5% of TSH values between 4.0 mIU/L and 6.0 mIU/L were associated with low FT4 level, 94% of which were marginal and unlikely to be clinically significant. Laboratory tests are integral in the management of hyper- and hypothyroidism, thyroid nodules, and thyroid cancer.
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Cleveland Clinic
my.clevelandclinic.org › health › articles › 23524-thyroid-stimulating-hormone-tsh-levels
TSH (Thyroid-Stimulating Hormone) Levels: Symptoms
September 10, 2023 - Thyroid-stimulating hormone (TSH) triggers your thyroid to release its hormones, which mainly impact your body’s metabolism. High TSH levels usually indicate hypothyroidism, and low TSH levels usually indicate hyperthyroidism.
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NIDDK
niddk.nih.gov › home › health information › diagnostic tests › thyroid tests
Thyroid Tests - NIDDK
October 3, 2025 - A high blood level of T4 may mean you have hyperthyroidism. A low level of T4 may mean you have hypothyroidism.
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Medscape
emedicine.medscape.com › tools & reference › endocrinology
Hypothyroidism Workup: Laboratory Studies, Imaging Studies, Screening
Primary hypothyroidism is virtually ... disease, conversion of T4 to T3 increases, maintaining T3 levels. In early hypothyroidism, TSH levels are elevated, T4 levels are normal to low, and T3 levels are normal....
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Verywell Health
verywellhealth.com › hypothyroidism-hyperthyroidism-5180646
Hypothyroidism vs. Hyperthyroidism: What's the Difference?
June 22, 2021 - For both hyperthyroidism and hypothyroidism, your healthcare provider will take a medical history, do a physical exam, and order one or more blood tests to check your thyroid function. This includes measuring your T4 hormone levels as well as a hormone produced by the pituitary gland called thyroid-stimulating hormone (TSH) that tells the thyroid gland when to secrete T3 and T4. Your lab ...
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American Academy of Family Physicians
aafp.org › pubs › afp › issues › 2016 › 0301 › p363.html
Hyperthyroidism: Diagnosis and Treatment | AAFP
March 1, 2016 - Most patients develop permanent hypothyroidism between two and six months after radioactive iodine ablation and require thyroid hormone supplementation.1,33 Free T4 and total T3 should be measured four to eight weeks after ablation; if hyperthyroidism persists, these indices should be monitored every four to six weeks and thyroid hormone replacement started in the early stages of hypothyroidism.1
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Verywell Health
verywellhealth.com › understanding-thyroid-blood-tests-low-or-high-tsh-3233198
TSH Levels Decoded and What They Mean
September 2, 2004 - With hypothyroidism, a high TSH usually means that the dose of thyroid hormone replacement needs to be increased. Food and medication can affect the absorption of Synthroid (levothyroxine) in your system and affect medication. With hyperthyroidism, a high TSH usually means that the treatment—be it surgery, radioactive iodine, or medications—was so effective in limiting the production of thyroid hormone that it caused the person to become hypothyroid.
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American Academy of Family Physicians
aafp.org › pubs › afp › issues › 2021 › 0515 › p605.html
Hypothyroidism: Diagnosis and Treatment | AAFP
May 15, 2021 - If the TSH level is low (less than 0.4 mIU per L), hyperthyroidism is possible.18 If the TSH level is high (greater than 4.5 mIU per L), a serum FT4 level should be obtained. A low FT4 level indicates clinical hypothyroidism, specifically autoimmune ...