{"id":48017,"date":"2022-01-13T09:30:01","date_gmt":"2022-01-13T14:30:01","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=48017"},"modified":"2022-01-18T10:53:56","modified_gmt":"2022-01-18T15:53:56","slug":"normal-thyroid-levels","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/normal-thyroid-levels\/","title":{"rendered":"How to understand thyroid panel test results"},"content":{"rendered":"<p><span style=\"font-weight: 400;\"> <a href=\"#thyroidhormone\">What is thyroid hormone?<\/a> | <a href=\"#thyroidpanel\">What\u2019s included in a thyroid panel?<\/a> | <a href=\"#normallevels\">Normal thyroid levels<\/a> | <a href=\"#testresultchart\">Thyroid test results chart<\/a> | <a href=\"#othertests\">Other types of tests<\/a> | <a href=\"#nextsteps\">Next steps<\/a><\/span><\/p>\n<p><span style=\"font-weight: 400;\">Your healthcare provider may recommend a thyroid panel test to determine if you have a thyroid condition. The thyroid is a butterfly-shaped gland in the neck. It produces hormones that regulate metabolism. When these hormones are out of balance, it can cause myriad health problems, including unexpected weight loss and fertility problems. The good news is most thyroid diseases are treatable.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But thyroid testing can be confusing. Here, learn the different types of thyroid tests and what your results mean.\u00a0<\/span><\/p>\n<h2 id=\"thyroidhormone\">What is thyroid hormone?<\/h2>\n<p><span style=\"font-weight: 400;\">Your thyroid gland uses iodine from the food you eat to produce <\/span><a href=\"https:\/\/www.hormone.org\/your-health-and-hormones\/glands-and-hormones-a-to-z\/hormones\/thyroid-hormones\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">two hormones<\/span><\/a><span style=\"font-weight: 400;\">: triiodothyronine (T3) and thyroxine (T4). \u201cYour appetite, gut motility, and even absorption of substances are all affected by thyroid gland hormones,\u201d says <\/span><a href=\"https:\/\/lamclinic.com\/team\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Carrie Lam<\/span><\/a><span style=\"font-weight: 400;\">, MD, cofounder and medical director of Lam Clinic in Tustin, California. Thyroid hormones aid in digestion, cardiovascular health, brain development, and growth in young people.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Two regions of the brain help to regulate how much of these hormones the thyroid produces: the hypothalamus and pituitary gland. The hypothalamus releases thyrotropin-releasing hormone (TRH), which prompts the pituitary gland to release thyroid-stimulating hormone (<\/span><a href=\"https:\/\/www.singlecare.com\/blog\/tsh-test\/\"><span style=\"font-weight: 400;\">TSH<\/span><\/a><span style=\"font-weight: 400;\">).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">When T3 and T4 are too low in the body, the hypothalamus and pituitary gland produce more TRH and TSH. TSH then prompts the thyroid to put out more T3 and T4. When levels are too high, they secrete less TRH and TSH. It\u2019s important to have normal thyroid levels since an imbalance could throw off metabolic processes in other areas of the body.\u00a0<\/span><\/p>\n<h2 id=\"thyroidpanel\">What\u2019s included in a thyroid panel?<\/h2>\n<p><span style=\"font-weight: 400;\">If your healthcare provider is unsure what has gone awry with your thyroid, a full thyroid panel can help point toward what\u2019s causing your symptoms. It is a simple blood test. You don\u2019t need to do anything to prepare. Typically, it involves testing:\u00a0<\/span><\/p>\n<ul>\n<li><b>TSH: <\/b><span style=\"font-weight: 400;\">The most basic test, this measures if your body is prompting your thyroid to produce hormones correctly. When it\u2019s too low, it can indicate hypothyroidism; too high can mean hyperthyroidism.<\/span><\/li>\n<li><b>Free T4 (fT4):<\/b><span style=\"font-weight: 400;\"> Your body converts this hormone into T3 before it can use it. Its primary job is to help transport T3 through your body. This test measures how much of this hormone is in your body. When fT4 is too low, it can indicate hypothyroidism; too high can mean hyperthyroidism. Free T4 is usually preferred as compared to Total T4. It\u2019s more accurate to show active T4 levels.\u00a0<\/span><\/li>\n<li><b>Total T4:<\/b><span style=\"font-weight: 400;\"> Measures all thyroxine in your body. When total T4 is too low, it can indicate hypothyroidism; too high can mean hyperthyroidism. Total T4 is normally tested in pregnant patients.\u00a0<\/span><\/li>\n<li><b>Free T3 (fT3): <\/b><span style=\"font-weight: 400;\">This is the active form of thyroid hormone that can be used by your organs, such as the liver. This test measures how much unbound T3 is in your body. Too low fT3 can indicate hypothyroidism; too high can mean hyperthyroidism. Free T3 test assays are considered unreliable, and may be omitted from your test. If T3 needs to be checked, Total T3 is has higher accuracy.<\/span><\/li>\n<li><b>Total T3:<\/b><span style=\"font-weight: 400;\"> Measures all T3 in your body, even that which is unusable because it\u2019s already bound to a protein.<\/span><\/li>\n<li><b>TPO antibodies: <\/b><span style=\"font-weight: 400;\">This test measures thyroid peroxidase (TPO). High levels can indicate Hashimoto\u2019s thyroiditis, an autoimmune condition.<\/span><\/li>\n<li><b>ReverseT3 (rT3):<\/b><span style=\"font-weight: 400;\"> This is an inactive form of T3, produced when T4 is metabolized. When rT3 levels are too high or too low, it can indicate trauma, inflammation after surgery, or malnutrition.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If you\u2019ve already been diagnosed with a thyroid condition, typically testing is more specific. \u201cMost endocrinologists are targeted with what they order, rather than sending a general thyroid panel,\u201d explains <\/span><a href=\"https:\/\/www.ethosendo.com\/about-aleem-kanji-md\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Aleem Kanji<\/span><\/a><span style=\"font-weight: 400;\">, MD, a board-certified endocrinologist with Ethos Endocrinology in Houston, Texas. \u201cThe specific labs chosen are based on the person\u2019s diagnosis, treatment, and\/or required monitoring.\u201d<\/span><\/p>\n<h2 id=\"normallevels\">Normal thyroid levels<\/h2>\n<p><span style=\"font-weight: 400;\">There are several factors that can affect thyroid function tests including:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Age:<\/b> <span style=\"font-weight: 400;\">As you get <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5058901\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">older<\/span><\/a><span style=\"font-weight: 400;\">, the higher chances you have of fluctuations in thyroid levels.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Sex:<\/b> <a href=\"https:\/\/www.womenshealth.gov\/a-z-topics\/thyroid-disease\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Women<\/span><\/a><span style=\"font-weight: 400;\"> tend to have more thyroid hormone imbalances, including both hypothyroidism and hyperthyroidism, than men.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Pregnancy: <\/b><span style=\"font-weight: 400;\">A low TSH level early in pregnancy can be expected, according to the <\/span><a href=\"https:\/\/www.thyroid.org\/patient-thyroid-information\/ct-for-patients\/october-2016\/vol-9-issue-10-p-3-4\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">American Thyroid Association<\/span><\/a><span style=\"font-weight: 400;\">. Oftentimes, providers won\u2019t treat low TSH levels in pregnant women. However, TSH shouldn\u2019t rise <\/span><a href=\"https:\/\/www.thyroid.org\/patient-thyroid-information\/ct-for-patients\/volume-7-issue-12\/vol-7-issue-12-p-3\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">above a certain number<\/span><\/a><span style=\"font-weight: 400;\"> depending on your trimester. <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/hypothyroidism-and-pregnancy\/\"><span style=\"font-weight: 400;\">High TSH levels could affect your and your baby\u2019s health<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Medications:<\/b> <span style=\"font-weight: 400;\">Certain medications can affect how thyroid hormone is absorbed and used in the body, particularly glucocorticoids, furosemide, phenytoin, amphetamines, and estrogen. Taking estrogen for hormone imbalances can increase thyroxine-binding globulin (TBG), which is a protein that binds to thyroid hormones in the blood. When TBG levels are higher than they should be, more thyroid hormones are binded and there is less free thyroid hormone circulating in the blood. \u201cThis is particularly relevant in women with hypothyroidism taking thyroid medication,\u201d Dr. Kanji says. \u201cThey may require an increased dose of their thyroid hormone after starting estrogen therapy.\u201d<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Supplements:<\/b><span style=\"font-weight: 400;\"> High doses of biotin, a B-vitamin supplement, can cause falsely low levels of TSH and a high T3 and T4 which together can indicate hyperthyroidism. \u201cIn other words, the results would look exactly as if a person is hyperthyroid, when in fact the levels could be normal,\u201d Dr. Kanji explains.\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Below is a thyroid test results chart of different ranges, but it\u2019s important to note that different laboratories have different reference ranges and a person\u2019s age and comorbidities can determine the correct range for each person to be normal or abnormal. Talk with your provider to find out your own test results and what they mean.\u00a0<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th>\n<h2 id=\"testresultchart\"><span style=\"color: #21cfff;\">\u00a0Thyroid test results chart<\/span><\/h2>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><span style=\"color: #ffffff;\"><b>Test<\/b><\/span><\/td>\n<td><span style=\"color: #ffffff;\"><b>Result<\/b><\/span><\/td>\n<td><span style=\"color: #ffffff;\"><b>Meaning<\/b><\/span><\/td>\n<\/tr>\n<tr>\n<td rowspan=\"5\"><span style=\"font-weight: 400;\">TSH<\/span><\/td>\n<td><span style=\"font-weight: 400;\">&lt;0.1 milliunits per liter (mU\/L)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Overactive thyroid problem that\u2019s symptomatic<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">0.1-0.5 mU\/L<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Subclinical overactive thyroid problem<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">0.4-4.5 mU\/L<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Normal range<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">4.7-10 mU\/L<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Subclinical hypothyroidism<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">&gt;10 mU\/L<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Low thyroid problem that\u2019s symptomatic<\/span><\/td>\n<\/tr>\n<tr>\n<td rowspan=\"3\"><span style=\"font-weight: 400;\">Total T3<\/span><\/td>\n<td><span style=\"font-weight: 400;\">&lt;100-200 nanograms per deciliter (ng\/dL)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Lower than normal levels, can indicate hypothyroidism<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">100-200 ng\/dL<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Normal range<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">&gt;200 ng\/dL<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Higher than normal levels, can indicate hyperthyroidism<\/span><\/td>\n<\/tr>\n<tr>\n<td rowspan=\"3\"><span style=\"font-weight: 400;\">Free T3 (fT3)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">&lt;130 picograms per deciliter (pg\/dL) or 2.0 picomoles per liter (pmol\/L)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Lower than normal levels, can indicate hypothyroidism<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">130-450 pg\/dL, or 2.0 to 7.0 pmol\/L<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Normal range<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">&gt;450 pg\/dL, or 7.0 pmol\/L<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Higher than normal levels, can indicate hyperthyroidism<\/span><\/td>\n<\/tr>\n<tr>\n<td rowspan=\"3\"><span style=\"font-weight: 400;\">Total T4<\/span><\/td>\n<td><span style=\"font-weight: 400;\">&lt;5.0 ug\/dL (micrograms per deciliter of blood)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Lower than normal levels, can indicate hypothyroidism<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">5.0-12.0 ug\/dL\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Normal range<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">&gt;12 ug\/dL<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Higher than normal levels, can indicate hyperthyroidism<\/span><\/td>\n<\/tr>\n<tr>\n<td rowspan=\"3\"><span style=\"font-weight: 400;\">Free T4 (fT4)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">&lt;0.9 ng\/dL or 12 pmol\/L<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Lower than normal levels, can indicate hypothyroidism<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">0.9 &#8211; 1.8 ng\/dL or 12 to 30 pmol\/L<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Normal range<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">&gt;1.8 ng\/dL or 30 pmol\/L<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Higher than normal levels, can indicate hyperthyroidism<\/span><\/td>\n<\/tr>\n<tr>\n<td rowspan=\"2\"><span style=\"font-weight: 400;\">TPO antibodies (TPOAb)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Negative<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Normal, no antibodies found, symptoms probably aren\u2019t caused by autoimmune disease<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Positive<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Indicates autoimmune disease<\/span><\/td>\n<\/tr>\n<tr>\n<td rowspan=\"3\"><span style=\"font-weight: 400;\">Reverse (rT3)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">&lt;10 ng\/dL<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Can indicate hypothyroidism<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">10-24 ng\/dL<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Normal range<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">&gt;24 ng\/dL<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Can occur in people who are critically ill<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-weight: 400;\">Sources:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.endocrineweb.com\/thyroid-what-are-t3-t4-tsh\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">T3, T4, TSH, Endocrine Web<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/medlineplus.gov\/ency\/article\/003687.htm\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">T3, MedlinePlus<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.mountsinai.org\/health-library\/tests\/t3-test\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">T3, Mount Sinai<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.ucsfhealth.org\/medical-tests\/free-t4-test\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Free T4, UCSF<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/medlineplus.gov\/lab-tests\/thyroid-antibodies\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Thyroid antibodies, MedlinePlus<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.mayocliniclabs.com\/test-catalog\/overview\/81765#Clinical-and-Interpretive\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">TPO, Mayo Clinic Laboratories<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.mayocliniclabs.com\/test-catalog\/overview\/9405#Clinical-and-Interpretive\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">RT3, Mayo Clinic Laboratories<\/span><\/a><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">TSH test results<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Normal TSH levels in adults are usually 0.4-4.5 milliunits per liter (mU\/L). Higher or lower levels could indicate a thyroid disorder.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Elevated TSH can indicate hypothyroidism. \u201cA high TSH typically occurs when thyroid hormone levels in the blood are low,\u201d Dr. Kanji explains. \u201cIn other words, the brain is detecting a low level of thyroid hormone, and in response, increases the TSH level to stimulate the thyroid gland to produce more thyroid hormone.\u201d\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">On the other hand, low TSH indicates thyroid hormone levels in your blood are too high. This means \u201cthe brain is detecting a high level of thyroid hormone, and in response, decreases the TSH level to stop the thyroid gland from producing more thyroid hormone,\u201d Dr. Kanji says. This could mean you have hyperthyroidism.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">T3 and T4 test results<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">If your TSH levels are off, your provider will most likely check your T4 levels and T3 levels. If one or both of these come back elevated, along with a low TSH, it usually indicates hyperthyroidism. If they are low, it can indicate hypothyroidism. Further testing would be necessary to find the cause.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">TPO antibodies results<\/span><\/h3>\n<p><a href=\"https:\/\/www.thyroid.org\/patient-thyroid-information\/ct-for-patients\/december-2021\/vol-14-issue-12-p-3-4\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Thyroid peroxidase (TPO) antibodies<\/span><\/a><span style=\"font-weight: 400;\"> are antibodies that end up attacking your thyroid gland instead of the viruses and bacteria they\u2019re supposed to target. If thyroid antibodies are present, it can mean you might have a thyroid condition that\u2019s autoimmune-related.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If your test result comes back negative it means there were no antibodies present in the sample and that your thyroid condition probably isn\u2019t related to an autoimmune condition. If your results are positive, it can indicate you might have a thyroid condition caused by an autoimmune disease, or that you have the potential to develop a future thyroid condition. <\/span><a href=\"https:\/\/medlineplus.gov\/ency\/article\/003556.htm\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">High levels<\/span><\/a><span style=\"font-weight: 400;\"> of TPO antibodies could mean you have an increased chance of having a miscarriage, preeclampsia, or premature birth.\u00a0<\/span><\/p>\n<h2 id=\"othertests\">Other types of thyroid tests<\/h2>\n<p><span style=\"font-weight: 400;\">Your provider may also perform a physical exam of the thyroid by feeling your next. According to Dr. Kanji, this might be looking at the front of your neck and from behind you to see if there are any concerns such as an enlarged thyroid gland or nodules. If there is swelling, your provider will want to determine if it\u2019s present on one or both sides of the neck.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If a physical exam shows concerning symptoms, a <\/span><a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/hyperthyroidism\/diagnosis-treatment\/drc-20373665\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">thyroid ultrasound<\/span><\/a><span style=\"font-weight: 400;\"> can confirm if nodules or goiter is present. Goiter can also be the result of thyroid tumors, which are typically benign. It uses high-frequency sound waves to make an image of the thyroid, and can help diagnose signs of thyroid cancer.<\/span><\/p>\n<h2 id=\"nextsteps\">Next steps: What if I\u2019m diagnosed with a thyroid condition?<\/h2>\n<p><span style=\"font-weight: 400;\">The only way to tell if you have a thyroid disease is to be seen by your provider for an exam or blood testing. Your primary care provider may feel comfortable ordering thyroid tests and managing medications, but some will refer patients to an endocrinologist instead. Here are the common thyroid conditions you might be diagnosed with and how they\u2019re typically treated.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Hypothyroidism<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The most common thyroid condition is <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/living-with-hypothyroidism\/\"><span style=\"font-weight: 400;\">hypothyroidism<\/span><\/a><span style=\"font-weight: 400;\">, or underactive thyroid. This means the thyroid doesn\u2019t make enough thyroid hormone to ensure proper metabolism regulation. \u201cThe result of this is that it\u2019s very easy to gain weight,\u201d Dr. Lam says.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are different causes of hypothyroidism, the most common being Hashimoto&#8217;s thyroiditis. Another cause, though rarer, is abnormal pituitary gland growth. This results in an excess of TSH.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Symptoms of hypothyroidism <\/span><a href=\"https:\/\/www.aace.com\/disease-and-conditions\/thyroid\/what-hypothyroidism\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">include<\/span><\/a><span style=\"font-weight: 400;\">:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Weight gain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fatigue<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dry, brittle nails<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Itching<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Constipation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Irregular menstrual cycles<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cold sensitivity<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The treatment<\/span> <a href=\"https:\/\/www.singlecare.com\/conditions\/hypothyroidism-treatment-and-medications\"><span style=\"font-weight: 400;\">for hypothyroidism<\/span><\/a><span style=\"font-weight: 400;\"> is usually a medication called <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/levothyroxine-sodium\"><span style=\"font-weight: 400;\">Synthroid (levothyroxine)<\/span><\/a><span style=\"font-weight: 400;\">. You may spend a few months adjusting your dose in order to balance thyroid hormone. It\u2019s important to take the medication on an empty stomach in the morning and avoid missing doses.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Hyperthyroidism<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">If you have hyperthyroidism, your thyroid is making too much thyroid hormone. The most common cause of hyperthyroidism is <\/span><a href=\"https:\/\/rarediseases.org\/rare-diseases\/graves-disease\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Graves&#8217; disease<\/span><\/a><span style=\"font-weight: 400;\">. A second, less common, cause of low TSH is when the pituitary gland isn\u2019t functioning as it should, and makes too little TSH, known as central hypothyroidism.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Dr. Lam explains the most noticeable symptom of Grave\u2019s disease is swelling behind your eyes. \u201cHyperthyroidism may also result from thyroid nodules, which are small lumps that develop inside the thyroid gland,\u201d Dr. Lam says. These lumps may actually produce their own thyroid hormones.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Other symptoms of hyperthyroidism <\/span><a href=\"https:\/\/www.aace.com\/disease-and-conditions\/thyroid\/what-hyperthyroidism\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">include<\/span><\/a><span style=\"font-weight: 400;\">:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fast or irregular heart rate<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Anxiety<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Shaking<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Weight loss<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Weakness of the muscles<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Unable to tolerate warm temperatures, and\/or sweating<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Diarrhea<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Medications are one way to treat hyperthyroidism. <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/methimazole\"><span style=\"font-weight: 400;\">Tapazole (methimazole)<\/span><\/a><span style=\"font-weight: 400;\"> is commonly prescribed to slow down the production of thyroid hormone. It can take a few months in order for your hormone levels to level out and become normal. Radioactive iodine treats thyroid dysfunction is caused by too much thyroid hormone being produced. It works by getting inside the thyroid cells and killing them.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In rare cases, surgery may be necessary to remove a portion of the thyroid gland. This usually means you will then develop hypothyroidism and would be on thyroid hormone replacement therapy for the rest of your life.\u00a0<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/hypothyroidism-vs-hyperthyroidism\/\"><b>Hypothyroidism vs. hyperthyroidism<\/b><\/a><\/p>\n<h2><span style=\"font-weight: 400;\">Bottom line\u2014thyroid disease is treatable<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">It\u2019s important to know that thyroid disease is common and very manageable with the right treatment regimen. In addition to the treatments listed above, diet, supplements, and healthy lifestyle changes can help support thyroid health. However, if thyroid problems are left untreated, complications can be serious. People with untreated thyroid disease are at a higher risk of medical conditions like heart disease, osteoporosis, and stroke. If you have a family history of thyroid disease or if you\u2019re presenting symptoms, visit your healthcare provider for a thyroid panel test.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>What is thyroid hormone? | What\u2019s included in a thyroid panel? | Normal thyroid levels | Thyroid test results chart | Other types of tests | Next steps Your healthcare provider may recommend a thyroid panel test to determine if you have a thyroid condition. The thyroid is a butterfly-shaped gland in the neck. It [&hellip;]<\/p>\n","protected":false},"author":94,"featured_media":47872,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[729,8905,3896],"coauthors":[20620],"class_list":["post-48017","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-doctor-visits","tag-seasonal","tag-thyroid","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Normal thyroid levels: Understanding thyroid test results<\/title>\n<meta name=\"description\" content=\"Normal TSH levels are 0.4-4.5 mU\/L, but what about other thyroid panel test results? 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