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Thyroid Hormone Profile with Free T4 and TSH Measurement

Published: August 9, 2026Updated: August 16, 2026

This test measures key hormones related to your thyroid function, including thyroid-stimulating hormone (TSH) and free thyroxine (T4). It helps assess whether your thyroid is working properly.

Quick summary

["This test helps diagnose and monitor thyroid disorders like hypothyroidism or hyperthyroidism."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
69202-0
Short code
MR Guided Thyroid Bx
Synonyms
MR Guided Thyroid Bx
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
mr
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What This Test Measures

Your blood sample will be analyzed for two primary thyroid-related hormones: **thyroid-stimulating hormone (TSH)**, which signals the thyroid to produce hormones, and **free thyroxine (T4)**, the active form of thyroid hormone circulating in your blood. These measurements help determine if your thyroid is producing too much or too little hormone.

Why It’s Done

Doctors may order this test if you have symptoms like fatigue, weight changes, unexplained hair loss, or if you’ve been diagnosed with a thyroid condition. It’s also used to monitor thyroid treatment progress or screen for thyroid issues before surgery or during pregnancy.

Sample Collection and Preparation

A small blood sample will be drawn from a vein in your arm. You may feel a brief pinch, but it’s usually over quickly. No special preparation is needed, though fasting may be advised for some related thyroid tests—always follow your healthcare provider’s instructions.

What to Expect After the Test

After your blood is drawn, you can resume normal activities immediately. Results will be reviewed by your healthcare provider, who will discuss them with you during a follow-up visit. Results may take a few days to weeks to process, depending on lab schedules.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Abnormal results can indicate thyroid dysfunction. For example, high TSH with low free T4 often signals **hypothyroidism** (underactive thyroid), while low TSH with high free T4 suggests **hyperthyroidism** (overactive thyroid). These findings can guide treatment, such as hormone replacement or medication adjustments, to restore balance and alleviate symptoms.

Short name

Thyroid Function Test

Frequently asked questions

How long does it take to get my results?
Results typically take 1 to 2 weeks from the time your sample is received by the lab, but this can vary. Your healthcare provider will contact you once they’re ready to discuss your results.
Do I need to fast before this test?
No fasting is required for this specific test, but if you have additional thyroid-related tests (like free T3), your provider may ask you to fast for 8–12 hours. Always confirm with them before your appointment.
Can I take my thyroid medication on the day of the test?
Yes, you can take your prescribed thyroid medication as usual on the day of your test. However, if your provider has specific instructions (e.g., timing or holding medication), follow those carefully to avoid misleading results.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy