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Thyroid Stimulating Hormone (TSH) with Serum/Plasma Specimen

Published: August 9, 2026Updated: August 17, 2026

This test measures the amount of thyroid-stimulating hormone (TSH) in your blood. TSH helps regulate your thyroid hormone levels, which control metabolism, energy, and other bodily functions.

Quick summary

["TSH helps doctors check if your thyroid is working properly."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
47192-0
Short code
T3 sp3 p chal SerPl-sCnc
Synonyms
T3 sp3 p chal SerPl-sCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
80
Ref high
200
Critical range
20 N/A – 400 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
84436
SNOMED
302346007
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

Why This Test Is Done

Your doctor may order a TSH test to evaluate thyroid function, diagnose thyroid disorders (such as hypothyroidism or hyperthyroidism), or monitor thyroid treatment. It’s often the first test used to check thyroid health because it’s sensitive and reflects thyroid hormone levels accurately.

What to Expect Before the Test

No special preparation is needed for this blood test. You may have a small needle inserted into your arm or hand to draw blood. If you’re on thyroid medication, let your doctor know beforehand, as it may affect results.

What the Test Results Mean

TSH levels can vary based on your health, age, and other factors. High TSH levels may suggest hypothyroidism (underactive thyroid), while low levels may indicate hyperthyroidism (overactive thyroid). Your doctor will interpret results in the context of your symptoms and medical history.

Common Conditions Linked to TSH Results

Abnormal TSH levels can signal conditions like thyroid nodules, pituitary disorders, or autoimmune diseases (e.g., Hashimoto’s disease or Graves’ disease). Regular monitoring may be needed if you have a history of thyroid issues or take thyroid medication.

Reference range

Adult: 80-200 ng/dLN/A

Specimen: serum

Take your thyroid medication after the blood draw if applicable. No fasting required.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

TSH Level

Frequently asked questions

Will fasting affect my TSH test results?
Fasting is not required for a TSH test, but eating or drinking anything (except water) before the blood draw could temporarily affect blood flow. If you’re unsure, ask your doctor or lab technician for guidance.
How long will I need to wait for my results?
Results are typically available within 1–3 business days, depending on your lab and insurance. Your doctor will contact you directly with the final interpretation, especially if results are outside expected ranges.
Can I take my thyroid medication before the test?
If you’re on thyroid hormone replacement (e.g., levothyroxine), take it as usual on the day of the test unless instructed otherwise by your doctor. Skipping or altering doses can skew 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 17, 2026. · Read our editorial policy