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Thyroid Stimulating Hormone (TSH) with High-Performance Liquid Chromatography (HPLC) Measurement

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

This test measures the level of thyroid-stimulating hormone (TSH) in your blood, which helps your thyroid gland produce hormones. TSH is a key indicator of thyroid function.

Quick summary

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

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

Key facts at a glance

LOINC
48077-2
Short code
TSH 2.5h p LRH IV SerPl-aCnc
Synonyms
TSH 2.5h p LRH IV SerPl-aCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0.4
Ref high
4
Critical range
0.1 N/A – 20 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
84443
SNOMED
301343003
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 Is This Test Done?

Your healthcare provider may order this test to evaluate thyroid function, diagnose conditions like hypothyroidism (underactive thyroid) or hyperthyroidism (overactive thyroid), or monitor thyroid treatment. It’s often the first test used to check thyroid health.

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 to draw blood, similar to other blood tests. If you’re on thyroid medication, check with your doctor first to confirm whether to stop temporarily.

How the Test Works

Blood is collected and sent to a lab where it’s analyzed using HPLC to measure TSH levels. HPLC is a precise method for detecting small amounts of hormones in your blood.

What the Results Mean

Results are interpreted based on your symptoms, medical history, and other tests. High TSH levels often suggest hypothyroidism, while low levels may indicate hyperthyroidism. Your doctor will discuss these results with you.

Reference range

Adult: 0.4-4.0 mIU/LN/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.

Clinical Significance: TSH is a critical hormone regulator. It signals the thyroid to produce thyroid hormones (like T3 and T4). Abnormal levels can lead to fatigue, weight changes, or other symptoms, so monitoring it is essential for managing thyroid health.

Short name

TSH with HPLC

Frequently asked questions

What causes abnormal TSH levels?
Abnormal TSH levels can result from thyroid disorders (e.g., Hashimoto’s disease or Graves’ disease), thyroid surgery, radiation treatment, or pituitary gland issues. Other factors like pregnancy, certain medications, or stress may also affect TSH.
How often should I get this test?
Your doctor will determine how often you need this test based on your health needs. For example, people with thyroid conditions may need regular monitoring, while others may only need it once.
Can lifestyle changes affect TSH levels?
Yes, diet, stress, sleep, and exercise can influence thyroid function. Avoiding excessive iodine intake (from supplements or certain foods) and managing stress may help support stable TSH levels, but this isn’t a substitute for medical evaluation.
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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