Skip to content

Thyroid Stimulating Hormone (TSH) with High-Performance Liquid Chromatography (HPLC) and Immunoassay (IA) Method

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

This test measures your thyroid-stimulating hormone levels in your blood, which helps your body regulate metabolism and thyroid hormone production.

Quick summary

["TSH helps assess thyroid function and detect potential thyroid disorders."]

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

Key facts at a glance

LOINC
47951-9
Short code
TSH 2h p LRH IV SerPl-aCnc
Synonyms
TSH 2h 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 This Test Is Done

Your doctor may order this test to check for thyroid problems, such as hypothyroidism (underactive thyroid) or hyperthyroidism (overactive thyroid). It’s often used as part of routine check-ups, especially if you have symptoms like fatigue, weight changes, or unexplained goiter (enlarged thyroid).

What to Expect Before the Test

No special preparation is needed for this blood test. You may have fasting instructions depending on your clinic, but generally, you can eat and drink normally. A healthcare provider will draw blood from a vein in your arm.

What the Test Results Mean

TSH levels can vary based on thyroid health. High levels may indicate hypothyroidism, while low levels may suggest hyperthyroidism or other conditions. Your doctor will interpret results in relation to your symptoms and medical history.

Common Conditions This Test Helps Diagnose

This test is critical for diagnosing thyroid disorders, including primary hypothyroidism (Hashimoto’s disease), primary hyperthyroidism, pituitary thyroid dysfunction, and thyroid cancer screening in some cases.

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.

TSH is a key marker for thyroid function. Abnormal levels can signal underlying issues that require medical attention, such as thyroid nodules, autoimmune thyroiditis, or pituitary gland disorders. Regular monitoring of TSH helps manage long-term thyroid conditions and prevents complications like heart problems or infertility.

Short name

TSH (Serum) with HPLC/IA

Frequently asked questions

What does an abnormal TSH result mean?
An elevated TSH level often points to hypothyroidism, where your thyroid isn’t producing enough hormones. A low TSH level may suggest hyperthyroidism or other thyroid issues. Your doctor will guide further testing or treatment based on the results.
Can diet affect TSH test results?
Dietary changes like excessive iodine intake (e.g., from seafood or supplements) or certain medications (e.g., lithium, amiodarone) can influence TSH levels. Your doctor may recommend avoiding these temporarily if instructed.
How often should I get a TSH test?
Frequency depends on your health status. People with thyroid disorders may need regular monitoring, while others may have baseline tests during check-ups. Follow your doctor’s recommendations for follow-up testing.
  1. 1
  2. 2
  3. 3

Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.

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