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Thyroid Stimulating Hormone (TSH) - Serum

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

This test measures the amount of thyroid-stimulating hormone in your blood. It helps doctors check if your thyroid gland is working properly.

Quick summary

["TSH helps regulate your metabolism and energy levels by controlling thyroid hormone production."]

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

Key facts at a glance

LOINC
20452-9
Short code
TSH Bld Ql
Synonyms
TSH Bld Ql
Category
chemistry
Sample
whole-blood
Container
Lavender-top (EDTA)
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
3 mL
Stability
Room temperature: 4h, Refrigerated: 24h
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What Is Thyroid Stimulating Hormone (TSH)?

Thyroid-stimulating hormone (TSH) is a hormone produced by your pituitary gland in the brain. It signals your thyroid gland to produce and release thyroid hormones, which play a key role in metabolism, energy, and overall body function. TSH levels can help identify whether your thyroid is underactive (hypothyroidism) or overactive (hyperthyroidism).

Why Is a TSH Test Done?

Your doctor may order a TSH test if you have symptoms like fatigue, weight changes, unexplained hair loss, or mood swings. It’s also used as part of routine check-ups, especially in older adults or those with a family history of thyroid disorders. Sometimes, TSH is checked alongside other thyroid tests if symptoms or lab results suggest thyroid issues.

What Does a TSH Test Tell You?

A TSH test provides a snapshot of your thyroid function. High TSH levels may indicate hypothyroidism (low thyroid activity), while low TSH levels may suggest hyperthyroidism (overactive thyroid). Normal results usually mean your thyroid is functioning within a healthy range, but doctors may still recommend further testing if needed.

How Is the TSH Test Performed?

A blood sample is taken from a vein in your arm, usually in a doctor’s office or lab. The sample is sent to a lab where TSH levels are measured using an immunoassay method. The process is quick and typically requires no special preparation, though fasting may be advised in some cases.

Reference range

Adult: 0.4-4.0 mIU/LN/A

Specimen: whole-blood

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 of TSH Levels

Short name

TSH Level

Frequently asked questions

What are the normal TSH reference ranges?
Reference ranges can vary slightly by lab and may not be provided in your results. High TSH levels often point to hypothyroidism, while low TSH levels may indicate hyperthyroidism or other conditions like pituitary disorders. Always discuss results with your healthcare provider for personalized interpretation.
How long does it take to get TSH test results?
Results from a TSH test are usually available within a few days to a week, depending on your lab and healthcare provider’s workflow. Follow-up testing or additional questions may be needed if results are outside expected ranges.
Can lifestyle changes affect TSH test results?
Yes, certain lifestyle factors like stress, sleep, diet, and medications (e.g., thyroid medications, lithium) can influence TSH levels. If you suspect lifestyle changes may affect your results, discuss them with your doctor before or after testing.
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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