Background
3. Thyroid tests
The two most commonly used laboratory evaluations to test thyroid function are free T4T4 - thyroxine thyroid hormone and thyroid stimulating hormone (TSHTSH - Thyroid stimulating hormone; also known as thyrotropin. The hormone that causes the thyroid to make and release thyroid hormone). Because over 99% of released thyroid hormone is attached to proteins in the blood, it is believed that measuring the amount not attached to proteins (i.e., free thyroid hormone) is a more accurate measurement of thyroid hormone levels. Measuring the total hormone level is generally less reliable.
Common thyroid function tests
| Assay | High level | Low level |
|---|---|---|
| TSH | Hypothyroidism | Hyperthyroidism |
| Free T4 | Hyperthyroidism | Hypothyroidism |
| Free T3 | Hyperthyroidism | Hypothyroidism |
| Tg | May indicate cancer recurrence after total thyroidectomy | Adequate treatment after removal or ablation of thyroid |
| TSH-R Ab | Graves' disease | |
| Anti TG Ab | Hashimoto's thyroiditis | |
| Anti TPO Ab | Hashimoto's thyroiditis | |
| Calcitonin | Medullary thyroid cancer |


Supporting education and research in the field of Endocrine Surgery as a tribute to former President, Dr. Paul LoGerfo.