Thyroid Advanced Package
12 parameters across 1 body system, from one simple sample.
Overview
A 12-parameter checkup across 1 body system — Thyroid — Advanced — T3 T4 TSH+. Includes free home collection, a free doctor review and a smart report in 6 hours.
The full panel
12 tests across 1 groupEvery parameter, grouped by body system — no clicking to expand.
What this test measures
The complete thyroid picture: TSH (the pituitary's instruction to the gland), total and free T3 and T4 (the hormones the gland actually produces), and anti-TPO antibodies, which indicate whether the immune system is attacking the thyroid.
TSH alone answers whether the thyroid is keeping up. The free hormones say how badly, and the antibody says why. A doctor orders the advanced panel when TSH is abnormal or borderline, when symptoms are strong but TSH is normal, in pregnancy or when planning one, or when a family history of autoimmune disease makes the cause worth knowing from the outset.
Symptoms that lead to this test
- Fatigue, weight gain, constipation or feeling cold — the under-active pattern
- Palpitations, weight loss, tremor or heat intolerance — the over-active pattern
- Hair fall, dry skin or irregular periods
- A visible swelling or lump in the front of the neck
- A close relative with thyroid or another autoimmune disease
Understanding your results
A raised TSH with a low free T4 is the pattern that commonly suggests an under-active thyroid (hypothyroidism); a suppressed TSH with raised free T3/T4 commonly suggests an over-active one. A raised TSH with normal free hormones is described as subclinical and is not automatically treated — it is often repeated after 6–8 weeks first. Raised anti-TPO points towards an autoimmune cause but is also found in people whose thyroid is working normally. Non-thyroidal illness, steroids, biotin supplements and pregnancy all shift these numbers, so the report needs clinical correlation before any medication is started or changed.
Indicative only. Reference ranges vary between laboratories and between testing methods, and shift with age, sex and pregnancy — always read your own result against the range printed on your own report, with the doctor who ordered it.
| Parameter | Indicative range | Unit |
|---|---|---|
| TSH | 0.4–4.0 (non-pregnant adult) | mIU/L |
| Free T4 | 0.8–1.8 | ng/dL |
| Free T3 | 2.3–4.2 | pg/mL |
| Total T4 | 5.1–14.1 | µg/dL |
| Total T3 | 0.8–2.0 | ng/mL |
| Anti-TPO antibody | Below 35 (typical cut-off) | IU/mL |
Why the preparation matters
No fasting is required, but two things genuinely change the result. Take levothyroxine AFTER the blood draw — a dose taken an hour or two earlier can push free T4 up transiently and make a stable dose look excessive. And stop high-dose biotin (often in hair, skin and nail supplements) for at least two days beforehand, because it interferes with the immunoassay platforms most labs use and can produce a falsely low TSH with falsely high free hormones — the exact pattern of an over-active thyroid.
Who should consider this test
- Anyone with symptoms of an under- or over-active thyroid
- Women planning a pregnancy or newly pregnant
- Anyone already on thyroid medication, for dose monitoring
- People with a neck swelling or nodule
- Adults with a family history of thyroid or autoimmune disease
Conditions it helps detect
How home collection works
Patient stories
96% recommend“The phlebotomist arrived exactly on time and was gentle. My report came in five hours with a doctor’s note.”
“Booked at night, sample collected next morning. The parameter breakdown is genuinely thorough.”
“Loved the free doctor review — she walked me through my vitamin D and thyroid results clearly.”