Thyroid Profile Total (T3, T4 & TSH) near me in New Delhi
The Thyroid Profile Total (T3, T4 & TSH) is a standard blood test that assesses the health of your thyroid gland and aids in diagnosing and managing thyroid disorders. It is available at an affordable price in New Delhi with Tata 1mg labs. This test measures the levels of 3 hormones, namely thyroid stimulating hormone (TSH), thyroxine hormone (T4)- total, and triiodothyronine hormone (T3)- total that are responsible for regulating metabolism and other bodily functions.
Your doctor may suggest the Thyroid Profile Total (T3, T4 & TSH) when you have symptoms suggestive of a thyroid disorder, such as tiredness, mood swings, depression, muscle pain, nervousness, or anxiety. The test results and your symptoms will allow the doctor to identify and diagnose certain diseases, such as hyper or hypothyroidism, and manage the treatment for these diseases.
No special preparations are needed for the Thyroid Profile Total (T3, T4 & TSH). You may eat and drink as per your daily routine. On the day of the test, individuals on thyroid medications should take them at the time and dosage prescribed by their doctors.
Understanding Thyroid Profile Total (T3, T4 & TSH)
The thyroid is a small, butterfly-shaped gland located in the neck. It produces T3 and T4 hormones that help regulate the body's metabolism, energy, and functioning of the vital organs. On the other hand, the TSH hormone is produced by the pituitary gland. This hormone acts like a messenger and tells the thyroid gland how much thyroid hormones (T3 & T4) it needs to make. An abnormal level of any of these three hormones can signal a thyroid problem, such as an underactive (hypothyroidism) or overactive (hyperthyroidism) gland.
The doctor may advise the Thyroid Profile Total (T3, T4 & TSH) test if there are symptoms suggestive of thyroid disorders, such as hypothyroidism (underactive thyroid) and hyperthyroidism (overactive thyroid).
Common symptoms of hypothyroidism include weight gain, fatigue, sensitivity to cold, constipation, dry skin, thinning hair, and irregular or heavier-than-usual menstrual periods. On the other hand, hyperthyroidism may cause unexplained weight loss, sensitivity to heat, irritability, mood swings, muscle weakness, hyperactivity, and difficulty sleeping.
Doctors also recommend the Thyroid Profile Total (T3, T4 & TSH) for women during pregnancy to check if they have adequate amounts of thyroid hormones. These hormones are important for fetal brain development and pregnancy health.
The levels of thyroid hormones (T3 and T4) fluctuate due to changes in a protein called thyroxine-binding globulin (TBG). TBG helps carry thyroid hormones to the right parts of the body. The level of TSH can vary, depending on factors like the time of day it is tested. That is why it's better to test TSH in the daytime for more accurate results.
No special preparations are needed for this profile. Usually, you do not need to discontinue taking thyroid medication before getting tested. However, inform your doctor about all the medications being taken, as some of them might affect the test results.
Lab test results may vary across laboratories. Interpretation of the test results requires expert guidance. Therefore, do not self-medicate, and talk to the doctor to understand the test results correctly.
What Are the Symptoms or Conditions That May Require the Thyroid Profile Total (T3, T4 & TSH) Test?
You may need the thyroid profile test if you experience symptoms related to an underactive or overactive thyroid.
Symptoms of an Underactive Thyroid Gland (Hypothyroidism):
- Persistent fatigue
- Weight gain
- Sensitivity to cold
- Dry skin, thinning hair
- Irregular or heavier-than-usual menstrual periods
Symptoms of an Overactive Thyroid Gland (Hyperthyroidism):
- Unexplained weight loss
- Sensitivity to heat
- Irritability
- Mood swings
- Muscle weakness
- Hyperactivity
- Difficulty sleeping
You may also need this test if:
- You have a goiter (enlargement of the thyroid gland)
- You have a family history of thyroid disease
- You are receiving treatment for a known thyroid disorder to monitor its effectiveness
- You are a newborn (part of routine screening to detect neonatal hyperthyroidism).
- You are a woman planning to conceive or are pregnant, as thyroid function is critical for fetal development.
When Would I Need the Thyroid Profile Total (T3, T4 & TSH)?
You may need the Thyroid Profile Total (T3, T4 & TSH) if:
- You are experiencing persistent symptoms of an underactive or overactive thyroid.
- Your doctor suspects a thyroid disorder based on a physical exam (e.g., finding a goiter).
- You have a history of autoimmune disease or a family history of thyroid problems.
- You are pregnant, as TSH and T4 levels are checked to ensure proper fetal development.
How Do I Prepare for the Thyroid Profile Total (T3, T4 & TSH)?
Do I need to fast or stop any medications before the Thyroid Profile Total (T3, T4 & TSH)?
No, fasting is not required before the Thyroid Profile Total (T3, T4 & TSH). You can eat and drink normally before the test. However, it is essential to inform your doctor about any medications or supplements you are taking, as certain medications and supplements may affect the test results, including:
Estrogens, such as in birth control pills or in pregnancy, cause high levels of total T4 and T3.
Biotin (Vitamin B7), a commonly taken over-the-counter supplement, can cause the measurement of several thyroid function tests to appear abnormal when they are in fact normal in the blood. Biotin should not be taken for 2 days before blood is drawn for thyroid function testing to avoid this effect.
Always inform your doctor about all medications and supplements you are taking. They will provide specific instructions on whether you need to adjust your routine before the blood draw. It is also beneficial to have your blood drawn around the same time of day for consistency, as TSH levels can show some natural variation throughout the day.
How is the Thyroid Profile Total (T3, T4 & TSH) done?
- The Thyroid Profile Total (T3, T4 & TSH) is done by collecting a small amount of blood from a vein, usually in the arm.
- The procedure is quick, minimally invasive, and generally causes only slight discomfort.
What happens during the Thyroid Profile Total (T3, T4 & TSH)?
- You will be seated comfortably with your arm supported on a flat surface or armrest.
- A tourniquet (elastic band) is tied around your upper arm to make the veins more visible and easier to locate.
- The phlebotomist identifies a suitable vein for blood collection.
- The puncture site is then cleaned thoroughly with an alcohol swab to reduce the risk of infection.
- A thin, sterile needle is gently inserted into the vein, and a small amount of blood is collected into a test tube.
What happens after the Thyroid Profile Total (T3, T4 & TSH)?
- Once enough blood is collected, the tourniquet is released and the needle is removed.
- A cotton ball or gauze is placed on the site, followed by a small bandage or dressing to stop any bleeding.
- The blood sample is carefully labeled with your details and sent to the laboratory for analysis.
- You can resume your daily routine after the test is done.
Is the Thyroid Profile Total (T3, T4 & TSH) painful?
No, the Thyroid Profile Total (T3, T4 & TSH) is generally safe and painless. However, you may feel slight discomfort during blood sample collection, but the chances of serious complications are extremely rare.
How Long Does the Thyroid Profile Total (T3, T4 & TSH) Take?
The procedure is quick, simple, and safe. It requires only a small blood sample and is completed within a short duration.
When Will I Get the Results?
The availability of your test report may vary depending on your location and the laboratory where the test is conducted. In general, Tata 1mg provides the results within the stipulated time after sample collection.
When Should I Consult a Doctor After the Test?
You should consult your doctor if:
- Your test results are outside the normal reference range.
- You are experiencing new or worsening symptoms of a thyroid disorder.
- You are pregnant or planning to become pregnant.
- You are currently on thyroid medication, and your doctor needs to review your medication dosage.
Are There Any Risks Associated with the Thyroid Profile (T3, T4 & TSH) Test?
The Thyroid Profile Total (T3, T4 & TSH) is safe, with usually minimal or no risk that resolves on its own:
- Small bruise, pinch, or slight tenderness at the puncture site
- Occasional lightheadedness if you are sensitive to needles or blood
- Rarely, infection or blood vessel injury
Note: If you have a bleeding disorder or take blood thinners, inform the phlebotomist beforehand.
Lifestyle Tips to Manage Thyroid Health:
🥤Hydration: Stay hydrated. Dehydration can temporarily alter thyroid hormone levels.
🥗Eat (Diet): Eat at least five portions of a variety of fruits and vegetables every day. Eat iodine-rich foods and avoid long-term consumption of soy.
🚴♀️Activity (Exercise): Exercise helps manage symptoms like weight and mood changes and improves overall thyroid health.
😴Lifestyle (Stress and Sleep): Practice yoga, meditation, or deep breathing, and prioritize quality sleep, as both stress and sleep are vital for thyroid hormone balance.
👨⚕️Talk to Your Doctor (Consult): Do not self-medicate. Always consult your doctor before starting, stopping, or changing doses of thyroid medication.
🚭Habits (Alcohol and Smoking): Avoid smoking and limit excessive alcohol consumption, as these habits can impair thyroid function.
What does Thyroid Profile Total (T3, T4 & TSH) measure?
Contains 3 testsThe Thyroid Profile Total (T3, T4 & TSH) measures the circulating amounts of three key hormones:
- Total T3 (Total Triiodothyronine): T3 is the most active thyroid hormone and plays a major role in metabolism. The Thyroid Profile Total test measures both the T3 that is bound to proteins and the T3 that is free in the blood.
- Total T4 (Total Thyroxine): T4 is the primary hormone secreted by the thyroid gland. The Thyroid Profile Total test measures both protein-bound and free T4. It is a good indicator of overall thyroid hormone production.
- TSH (Thyroid Stimulating Hormone): This hormone, released by the pituitary gland, controls the production of T4 and T3 by the thyroid. It is the best screening test to determine if the thyroid is functioning normally.
What Do the Results Mean?
Pathological Factors
|
TSH |
T3 |
T4 |
Interpretation (Possible causes) |
|
High |
Normal |
Normal |
Subclinical hypothyroidism (autoimmune thyroid disease) |
|
Low |
Normal |
Normal |
Subclinical hyperthyroidism (autoimmune thyroid disease, like Graves’, etc.) |
|
High |
High |
High |
Secondary hyperthyroidism (TSH-secreting pituitary adenoma, thyroid hormone resistance syndrome, chorionic gonadotropin-secreting tumours, gestational thyrotoxicosis, etc.) |
|
Low |
Normal/High |
Normal/High |
Hyperthyroidism (Graves’ disease, etc.) |
|
Low |
Low |
Low |
Non-thyroidal illness (Sepsis, inflammatory conditions, etc.) / Secondary hyperthyroidism (TSH-secreting pituitary adenoma, Thyroid hormone resistance syndrome, Chorionic gonadotropin-secreting tumours, Gestational thyrotoxicosis, etc.) |
Note:
- Total T3 and T4 concentrations are altered by changes in thyroxine-binding globulin (TBG) capacity, which can be affected by pathological or physiological conditions.
- In pregnancy, the serum TSH reference range is different from the general population
Physiological Factors
🫄 Pregnancy: Thyroid hormone requirements increase, often leading to changes in TSH and total T4/T3 levels, especially in the first trimester.
⏱️ Time of Day: TSH levels show a circadian variation, peaking between 2 and 4 a.m. and at a minimum between 6 and 10 p.m. This variation can influence the measured serum TSH concentration.
💊Medications/Supplements: Certain drugs (like estrogen, etc.) or supplements (like biotin) can significantly alter TSH, T3, or T4 results.
🤒 Non-Thyroidal Illness (NTI): Severe illness not related to the thyroid can temporarily alter or suppress TSH and T3/T4 levels, making results difficult to interpret.
Lifestyle Factors
🧀 Diet: Severe dieting or malnutrition can decrease thyroid hormone production. Sufficient iodine intake is essential for making T3 and T4.
😴 Stress: Chronic, high-level stress may influence the hypothalamic-pituitary-thyroid axis, potentially affecting TSH regulation.
🚬 Smoking: Smoking has been linked to changes in thyroid hormone metabolism and is a risk factor for autoimmune thyroid diseases like Graves' disease.
Disclaimer: This information is for educational purposes only and should not replace professional medical advice, diagnosis, or treatment. Always consult your healthcare provider for personalized guidance.
What Do Normal Thyroid Profile Results Mean?
Normal levels of TSH, total T3, and total T4 suggest that your thyroid gland is functioning correctly, producing and releasing the right amount of hormones to regulate your body's metabolism and energy.
What Do High Levels of Thyroid Profile Results Indicate?
High levels of thyroid profile results, mainly T3, T4, or a low TSH, typically indicate an overactive thyroid, known as hyperthyroidism. This condition occurs when the thyroid gland produces excess hormones, speeding up metabolism and causing symptoms such as unexplained weight loss, sensitivity to heat, irritability, mood swings, muscle weakness, hyperactivity, difficulty sleeping, etc. If you have these symptoms or abnormal lab results, it is important to consult your doctor for diagnosis and appropriate management.
What to Do if Your Thyroid Profile Results Are Higher Than Normal?
If your results are outside the normal range, consult your doctor immediately. They will evaluate your symptoms and medical history and may order follow-up tests (like free T3 or free T4) to confirm the diagnosis and determine the best course of action, which may include medication to restore hormone balance.
What Do Low Levels of Thyroid Profile Results Indicate?
Low levels in thyroid profile results, such as low T3 or T4 and high TSH, usually indicate an underactive thyroid gland or hypothyroidism. This condition slows your metabolism and can lead to symptoms like persistent fatigue, weight gain, sensitivity to cold, dry skin, thinning hair, irregular or heavier-than-usual menstrual periods, etc. If you notice these symptoms or have abnormal results, consult your doctor for further evaluation and management.
Can Thyroid Profile Results Be Inaccurate?
Yes. Sometimes, rare factors like the presence of certain antibodies or pituitary disorders can lead to discordant results that do not match your symptoms. In such cases, your doctor will suggest some additional tests to find the right diagnosis. Always consult your doctor to understand your test results correctly.
What Factors Can Affect Thyroid Profile Results?
Though a reliable test, some factors can influence accuracy:
- Biotin supplements (must be stopped 2 days before the test)
- Pregnancy
- Severe illness (non-thyroidal Illness)
- Certain medications (e.g., high-dose estrogen, etc.)
- Timings of the sample collection
- Recent changes in your thyroid medication dosage
What Follow-Up Tests May Be Required?
Table: Tests Commonly Ordered Alongside Thyroid Profile Total
|
Test Name |
Primary Purpose |
|
Free T3 and Free T4 |
Measures the active, unbound hormones to confirm the diagnosis, as they are not affected by protein binding changes (like in pregnancy) |
|
Thyroid Antibody Tests (e.g., TPO Ab) |
Helps diagnose autoimmune thyroid diseases like Hashimoto's or Graves’ disease |
|
Thyroid Scan and Uptake |
Uses a radioactive tracer to visualize the thyroid gland and assess how well it is absorbing iodine, helping to determine the cause of hyperthyroidism |
|
Thyroid Ultrasound |
Provides images of the gland to check for nodules, goiter size, or other structural abnormalities |
How Does a Thyroid Profile Differ from Other Thyroid Tests?
Thyroid Profile (TSH, Total T3, Total T4): Provides a comprehensive view at the overall function of the thyroid axis.
Free T3/T4: Measures only the biologically active, unbound portion, offering a more accurate assessment when protein levels are abnormal (e.g., pregnancy, certain medications).
Thyroid Antibody Tests: Identify whether an autoimmune response is causing the thyroid dysfunction.
The Triiodothyronine - Total (T3) test measures triiodothyronine, also known as T3, hormone that is produced by the thyroid gland. T3 hormone plays an important role in regulating the body's metabolism, energy levels, and growth & development. It exists in the blood in two forms: free T3 and bound T3. Free T3 is not bound to proteins in the blood and is the active form of T3. Whereas, bound T3 is bound to proteins, such as albumin and thyroid hormone binding globulin (THBG), which prevent it from entering the body tissues.
Know more about Triiodothyronine - Total (T3)
The TSH (Thyroid Stimulating Hormone) Ultrasensitive test measures the levels of TSH hormone in the blood. TSH is produced by the pituitary gland located at the base of the brain. Its function is to stimulate and regulate the functioning of the thyroid gland. It signals the thyroid gland to increase or decrease the production of thyroid hormones T3 and T4 when their levels are low or high, respectively. Therefore, when the levels of T3 & T4 decrease, the pituitary gland is stimulated to release TSH. This high TSH level, in turn, stimulates the thyroid gland to release more thyroid hormones (T3 & T4). Vice versa happens when the levels of thyroid hormones increase.
What Do the Results Mean?
Pathological Factors
|
Test Result |
Interpretation |
Possible Causes / Conditions |
|
Low TSH |
Hyperthyroidism (overactive thyroid) |
|
|
High TSH |
Hypothyroidism (underactive thyroid) |
|
Physiological Factors
🧒Age: TSH may slightly increase with age.
🫄 Pregnancy: TSH levels may drop in early pregnancy because of hormonal changes.
🧑🦳 Gender: Women generally have higher TSH levels than men and are more prone to thyroid imbalances, especially during pregnancy, after childbirth, or around menopause.
⚖️ Body Weight & Metabolism: Weight gain or loss can slightly affect TSH levels.
Lifestyle Factors
🥗 Diet: Too little iodine can increase TSH, while too much may lower it.
😟 Stress: Long-term stress can disturb thyroid hormone balance.
💊 Medications: Some medicines, like steroids or lithium, can change TSH levels.
🛌 Sleep Patterns: Poor sleep can affect thyroid hormone control.
🚬 Smoking & Alcohol: Smoking may lower TSH, and too much alcohol can harm thyroid function.
🏃 Physical Activity: Regular exercise supports thyroid health, but extreme workouts can cause temporary TSH changes.
Disclaimer: This information is for educational purposes only and should not replace professional medical advice, diagnosis, or treatment. Always consult your healthcare provider for personalized guidance.
What Do Normal TSH (Thyroid Stimulating Hormone) Ultrasensitive Levels Mean?
Normal TSH levels indicate that your thyroid is functioning well, producing the right amount of thyroid hormones (T3 and T4) to regulate metabolism, energy, and overall body functions. Balanced TSH suggests your body is maintaining proper hormonal balance, supporting healthy weight, energy levels, mood, and cardiovascular health.
What Do High Levels of TSH (Thyroid Stimulating Hormone) Ultrasensitive Indicate?
High TSH levels usually mean the thyroid is underactive (hypothyroidism). The pituitary gland releases extra TSH to make the thyroid produce more hormones.
Common causes include:
- Autoimmune thyroid problems like Hashimoto’s thyroiditis
- Pituitary gland disorders
- Recovery after illness or thyroid surgery
- Some medicines or a lack of nutrients
What to Do if Your TSH (Thyroid Stimulating Hormone) Is Higher Than Normal?
If your TSH level is high, talk to your doctor. They may:
- Recheck with more thyroid tests (T3, T4, or antibodies)
- Review your medicines, diet, and health history
- Recommend thyroid hormone treatment if required
- Track symptoms like tiredness, weight gain, feeling cold, or hair loss
Timely management can help control thyroid imbalances effectively.
What Do Low Levels of TSH (Thyroid Stimulating Hormone) Ultrasensitive Indicate?
Low TSH levels usually mean your thyroid is overactive (hyperthyroidism). This happens when the thyroid releases excess thyroid hormones, so the pituitary gland reduces TSH production.
Possible causes include:
- Graves’ disease (autoimmune thyroid disorder)
- Thyroid nodules that produce extra hormones
- Thyroid inflammation (thyroiditis)
- Taking too much thyroid medicine
If your TSH is low, your doctor may suggest more tests like T3, T4, thyroid antibody tests, or an ultrasound to find the cause and decide the right treatment.
Can TSH Results Be Inaccurate?
Yes. Certain factors such as pregnancy, recent illness, medications, or underlying pituitary or thyroid disorders can affect TSH levels and lead to inaccurate results. If your results do not match your symptoms or overall health, your doctor may suggest repeating the test or additional testing.
What Factors Can Affect TSH (Thyroid Stimulating Hormone) Ultrasensitive Results?
The TSH (Thyroid Stimulating Hormone) Ultrasensitive test is reliable, but a few factors can affect its accuracy, such as:
- Recent thyroid surgery or radioactive iodine treatment
- Taking biotin supplements
- Severe illness or hospitalization
- Certain medicines (like amiodarone or lithium)
- Pregnancy
What Follow-Up Tests May Be Required?
Based on your TSH results, your doctor may suggest more tests to better understand your thyroid health. These tests may include:
Table: Tests Commonly Ordered Alongside TSH
|
Test Name |
Primary Purpose |
|
Free T4 (Thyroxine) |
Measures circulating thyroid hormone to assess thyroid function |
|
Free T3 (Triiodothyronine) |
Evaluates active thyroid hormone levels in the blood |
|
Anti-TPO / Anti-Tg Antibodies |
Detects autoimmune thyroid disorders like Hashimoto’s or Graves’ disease |
|
Thyroid Ultrasound |
Assesses thyroid size, nodules, and structural abnormalities |
|
Lipid Profile |
Monitors cholesterol and cardiovascular risk, which can be affected by thyroid disorders |
|
Liver/Kidney Function Tests |
Checks organ health, as thyroid imbalances can influence metabolism and organ function |
|
Hormone Assessments |
Evaluates pituitary or adrenal involvement if needed |
How Does TSH Test Differ from Other Thyroid Tests?
It is important to understand how the TSH test differs from other common thyroid tests:
TSH (Thyroid-Stimulating Hormone): Measures how much signal the pituitary gland is sending to the thyroid to make hormones.
Total T4: Measures the overall amount of thyroxine (T4) in the blood, including both bound and unbound forms, to understand thyroid hormone production.
Free T4 (FT4): Checks the active form of T4 that is available for use by the body. It helps assess how well the thyroid is functioning.
Total T3: Measures the total amount of triiodothyronine (T3), the active hormone derived from T4, often helpful in detecting hyperthyroidism.
Free T3 (FT3): Evaluates the unbound, active T3 level to understand how efficiently T4 is being converted to T3.
Thyroid Antibody Tests (TPOAb, TgAb): Identify autoimmune thyroid conditions like Hashimoto’s thyroiditis or Graves’ disease.
Know more about TSH (Thyroid Stimulating Hormone) Ultrasensitive
The Thyroxine - Total (T4) test measures both the bound and unbound/free form of thyroxine (T4) hormone in the blood. T4 exists in the blood in two forms: bound (attached to proteins) and free (not attached to proteins). Most of the T4 circulating in the blood is bound to proteins and only a small part is free. It is necessary to maintain a fine balance of these forms to ensure the proper functioning of the body.
Know more about Thyroxine - Total (T4)
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Thyroid Profile Total (T3, T4 & TSH) test price for other cities
| Price in | Bangalore | Rs. 439 |
| Price in | Hyderabad | Rs. 298 |
| Price in | Mumbai | Rs. 490 |
| Price in | Gurgaon | Rs. 490 |
| Price in | Pune | Rs. 459 |
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