Thyroid Function Test
Jan 28, 2026
Thyroid Function Test
A thyroid function test measures TSH (thyroid-stimulating hormone), T3, and T4 levels in your blood to determine whether your thyroid gland is working correctly—with an underactive thyroid affecting 1 in 50 women and 1 in 1,000 men in the UK. Symptoms like fatigue, weight changes, and mood issues are often caused by thyroid imbalance that's easily detected with a simple blood test.
At Blood Test London, comprehensive thyroid testing costs from £245 with results in 2-3 days.
What Does a Thyroid Test Measure?
TSH (Thyroid-Stimulating Hormone)
The most important marker. TSH is produced by your pituitary gland to tell your thyroid how much hormone to make.
Result | What It Means |
|---|---|
High TSH | Thyroid is underactive (hypothyroidism) |
Low TSH | Thyroid is overactive (hyperthyroidism) |
Normal TSH | Thyroid function likely normal |
Normal range: 0.4-4.0 mIU/L (though optimal is often 0.5-2.5)
Free T4 (Thyroxine)
The main hormone produced by your thyroid. "Free" means the active portion not bound to proteins.
Normal range: 12-22 pmol/L
Free T3 (Triiodothyronine)
The active thyroid hormone that affects metabolism. T4 converts to T3 in your body.
Normal range: 3.1-6.8 pmol/L
Thyroid Antibodies (Advanced Testing)
TPO Antibodies: Indicate Hashimoto's thyroiditis (autoimmune hypothyroidism)
TSI Antibodies: Indicate Graves' disease (autoimmune hyperthyroidism)
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Signs You Need a Thyroid Test
Underactive Thyroid (Hypothyroidism) Symptoms
Fatigue and low energy
Weight gain despite normal eating
Feeling cold all the time
Dry skin and hair
Constipation
Depression or low mood
Brain fog and poor concentration
Heavy or irregular periods
Muscle aches
Overactive Thyroid (Hyperthyroidism) Symptoms
Weight loss despite eating more
Rapid heartbeat or palpitations
Anxiety and nervousness
Trembling hands
Feeling hot and sweating
Difficulty sleeping
Frequent bowel movements
Light or missed periods
Understanding Your Thyroid Results
Hypothyroidism Pattern
TSH: Elevated (>4.0 mIU/L)
Free T4: Low or low-normal
Free T3: Low or low-normal
Hyperthyroidism Pattern
TSH: Suppressed (<0.4 mIU/L)
Free T4: Elevated
Free T3: Elevated
Subclinical Thyroid Disease
Subclinical hypothyroidism: TSH elevated, T4/T3 normal (may benefit from treatment)
Subclinical hyperthyroidism: TSH low, T4/T3 normal (monitor closely)
How to Optimise Thyroid Function
Nutrients for Thyroid Health
Nutrient | Why It's Important | Food Sources |
|---|---|---|
Iodine | Building block for thyroid hormones | Seafood, seaweed, dairy |
Selenium | Helps convert T4 to T3 | Brazil nuts, fish, eggs |
Zinc | Thyroid hormone production | Meat, shellfish, legumes |
Iron | Required for hormone synthesis | Red meat, spinach, lentils |
Vitamin D | Thyroid function regulation | Sunlight, oily fish, supplements |
Lifestyle Factors
Manage stress: Chronic stress affects thyroid function
Quality sleep: 7-9 hours nightly
Avoid excessive goitrogens: Raw cruciferous vegetables in moderation if hypothyroid
Regular exercise: Supports metabolism and hormone balance
When Medication Is Needed
Hypothyroidism: Levothyroxine (thyroid hormone replacement)
Hyperthyroidism: Anti-thyroid medication, radioactive iodine, or surgery
Get Your Thyroid Checked Today
Our Thyroid Test Options
Basic Thyroid (TSH only) - £245
Best for: Screening if you have no symptoms
Standard Thyroid (TSH, T4, T3) - £275
Best for: Comprehensive assessment
Advanced Thyroid (TSH, T4, T3, Antibodies) - £325
Best for: Autoimmune thyroid investigation, family history
Book Your Thyroid Test
Price: From £245
Results: 2-3 days
Doctor review: A doctor always reviews every result
Fasting required: No (morning test preferred)
FAQ
How common are thyroid problems?
Very common—affecting approximately 1 in 20 people in the UK, with women 5-10 times more likely than men.
Can thyroid problems be cured?
Hypothyroidism is easily managed with daily medication. Hyperthyroidism may be cured with treatment.
How often should I test my thyroid?
Annually if you have risk factors; every 6-8 weeks if adjusting medication; otherwise when symptomatic.
Does thyroid affect weight?
Yes. Underactive thyroid slows metabolism (weight gain); overactive speeds it up (weight loss).
Can stress affect thyroid results?
Yes. Chronic stress can affect thyroid function and should be considered when interpreting results.
Blood Test London by The Wellness. Comprehensive thyroid testing from £245, results in 2-3 days.