Your blood can convey significant information about how your body functions, particularly as it relates to your thyroid. There are a number of blood tests that your doctor might order.
Why are blood tests important and what do their results mean? Some may uncover the cause of certain symptoms and aid in diagnosis. Other tests will monitor whether certain parts of your body operate as they should.
Processing these test results can be overwhelming and confusing. Understanding why doctors order specific tests and what results indicate can help to alleviate some of the stress associated with getting blood work done.
Healthcare Disclaimer
We encourage you to speak with your doctor if you have any other questions or concerns regarding your symptoms and treatment. While this information provides a helpful guide, it does not replace consultation with your healthcare provider.
Blood Testing 101
Depending on your medical history or the symptoms you are experiencing, your doctor might order any of the following types of blood tests.
What Each Blood Test Carries Out
Blood Tests | Diagnoses Thyroid/Parathyroid Conditions * | Monitors Tumor Markers | Evaluates Effectiveness of Cancer Treatment |
---|---|---|---|
Thyroid-Stimulating Hormone (TSH) | ✓ | ||
Thyroxine (T4) and Triiodothyronine (T3) | ✓ | ||
Thyroglobulin | ✓ | ✓ | |
Calcitonin | ✓ | ✓ | ✓ |
Thyroid Antibody | ✓ | ✓ | |
Calcium | ✓ | ||
Glucose | ✓ |
Tests That Evaluate Thyroid Function
Thyroid-Stimulating Hormone (TSH) Tests
Thyroid-Stimulating Hormone (TSH) blood tests can indicate if your body produces too little or too much thyroid hormone, which can aid in diagnosis of hypothyroidism and hyperthyroidism, respectively. The pituitary gland makes TSH, which manages the balance of thyroid hormones. TSH tests also monitor the activity of thyroid nodules in order to guide courses of treatment. Additionally, TSH tests help to monitor whether patients taking thyroid hormone replacement are on the appropriate dose. Healthy TSH levels typically span 0.5 to 5.0 mIU/L.
Thyroxine (T4) and Triiodothyronine (T3) Tests
You may get blood work done to test for levels of Thyroxine (T4) and Triiodothyronine (T3), which are regulated by and inherently connected to TSH levels previously described. Low levels of these hormones can be indicative of hypothyroidism, while high levels can be indicative of hyperthyroidism. Healthy values of T4 typically span 5.0 to 12.0μg/dL, while healthy values of T3 typically span 80-220ng/dL.
Tests That Monitor Tumor Markers
Thyroglobulin Tests
Both healthy and cancerous thyroid cells produce the protein thyroglobulin. It serves as a tumor marker because it can be produced by cells when cancer is present. Blood testing for thyroglobulin can be used to monitor thyroglobulin levels and to determine whether thyroid cancer treatment has been effective. Following a total thyroidectomy (removal of the entire thyroid) or ablation of all thyroid tissue, the blood should have minimal amounts of thyroglobulin.
Calcitonin Tests
The thyroid produces calcitonin, a hormone that regulates the body’s use of calcium. Like thyroglobulin, calcitonin is a tumor marker because cancerous and noncancerous cells may produce it when cancer is present. High levels of calcitonin can specifically be indicative of medullary thyroid cancer or diseases associated with it. Healthy calcitonin levels typically fall below 10pg/mL.
Tests That Diagnose Thyroid/Parathyroid Conditions
Thyroid Antibody Tests
Antibodies function to fend off illness-causing bacteria or viruses. Your immune system may produce antibodies that target your thyroid instead. Testing for these antibodies can help to identify autoimmune thyroid diseases.
Calcium Tests
Calcium tests, which determine how much calcium is circulating in your blood, can be useful in analyzing the function of the parathyroid glands. High calcium levels may signal hyperparathyroidism, while low calcium levels may signal hypoparathyroidism. Healthy calcium levels typically span 8.5 to 10.2mg/dL.
Glucose Tests
Blood glucose tests aid in the diagnosis of diabetes. However, they can also indicate hyperthyroidism and hypothyroidism in some cases when glucose levels are higher or lower than normal, respectively. Healthy blood glucose levels (when fasting) typically span 72 to 99mg/dl).
When in Doubt, Ask Questions!
Do you feel uncertain or confused about your blood work? Ask your doctor why they have ordered a particular test, or what the reported values indicate! Attaining clarity about your blood tests can help to ease your nerves. Alternatively, it might simply remind you of why enduring the prick of a needle is so essential to your health.
Top Questions for Your Doctor
Access our list of the most important questions to ask your physician at your next appointment.