Thyroid Report: Normal Range & How to Read It

A thyroid report measures TSH, a signal from the pituitary gland, and the thyroid hormones T3 and T4. Your doctor reads them together.

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What a thyroid test checks

  • TSH

    The signal that tells the thyroid how much hormone to make.

  • T3 and T4

    The two main hormones the thyroid releases.

  • Free T3 and free T4

    The part of each hormone that is free to act.

Thyroid normal range for adults

Labs differ a little. Always compare with the range printed on your report.

TestNormal rangeUnitWhat it tells you
Thyroid profile
TSH0.4–4.0mIU/LHigh often means the thyroid is making less hormone.
Total T380–200ng/dLThe more active thyroid hormone.
Total T45.0–12.0µg/dLThe main hormone the thyroid releases.
Free hormones
Free T32.3–4.2pg/mLT3 that is free to act.
Free T40.8–1.8ng/dLT4 that is free to act.
Antibodies
Anti-TPOBelow 35IU/mLAntibodies against the thyroid gland.

Ranges from the NirogGyan biomarker library. Updated .

What a thyroid report looks like

The same results in the usual lab layout, and as a NirogGyan Smart Report.

SAMPLE LABLABORATORY REPORT
Name: Sample patient
Age / Sex: 36 / F
Sample: Serum
THYROID PROFILE
TESTRESULTRANGETSH7.8H0.4-4.0Total T310480-200Total T46.15.0-12.0Free T32.92.3-4.2Free T40.90.8-1.8Anti-TPO112H<35
End of report · Sample for illustration
Usual lab layout

Numbers and ranges in rows

NirogGyanSample
2 need attention4 normal
Thyroid
TSH7.8 mIU/L · High
Total T46.1 µg/dL · Normal
Free T40.9 ng/dL · Normal
Anti-TPO112 IU/mL · High
NirogGyan Smart Report

Each value on our report slider

SAMPLE LAB · LABORATORY REPORT
Name: Sample patientAge / Sex: 36 / F
TESTRESULT RANGE TSH7.8H 0.4-4.0Total T310480-200Total T46.15.0-12.0Free T40.90.8-1.8Anti-TPO112H<35

How to read your thyroid report

  1. Check your details

    Age, sex and pregnancy change the range that applies.

  2. Find your result

    The Result column shows your value for each test.

  3. Compare with the range

    The Range column shows what is normal for that test.

  4. Look for H or L

    A flag marks a value outside the range. Your doctor reads what it means.

Or upload it and see every value explained

Thyroid report questions

What is a normal TSH level?

Our biomarker library uses 0.4 to 4.0 mIU/L for adults. Labs and pregnancy ranges differ, so compare with your report.

What does a high TSH mean?

A high TSH often means the thyroid gland is making less hormone than the body needs. Your doctor reads it with T3 and T4.

What is the difference between T4 and free T4?

Total T4 counts all the hormone in the blood. Free T4 counts only the part that is free to act, so it is less affected by proteins in the blood.

Do I need to fast for a thyroid test?

Usually no. Some doctors prefer a morning sample so that repeat tests are done at the same time of day.

Are thyroid ranges different in pregnancy?

Yes. TSH targets are different in each trimester of pregnancy, and your doctor uses those ranges.

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