Patient Education
Thyroid Function Testing (TSH, T4)
A clear, comprehensive look at how your thyroid is functioning—so we can find answers and guide your care with confidence.
Thyroid function testing measures the hormones that regulate your metabolism, energy, mood, and weight. A simple blood panel—typically TSH and T4—helps us identify whether an underactive or overactive thyroid may be behind symptoms like hypothyroidism, persistent fatigue, or unexplained changes in weight, and lets us monitor your thyroid health over time.
How Thyroid Testing Works
Your thyroid panel is performed with a standard blood draw, usually drawn alongside other routine labs so you only need one visit. TSH (thyroid-stimulating hormone) is the most sensitive first-line test; when it falls outside the normal range, we add T4 and sometimes additional markers to clarify the picture.
The sample is collected through a quick venipuncture and sent to the lab for analysis. We often pair thyroid testing with a broader metabolic panel or complete blood count as part of your comprehensive physical examination to give a complete view of your health.
How to Prepare
Thyroid testing requires very little preparation, and in most cases you do not need to fast unless other labs are being drawn at the same time. If your blood draw includes a lipid panel or glucose testing, we may ask you to fast beforehand—we will let you know in advance.
Please bring a current list of your medications and supplements, including any thyroid medication, biotin, or vitamins, since some can affect results. Drinking water and taking your medications as usual is generally fine unless we advise otherwise.
After Your Test & Follow-Up
Most thyroid results return within a few days, and we will review them with you directly to explain what they mean for you. If your levels are normal, we will note them as a healthy baseline for future comparison.
If your results suggest an underactive thyroid, we may discuss thyroid hormone replacement and a plan for periodic retesting to fine-tune your dose. When a more complex thyroid concern is identified, we coordinate endocrinology evaluation—including specialist referral including Cedars-Sinai when appropriate—so you stay supported every step of the way.
When Thyroid Testing May Help
- Persistent fatigue, low energy, or feeling unusually cold
- Unexplained weight gain or difficulty losing weight
- Changes in mood, concentration, hair, or skin
- Monitoring an existing thyroid condition or medication
- A routine part of your annual preventive health visit
Frequently Asked Questions
1What's the difference between TSH and T4?
2Do I need to fast before a thyroid test?
3Can I take my thyroid medication on the day of the test?
4What happens if my thyroid results come back abnormal?
5How often should thyroid levels be checked?
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Understand Your Thyroid Health with Thyroid Function Testing (TSH, T4)
If fatigue, weight changes, or other symptoms have you wondering about your thyroid, let's get clear answers together.
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