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The starting point in the diagnosis of thyroid function is the measurement of TSH levels. TSH is a hormone produced in the pituitary gland that increases thyroid hormone production (FT3 – triiodothyronine and FT4 – thyroxine) and promotes iodine absorption.

When FT3 and FT4 are reduced, TSH is increased, while increased FT3 and FT4 decrease TSH production. Measurement of TSH levels is a screening test to detect hyper- and hypothyroidism.
The test is recommended if the patient has symptoms suggestive of thyroid problems.
Symptoms of hyperthyroidism:

Symptoms of hypothyroidism:
The test requires a blood sample taken from a vein.
Low levels of TSH in the body may mean that the patient has an overactive thyroid. High TSH levels may indicate an underactive thyroid. The results of other thyroid tests (e.g. FT4, FT3, and in some cases thyroglobulin, anti-TPO, anti-thyroglobulin and calcitonin) can help to make an accurate diagnosis.
The test alone does not diagnose any disease, and you should always consult a specialist with the results to determine the exact diagnosis and the necessary therapy.
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