PATIENT & CAREGIVER EDUCATION
Thyroid Function Tests (TFTs)
This information explains thyroid function tests (TFTs).
Thyroid function tests are blood tests that check the
amount of thyroid hormone in your blood.
Thyroid Stimulating Hormone (TSH)
Thyroid stimulating hormone (TSH) is made and
released by a gland in your brain. This hormone
stimulates your thyroid to work.
TSH levels
The level of TSH in your blood shows if your thyroid is
too active or not active enough. If you do not have a
thyroid, your healthcare provider will still check your
TSH levels. This is to see if you’re getting the right dose
of thyroid hormone replacement medication.
The normal TSH range may be different depending on
the lab. At MSK, the normal range is 0.60 milli-
international units per liter (mIU/L) to 4.80 mIU/L.
If your TSH level is low, you’re in a state of
hyperthyroidism. This means your thyroid function is
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too active.
If your TSH level is high, you’re in a state of
hypothyroidism. This means your thyroid function is
not active enough.
In people without thyroid cancer, the goal is to keep
their TSH level within the normal range.
In some people with thyroid cancer, the goal is to keep
their TSH level below the normal range. This is usually
for the first few years after being diagnosed and
depends on the type of cancer you have. It may lower
the risk of the cancer coming back. Talk with your
healthcare provider about what level is right for you.
Free Thyroxine (FT4)
Free Thyroxine (FT4) is another blood test that
measures your thyroid function. It tells us how much
“free” or available thyroid hormone you have in your
blood. At MSK, the normal range for FT4 is 0.70
nanograms per deciliter (ng/dL) to 1.50 ng/dL.
In people without thyroid cancer, the goal is to keep
their FT4 level within the normal range.
In people with thyroid cancer, the FT4 level may be
near the upper limits of the normal range.
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Thyroglobulin
Thyroglobulin (THY-roh-GLAH-byoo-lin) is a protein in
your blood made by your thyroid cells. We measure your
thyroglobulin level to help us monitor your cancer after
treatment. If your thyroglobulin level rises, it could
mean that you need more tests and follow-up care. This
is to make sure your cancer has not come back.
If you have medullary thyroid cancer, other tests are
also used to monitor your cancer. Your healthcare
provider will give you more information.
If you have questions or concerns, contact your
healthcare provider. A member of your care team will
answer Monday through Friday from 9 a.m. to 5 p.m.
Outside those hours, you can leave a message or talk
with another MSK provider. There is always a doctor
or nurse on call. If you’re not sure how to reach your
healthcare provider, call 212-639-2000.
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Thyroid Function Tests (TFTs) - Last updated on June 16, 2022
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