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What are the tests to be conducted for Thyroid?

TCH, LH FSH, Prolatin are the tests that are done. Please check this list of thyroid tests please add if missed any and have to get any pitiuary tests or not?Are all these tests related to thyroid or not if any tests below are not related will skip it.

reflex T4,T3,FT4, FT3,antibodies tests TPO Ab and Tg Ab,iron & ferritin, cortisol, vitamin D,cholesterol,folic,vitamin b12,t3,t4

Please add anymore tests if missed any in this list to be done,thank you very much :)
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649848 tn?1534633700
COMMUNITY LEADER
TSH should be done again with the Free T3 and Free T4, as they should be done from the same blood draw.  It's not necessary to have the RBC/blood count/blood type done.  The Ferritin and B12 tests will help determine anemia, but you can have the blood count done if you want.  Blood type is not necessary.

Selenium is not a "standard" blood test; it's typically done with micro-nutrient testing, so your doctor may not order that... Don't worry if it's not ordered.
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Avatar universal
Hello,TSH,LH,FSH,Prolactin tests are already done so its not listed.So will ask her to do these remaining tests then post results here(since last test weeks ago shes been eating stuff to increase blood count incase of anamia or this cant afford to keep testing again and again losing alot of blood as it is no periods).

So here is the list of tests will ask her to get done then post results online
Free T3,Free T4
TPOab, TgAb
Ferritin,Selenium
Vitamin D, Vitamin B12  
Cholesterol,Triglycerides
Should this have Rbc/Blood count with Blood Type

Thank you very much :)
Helpful - 0
649848 tn?1534633700
COMMUNITY LEADER
Of what you have listed, Free T3, Free T4, TSH, TPOab, TgAb, Ferritin, Vitamin D, Vitamin B12 and Cholesterol would be the tests you need.

T3 and T4 are Total T3 and Total T4 and they're obsolete, so there's no need to waste money testing them.    

I'm not sure what you mean by "reflex T4"... Some doctors will order a test called TSH w/reflex FT4 - this is an instruction to the lab to run TSH and if it's out of range, they should then, analyze FT4, but if TSH is in range, they should do nothing further... this test is obsolete and there's no reason to ever order it.  

A single blood cortisol is not very useful.
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Avatar universal
I don't know what you mean by "reflex T4,T3,FT4, FT3".  Please type out the name(s) of the test(s) precisely.  It's best to list them one under the other to eliminate confusion.

Also, by "t3,t4" at the end, do you mean total T3 and total T4?
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16428684 tn?1460085084
I can comment on Thyroid tests, but am not well versed in pituitary tests.

This list looks pretty comprehensive to me.  The FREE T3 and FREE T4 are usually the only ones that help us titrate the meds (versus TOTAL or other T4 & T3 tests).  I do not see TSH (Thyroid Stimulating Hormone)- but this is almost always done with the Free T3 and Free T4.

If one has been hypothyroid for awhile the cholesterol and triglycerides can be elevated.  Even the A1C (diabetes test) can be elevated too, until proper treatment is in place (if there is no other underlying reason).

Some people like to test their blood Selenium levels as this is needed to convert T4 into T3 in the peripheral cells. Selenium, if low, can be supplemented.

And the cortisol test that is said to be most accurate is the 24 hour SALIVA test (4 vials of saliva taken over 24 hours).  Most insurance doesn't pay for this and it is then ordered by the individual online (about $125).
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