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THYROID CASCADE
MessageThyroid stimulating hormone (TSH) will be performed first. If the TSH result is abnormal, a free T4 will be performed.
Test Code
THYC
Preferred Specimen
Serum
Instructions
Centrifuge PST or SST (after clotting) to separate serum from cells.
Transport Container
SST or PST for Chemistry
Methodology
Siemens Centaur
Clinical Significance
Thyrotropin (Thyroid Stimulating Hormone or TSH) is the primary test for screening for both hyper- and hypothyroidism. If the result of the TSH is abnormal, a Free Thyroxine (FT4) test will be performed, which will help in determining if the patient is truly hyper- or hypothyroid. At that point, additional testing may be needed to determine the cause.