Thyroid Function
TSH, Free T4, and Free T3 for thyroid assessment.
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Biomarkers Included
3 biomarkersA thyroid panel measuring TSH, Free T4, and Free T3. These three markers together can provide insight into how your thyroid gland is functioning and how actively thyroid hormones are being produced and converted.
Why this test?
The thyroid plays a role in regulating metabolism, energy levels, and body temperature. Measuring TSH alone may not capture the full picture, as Free T4 and Free T3 levels can vary independently. This panel includes all three markers so that production and conversion can both be assessed.
Who is this test for?
- Men who experience persistent fatigue, unexplained weight changes, or sensitivity to cold and want to rule out thyroid-related factors
- Those who have a family history of thyroid conditions
- Men who want a baseline measurement of thyroid function for future comparison
What is tested?
- TSH (mu/l, ref: 0.27-4.2): Thyroid-Stimulating Hormone, produced by the pituitary gland to signal the thyroid. Elevated or suppressed TSH may indicate the thyroid is under- or overproducing hormones.
- Free T4 (pmol/l, ref: 12-22): the unbound, active form of thyroxine. T4 is the primary hormone produced by the thyroid gland.
- Free T3 (pmol/l, ref: 3.1-6.8): the unbound form of triiodothyronine, largely converted from T4 in peripheral tissues. T3 is considered the more metabolically active thyroid hormone.
What can this test tell you?
Together, these three markers may help indicate whether the thyroid is producing hormones at expected levels and whether the body is converting T4 to T3 adequately. For instance, TSH could be elevated while Free T4 remains within range, which might suggest the pituitary is working harder to maintain normal output. Conversely, low TSH with elevated Free T4 or Free T3 could point toward overproduction. The interplay between these markers provides more context than any single value alone.
How is the sample collected?
A blood sample is drawn at a certified sample point (afnamepunt). There are over 750 locations across the Netherlands. After placing your order, you can select a location and time that works for you. The appointment typically takes around 10 to 15 minutes.
When is this test useful?
This test may be useful when experiencing symptoms such as unexplained fatigue, changes in weight, difficulty concentrating, or mood fluctuations that could be associated with thyroid function. It can also serve as a reference point for men who want to track thyroid parameters over time.
What do the results mean?
Results are presented with reference ranges for each marker. Values outside these ranges do not automatically indicate a clinical condition; they provide data points that may warrant further evaluation. A healthcare provider can help interpret the results in the context of your symptoms and medical history.
What happens after the results?
Your results are typically available within a few business days in your personal dashboard. The report includes measured values alongside reference ranges. If any values fall outside the expected range, or if you have questions, consider reviewing the results with a healthcare provider.
From order to report in 4 steps
No referral needed. No waiting list. Just order and go.
Choose your blood test
Pick a testosterone check, hormone panel, or prostate screening. Or build a custom test with exactly the markers you want.
Receive your lab referral
Within 2-3 hours you'll receive an email from ZorgDomein with a barcode. Orders outside business hours are processed the next business day.
Get tested at a lab near you
Show the barcode on your phone and bring a valid ID. Done in under 15 minutes.
Receive your report from the doctor
A BIG-registered physician assesses your results and writes a personal report. On your dashboard within a few business days.
Choose your blood test
Pick a testosterone check, hormone panel, or prostate screening. Or build a custom test with exactly the markers you want.
Receive your lab referral
Within 2-3 hours you'll receive an email from ZorgDomein with a barcode. Orders outside business hours are processed the next business day.
Get tested at a lab near you
Show the barcode on your phone and bring a valid ID. Done in under 15 minutes.
Receive your report from the doctor
A BIG-registered physician assesses your results and writes a personal report. On your dashboard within a few business days.
Always a location near you
With more than 450+ certified phlebotomy points across the Netherlands.
What We Test
This panel includes 3 biomarkers, each tested at a certified laboratory using medical-grade equipment.
TSH, or thyroid-stimulating hormone, is produced by the pituitary gland and controls the thyroid. It is the most commonly used blood value to assess thyroid function. An abnormal TSH level can indicate an underactive thyroid (hypothyroidism) or an overactive thyroid (hyperthyroidism). Thyroid problems are common — especially in women — and can cause a wide range of symptoms, from fatigue and weight gain to palpitations and nervousness.
Learn moreFree T4 (thyroxine) is the main hormone produced by the thyroid gland. It may serve as a precursor that your body converts into the more active T3. Healthcare providers often consider Free T4 a primary indicator of thyroid gland output.
Learn moreFree T3 (triiodothronine) is considered the most active thyroid hormone. It may play a key role in regulating metabolism, energy production, and body temperature. Healthcare providers often assess Free T3 alongside other thyroid markers for a comprehensive picture.
Learn moreTSH (Thyroid Stimulating Hormone)
ThyroidTSH, or thyroid-stimulating hormone, is produced by the pituitary gland and controls the thyroid. It is the most commonly used blood value to assess thyroid function. An abnormal TSH level can indicate an underactive thyroid (hypothyroidism) or an overactive thyroid (hyperthyroidism). Thyroid problems are common — especially in women — and can cause a wide range of symptoms, from fatigue and weight gain to palpitations and nervousness.
The thyroid affects virtually every organ in your body. The hormones it produces (T3 and T4) regulate your metabolism, heart rate, body temperature, energy level, and even your mood. When thyroid function is disrupted, the effects can be wide-ranging. Hypothyroidism (underactive) is the most common thyroid condition, affecting an estimated 5% of adults, with a clear predominance in women. It is often caused by the autoimmune condition Hashimoto's disease. Symptoms develop gradually and are therefore often recognised late. Hyperthyroidism (overactive) is less frequent but can be more serious. Graves' disease is the most common cause. Untreated, it can lead to heart rhythm disorders and bone loss. For women trying to conceive, the TSH value is particularly relevant, as suboptimal thyroid function can affect fertility and pose risks during pregnancy. A TSH below 2.5 mU/L is often used as a target in this context.
Free T4 (Thyroxine)
ThyroidFree T4 (thyroxine) is the main hormone produced by the thyroid gland. It may serve as a precursor that your body converts into the more active T3. Healthcare providers often consider Free T4 a primary indicator of thyroid gland output.
Free T4 may help your healthcare provider determine whether your thyroid gland is producing adequate hormone levels. Some experts consider it one of the most informative markers for detecting both overactive and underactive thyroid conditions early.
Free T3 (Triiodothyronine)
ThyroidFree T3 (triiodothronine) is considered the most active thyroid hormone. It may play a key role in regulating metabolism, energy production, and body temperature. Healthcare providers often assess Free T3 alongside other thyroid markers for a comprehensive picture.
Free T3 may help your healthcare provider evaluate how well your thyroid is functioning at a cellular level. Some experts suggest it can reveal conversion issues that other thyroid tests might miss, potentially offering a more complete understanding of thyroid health.
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