TSH vs Full Thyroid Panel
TSH alone is the screening standard but misses central hypothyroidism, conversion defects, and autoimmune thyroiditis. A full panel (TSH, Free T4, Free T3, Reverse T3, TPO/Tg antibodies) is required when symptoms persist despite a normal TSH.
TSH alone is sufficient when asymptomatic and no prior thyroid history.
Full thyroid panel is decisive when symptoms suggest thyroid dysfunction, when TSH is borderline, or during hormonal optimization.
Educational. Final pathway selection is provider-reviewed via synchronous video consultation against your biomarkers, history, and goals.
Frequently asked
If my TSH is normal, am I done?
Not when symptoms persist — TSH-only misses conversion and autoimmune defects.
Is the full panel on the standard panel?
TSH and Free T4 are standard; Free T3, Reverse T3, and antibodies are added during thyroid-anchored optimization.
Take the optimization assessment.
The adaptive assessment maps your symptoms, history, and goals to candidate pathways — and routes you into provider review.
Begin assessment