Thyroid hormones TSH, T4, T3 - norms for children


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How to prepare for a blood test for thyroid hormones

To get the most reliable results of a blood test for T3, T4 and TSH, you need to donate blood only on an empty stomach. On the eve of the visit to the laboratory, it is necessary to minimize physical and psycho-emotional stress, exclude any medical procedures and physical therapy. If a child is forced to take any medications for health reasons, the doctor must be informed about this before taking the test. Many medications affect the level of hormones in the blood.

Deficiency or excess of thyroid hormones in the blood is a serious problem for a patient of any age. Children react especially quickly to any deviations from the norm, since their bodies are in the stage of active development. It is important not to delay contacting a doctor if any suspicious symptoms appear. Experienced endocrinologists at the SM-Doctor clinic will prescribe the necessary tests, tell you about the rules for preparing for them, and interpret the results as part of a comprehensive diagnosis. Let your baby's endocrine system be under control!

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  • Indications for prescribing the study

    Free thyroxine (T4 free, Free Thyroxine, FT4) is a fraction of the main thyroid hormone, thyroxine (T4), not bound to proteins.
    The study is aimed at assessing thyroid function. The test is carried out:

    • with clinical signs of increased or decreased activity of the thyroid gland;
    • with an increase in the size of the thyroid gland (goiter);
    • with a previously identified change in the level of thyroid-stimulating hormone;
    • to monitor treatment for established thyroid diseases.

    No. 55 Laboratory assessment of thyroid function

    Free thyroxine (Free Thyroxine, FT4) In this study, the concentration of the free fraction of thyroxine, the dominant thyroid hormone, is determined in the blood serum. This study is advisable to carry out in the presence of signs of hypothyroidism or thyrotoxicosis, with a decreased or increased level of TSH, as well as with identified diffuse toxic goiter.

    Up to 1 business day

    580 RUR Add to cart

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    What can affect the result

    1. Taking medications: iodine, thyroid hormones, thyreostatics (drugs that reduce the production of thyroid hormones), oral contraceptives (birth control pills), anabolic steroids, glucocorticosteroids, antibiotics, heparin, anticonvulsants, propranolol (a beta-blocker drug), diuretics (diuretics), etc.
    2. Recent thyroid surgery, radiotherapy.
    3. Increased body weight.
    4. Time to apply a tourniquet when drawing blood.
    5. Time of blood donation: the highest level of free thyroxine is recorded from 8:00 to 12:00, the lowest - from 20:00 to 03:00.
    6. Time of year: the level of free thyroxine in the autumn-winter period is lower than in summer.
    7. Pregnancy (free thyroxine levels fluctuate).

    You can donate blood for free T4 at the nearest INVITRO medical office.
    A list of offices where biomaterial is accepted for laboratory research is presented in the “Addresses” section. Interpretation of study results contains information for the attending physician and is not a diagnosis.
    The information in this section should not be used for self-diagnosis or self-treatment. An accurate diagnosis is made by the doctor, using both the results of this examination and the necessary information from other sources: medical history, results of other examinations, etc. The thyroid gland is the largest gland of the endocrine system.


    It accumulates iodine and produces iodine-containing hormones - thyroxine (tetraiodothyronine, T4) and triiodothyronine (T3). The synthesis of these hormones requires thyroglobulin (TG), a precursor to T4 and T3, the only source of which is the thyroid gland, but whose secretion is controlled by thyroid-stimulating hormone (TSH). TSH, in turn, is synthesized by the pituitary gland (pituitary gland), which is located at the base of the brain. The main function of the pituitary gland is to maintain a constant concentration of thyroid hormones.

    Thyroid hormones are found in the blood both in free form and bound to special carrier proteins. Only free forms of hormones exhibit biological activity. Thyroxine (T4) is one of the two main thyroid hormones.


    Thyroxine secretion is regulated by a feedback system that the body uses to maintain stable levels of thyroid hormones in the blood.

    If the level of thyroid hormones in the blood decreases, the pituitary gland begins to produce more thyroid-stimulating hormone (TSH), which stimulates the thyroid gland, and the secretion of T4 and T3 increases.

    If the level of T3 and T4 in the blood, on the contrary, increases, then the pituitary gland reduces the secretion of TSH, and the thyroid gland, in turn, produces less T4 and T3.


    If the thyroid gland does not produce enough T4 and T3 due to thyroid dysfunction or insufficient TSH levels, a person will experience symptoms of hypothyroidism: weight gain, dry skin, cold intolerance, irregular periods and fatigue.

    If the thyroid gland produces too much T4 and T3, a person may experience symptoms associated with hyperthyroidism: rapid heart rate, anxiety, weight loss, trouble sleeping, tremors in the hands, and dry, irritated eyes. In some cases, exophthalmos (bulging eyes) is a characteristic symptom.

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    Possible complications of hyperthyroidism in the absence of timely treatment

    Constantly high levels of thyroxine and triiodothyronine lead to exhaustion and weakening of the body. The most common complications:

    • From the cardiovascular system: atrial fibrillation, which can result in cerebrovascular accidents (stroke), heart failure and associated deficiency of blood supply to all organs.
    • From the musculoskeletal system - osteoporosis (demineralization of bone tissue). Occurs due to the fact that thyroid hormones suppress the process of incorporation of calcium from the blood into the bone. In osteoporosis, bones break from light impacts or falls from one's own height.
    • From the side of the eyes. Due to inflammation of the eye muscles, vision clarity deteriorates. Bug-eyedness leads to the fact that the eyelids do not close completely, the conjunctiva dries out and becomes inflamed.
    • Thyrotoxic crisis is a sharp increase in all symptoms: a jump in pulse, blood pressure, temperature, which may be accompanied by clouding of reason. This is a life-threatening condition; without medical attention, a person risks having a heart attack or stroke.
    • If the causes of hyperthyroidism are benign neoplasms, in the absence of proper therapy they can contribute to the development of thyroid cancer.

    Thyrotoxicosis has serious complications that lead to death or disability of the patient; to prevent this, it is important to contact an endocrinologist if alarming symptoms appear.

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