What Is a Normal TSH Level?

The normal TSH range is 0.4–4.0 mIU/L. Values below or above this range may indicate a condition that requires further evaluation.

Reference Range Table

MarkerLowNormalHigh
TSHBelow 0.4 mIU/L — possible hyperthyroidism0.4–4.0 mIU/LAbove 4.0 mIU/L — possible hypothyroidism

What Affects Your Results

Time of day (TSH is highest in early morning), severe illness, certain medications (biotin supplements, steroids, dopamine), pregnancy, and recent changes to thyroid medication can all affect TSH levels.

When to Retest

If adjusting thyroid medication, retest in 6-8 weeks. Once stable, every 6-12 months. For routine screening, annually after age 35.

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Frequently Asked Questions

What Do Abnormal Results Mean?