How Is Hypothyroidism Diagnosed?

Diagnosed through blood tests.

Criteria

  • TSH above 4.0
  • Free T4 below normal
  • Anti-TPO positive = Hashimoto's

Steps

  • TSH screening
  • Free T4 to confirm
  • Antibodies for cause
  • Repeat 3+ months

Subclinical vs Overt

  • Subclinical: TSH 4-10, normal T4
  • Overt: TSH above 10, low T4
Source: American Thyroid Association, NLM MedlinePlus.

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