1. Individulas with clinically overt hypo or hyperthyroidism have corresponding low or high FT4 and/or FT3. Individuals with sub-clinical hypo or hyperthyroidism usually have normal FT4 and/or FT3.
2. Anti-TPO and Anti-Tg follow up tests may be helpful in the assessment of abnormal TSH results.
3. Flagging is based on non-pregnant adult euthyroid and pediatric ranges only. Pregnancy ranges are not flagged, please review individually.
Sources:
1. Quinn et al. Thyroid autoimmunity and thyroid hormone reference intervals in apparently healthy Chinese adults. Clin Chim Acta. 2009 Jul;405(1-2):156-9.
2. Shen FX et al. Gestational thyroid reference intervals in antibody-negative Chinese women. Clin Biochem 2014 May;47(7-8):673-5.
3. Steven J. Soldin et al. Pediatric Reference intervals (7th Edition). AACC Press.