DIAGNOSTIC REPORT
MC-7180
PATIENT NAME : NAMRATA PRANJAL KHATAL REF. DOCTOR : DR. ADITI DEODHAR
ACCESSION NO : 5083YC000180 AGE/SEX : 27 Years Female
PATIENT ID : NAMRF1103985083 DRAWN : 11/03/2025 20:27:41
CLIENT PATIENT ID: RECEIVED : 11/03/2025 20:30:10
ABHA NO : REPORTED :12/03/2025 13:48:27
CLINICAL INFORMATION :
LMP 15/12/2025
Test Report Status Final Results Biological Reference Interval Units
SPECIALISED CHEMISTRY - HORMONE
TSH 3RD GENERATION ULTRASENSITIVE, SERUM
TSH (ULTRASENSITIVE) 1.140 Euthyroid : 0.35 - 4.94 µIU/mL
Hypothyroid : > 4.94
Hyperthyroid : < 0.35
Pregnant Women (As per
American Thyroid Association)
1st Trimester 0.100 - 2.500
2nd Trimester 0.200 - 3.000
3rd Trimester 0.300 - 3.000
Please note change in reference
range.
METHOD : CMIA
Interpretation(s)
TSH 3RD GENERATION ULTRASENSITIVE, SERUM-TSH stands for thyroid stimulating [Link] hormone stimulates the Thyroid gland to make thyroid hormones
that regulate the way our body uses energy. These also play an important role in regulating weight, temperature, muscle strength, and even your mood. TSH is made in a
gland in the brain called the pituitary. When thyroid levels in our body are low, the pituitary gland makes more TSH. When thyroid levels are high, the pituitary gland makes
less TSH. TSH levels that are too high or too low can indicate that thyroid is not working correctly.
There is a circadian rhythm of TSH secretion, with peak values at the onset of sleep and nadir concentrations during the afternoon hours. Peak and nadir concentrations
differ by approximately +/- 50%. The effect on circulating T4 and T3 concentrations is not significant because of the large size of the extrathyroidal T4 pool.
In healthy subjects there is no significant impact of body weight, physical training, body habitus, posture, immobilization, mild to moderate exercise, or ambulatory status
on thyroid function, and no significant geographic environmental variation. Nutrition also has a minimal impact except for variation in iodine intake. Subthreshold
concentrations of iodine intake are associated with increased TSH secretion, goiter, increased thyroid iodine uptake, decreased T4 production, an increased T3/T4 secretion
ratio, and an increased ratio of circulating T3/T4 concentrations. Excessive iodine intake can block thyroid hormone biosynthesis by inhibiting the enzymes involved in the
biosynthetic process, resulting in reduced T4 secretion, increased TSH concentrations, goiter, and hypothyroidism if the iodine excess is chronic.
High TSH levels can mean your thyroid is not making enough thyroid hormones, a condition called [Link] TSH levels can mean your thyroid is making too
much of the hormones, a condition called hyperthyroidism. A TSH test does not explain why TSH levels are too high or too low.
In cases of Subclinical hypothyroidism, a single test can be misleading, so a second test is usually done 2 or 3 months later. In both tests, the blood is taken at the same
time of day because TSH levels can fluctuate over the course of 24 hours. Subclinical hypothyroidism is diagnosed when both TSH readings are high but the thyroid
hormone thyroxine is still within the normal range.
Being severely overweight and certain medications can also increase TSH. TSH levels are likely to fluctuate more during pregnancy.
TSH values may be transiently altered because of Non thyroidal Illness like severe infections, liver disease, renal failure, heart failure, severe burns, trauma, surgery etc.
TSH levels that are slightly or only moderately elevated do not necessarily need to be treated. Some people who have high TSH levels never even develop symptoms.
It is also very common for TSH levels to return to normal in children and teenagers.
REF: 1. TIETZ Fundamentals of Clinical chemistry 2Guidlines of the American Thyroid association during pregnancy and Postpartum,2011.
TSH in pregnancy
There’s reduction in both the lower and the upper limit of maternal TSH relative to the non-pregnant TSH reference range. This is because of elevated levels of serum hCG
that directly stimulates the TSH receptor, thereby increasing thyroid hormone production. The largest decrease in serum TSH is observed during the first trimester.
Thereafter, serum TSH and its reference range gradually increases in the second and third trimesters, but nonetheless remains lower than in non-pregnant women.
Page 1 Of 2
DR. SONAL PRIYA Dr. Geetha Chandrashekhar, MD
CONSULTANT PATHOLOGIST Consultant Pathologist
View Details View Report
PERFORMED AT :
Agilus Pathlabs Private Limited
Mahalakshmi Engineering Estate, Mahim West
Mumbai, 400016 ULR No.508300007726865-5047
Maharashtra, INDIA
Tel : +91 22 48247247/022 68247247, Fax : CIN - U85I95DL1999PTC217659
DIAGNOSTIC REPORT
MC-7180
PATIENT NAME : NAMRATA PRANJAL KHATAL REF. DOCTOR : DR. ADITI DEODHAR
ACCESSION NO : 5083YC000180 AGE/SEX : 27 Years Female
PATIENT ID : NAMRF1103985083 DRAWN : 11/03/2025 20:27:41
CLIENT PATIENT ID: RECEIVED : 11/03/2025 20:30:10
ABHA NO : REPORTED :12/03/2025 13:48:27
CLINICAL INFORMATION :
LMP 15/12/2025
Test Report Status Final Results Biological Reference Interval Units
**End Of Report**
Please visit [Link] for related Test Information for this accession
Page 2 Of 2
DR. SONAL PRIYA Dr. Geetha Chandrashekhar, MD
CONSULTANT PATHOLOGIST Consultant Pathologist
View Details View Report
PERFORMED AT :
Agilus Pathlabs Private Limited
Mahalakshmi Engineering Estate, Mahim West
Mumbai, 400016 ULR No.508300007726865-5047
Maharashtra, INDIA
Tel : +91 22 48247247/022 68247247, Fax : CIN - U85I95DL1999PTC217659