1a3b1f19b5fde71bc97f14406a9a960f65ec2bd36e799
1a3b1f19b5fde71bc97f14406a9a960f65ec2bd36e799
Barcode : E0830954
Patient Name : Renu
Sample Collected On : 09/Mar/2024 07:53AM
Age/Gender : 38Y 0M 0D /Female
Sample Received On : 09/Mar/2024 01:00PM
Order Id : 10284255284
Report Generated On : 09/Mar/2024 02:46PM
Referred By : Self
Sample Temperature : Maintained
Customer Since : 09/Mar/2024
Report Status : Final Report
Sample Type : Serum
DEPARTMENT OF IMMUNOLOGY
Test Name Value Unit Bio. Ref Interval
Pregnancy interval Bio Ref Range for TSH in uIU/ml (As per American Thyroid Association)
First trimester 0.1 - 2.5
Second trimester 0.2 – 3.0
Third trimester 0.3 – 3.0
Healthians recommends that the following potential sources of variation should be considered while interpreting thyroid hormone results:
1. Thyroid hormones undergo rhythmic variation within the body this is called circadian variation in TSH secretion: Peak levels are seen between
2-4 AM. Minimum levels seen between 6-10 AM. This variation may be as much as 50% thus, influence of sampling time needs to be considered
for clinical interpretation.
2. Circulating forms of T3 and T4 are mostly reversibly bound with Thyroxine binding globulins (TBG), and to a lesser extent with albumin and
Thyroid binding Pre-Albumin. Thus the conditions in which TBG and protein levels alter such as chronic liver disorders, pregnancy, excess of
estrogens, androgens, anabolic steroids and glucocorticoids may cause misleading total T3, total T4 and TSH interpretations.
3. Total T3 and T4 levels are seen to have physiological rise during pregnancy and in patients on steroid treatment.
4. T4 may be normal even in the presence of hyperthyroidism under the following conditions : T3 thyrotoxicosis, Hypoproteinemia related reduced
binding, during intake of certain drugs (eg Phenytoin, Salicylates etc)
5. Neonates and infants have higher levels of T4 due to increased concentration of TBG
6. TSH levels may be normal in central hypothyroidism, recent rapid correction of hypothyroidism or hyperthyroidism, pregnancy, phenytoin therapy
etc.
7. TSH values of <0.03 uIU/mL must be clinically correlated to evaluate the presence of a rare TSH variant in certain individuals which is
undetectable by conventional methods.
8. Presence of Autoimmune disorders may lead to spurious results of thyroid hormones.
9. Various drugs influence the levels of thyroid hormones such as L-Dopa, Lithium, Glucocorticoids, Phenytoin etc.
10. Healthians recommends evaluation of unbound fractions, that is free T3 (fT3) and free T4 (fT4) for clinic-pathologic correlation, as these are
the metabolically active forms.
Page 1 of 2
SIN No:E0830954
Partner Name : EASY MEDICAL SOLUTIONS
Barcode : E0830954
Patient Name : Renu
Sample Collected On : 09/Mar/2024 07:53AM
Age/Gender : 38Y 0M 0D /Female
Sample Received On : 09/Mar/2024 01:00PM
Order Id : 10284255284
Report Generated On : 09/Mar/2024 02:46PM
Referred By : Self
Sample Temperature : Maintained
Customer Since : 09/Mar/2024
Report Status : Final Report
Sample Type : Serum
DEPARTMENT OF IMMUNOLOGY
Test Name Value Unit Bio. Ref Interval
Page 2 of 2
SIN No:E0830954