BLOOD TEST · SMART CARE POLYCLINIC, DEIRA
Thyroid Test explained
Checks whether your thyroid is running fast, slow or normally — the gland that sets your metabolic pace.
What the Thyroid Test measures
TSH is the message the brain sends the thyroid. When the thyroid is underactive the brain shouts louder and TSH rises; when it is overactive the brain goes quiet and TSH falls. A thyroid profile adds the hormones the gland itself makes. How those results are interpreted, and when an underactive thyroid warrants treatment, follows American Thyroid Association guidance.1
What the result tells you
High TSH — an underactive thyroid
Everything slows: tiredness sleep does not fix, weight gain without eating more, feeling cold, dry skin, constipation, low mood. Treated with a daily tablet.
Low TSH — an overactive thyroid
Weight loss, a racing or irregular heartbeat, tremor, heat intolerance, anxiety and poor sleep. Treated rather than watched, because of the effect on the heart over time.
Borderline, with normal thyroid hormones
Common and often unalarming. Usually repeated after a few weeks rather than treated, since it can settle on its own — particularly after an illness.
Easily distorted
Biotin supplements interfere with the measurement itself and can produce a thyroid result that is simply wrong. Stop them several days before.
How to prepare
- Fasting
- Not needed
- Best time
- Any time, but before your morning dose if you take thyroid medication
- Avoid before
- Biotin supplements for at least 3 days
- Worth knowing
- Tell the nurse if you already take thyroid medication, so the number reflects your own thyroid rather than the tablet.
What can move the result
A result outside the usual range does not on its own mean something is wrong. These are the everyday explanations a doctor considers first.
Packages that include it
Frequently asked questions
TSH is the message the brain sends the thyroid. When the thyroid is underactive the brain shouts louder and TSH rises; when it is overactive the brain goes quiet and TSH falls. A thyroid profile adds the hormones the gland itself makes. How those results are interpreted, and when an underactive thyroid warrants treatment, follows American Thyroid Association guidance. High TSH — an underactive thyroid: Everything slows: tiredness sleep does not fix, weight gain without eating more, feeling cold, dry skin, constipation, low mood. Treated with a daily tablet.
Fasting: Not needed. Best time: Any time, but before your morning dose if you take thyroid medication. Avoid beforehand: Biotin supplements for at least 3 days. Tell the nurse if you already take thyroid medication, so the number reflects your own thyroid rather than the tablet.
Commonly: thyroid conditions, which often run in families; pregnancy and the months after birth; steroids and lithium; a recent severe illness, which moves TSH temporarily; biotin supplements, which interfere with the measurement. A single result is not a diagnosis. Values are read against the laboratory's own reference range and alongside your history, your symptoms and the rest of the panel — which is why every package includes a doctor to go through them with you.
At Smart Care Polyclinic, 29 Doha Centre, Al Maktoum Rd, Deira, Dubai. It is included in the Smart Essential Health, the Smart Total Health, the Smart Total Health 360°, the Smart Extra Health, the Fatigue Panel, the Hair Loss Panel, the Well Woman Panel, or it can be ordered on its own. Walk in during opening hours or call +971 (0)4 379 3562.
Sources
Written from current guidance and reviewed 31 August 2026.
Sources cited above
- Jonklaas J, Bianco AC, Bauer AJ, et al.. Guidelines for the treatment of hypothyroidism: prepared by the American Thyroid Association task force on thyroid hormone replacement. Thyroid. 2014;24(12):1670-751. PMID 25266247. doi:10.1089/thy.2014.0028The American Thyroid Association guideline on interpreting thyroid function tests and treating an underactive thyroid.
Sources are listed for the specific statements they support. They are published research and guidance, not a substitute for a consultation — what applies to you is decided by a doctor who has assessed you.
- TSH (thyroid-stimulating hormone) testMedlinePlus, US National Library of Medicine
- Thyroid disease: assessment and managementNICE
- Thyroid function testingEndocrine Society