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TSH, Free T3, Free T4

Our at-home thyroid health test measuring TSH, Free T3, and Free T4 is ideal for anyone experiencing symptoms of thyroid imbalance or looking to proactively monitor their hormone health. This test is especially beneficial for individuals with fatigue, weight changes, hair thinning, mood fluctuations, or irregular heart rate, as well as those with a family history of thyroid disorders such as hypothyroidism or hyperthyroidism. It’s also a smart choice for people managing existing thyroid conditions, optimizing metabolism, or tracking overall wellness. Convenient and accessible, this comprehensive thyroid panel provides key insights into how your thyroid is functioning—helping you take control of your health from home.

TSH (Thyroid-Stimulating Hormone):
TSH is produced by the pituitary gland and acts as a regulator of thyroid function by signaling the thyroid to produce and release hormones. It helps maintain hormonal balance by adjusting output based on the body’s current needs.

Free T3 (Triiodothyronine):
Free T3 is the active thyroid hormone that directly affects how cells use energy throughout the body. It plays a key role in regulating metabolism, heart rate, digestion, and body temperature.

Free T4 (Thyroxine):
Free T4 is the primary hormone produced by the thyroid gland and serves as a reservoir for future hormone activity. It circulates in the bloodstream and is converted into Free T3 as the body requires.

Thyroid Health At-Home Lab Kit

Thyroid Health Test

At-home Thyroid Health Test for individuals with symptoms of thyroid dysfunction such as fatigue, weight change, or temperature sensitivity; assists in diagnosis of hypothyroidism or hyperthyroidism.

Collection Method

Quick Draw

Fast, simple, and painless upper-arm collection.

Finger Stick

Traditional, low-cost collection

my labs direct at home health test finger prick lancet

Insights Into Your health

Explore Thyroid Health

The Thyroid Health Test Kit is a convenient at-home blood test designed to evaluate key thyroid hormones that regulate metabolism, energy, mood, and overall endocrine function. By measuring TSH, Free T3, and Free T4, this test provides a clear picture of how well your thyroid is functioning and helps identify potential imbalances such as hypothyroidism or hyperthyroidism.

Thyroid dysfunction often develops gradually and may go unnoticed until symptoms significantly impact your daily life. Routine testing allows for early detection, proactive management, and better long-term health outcomes.

Why Monitor Thyroid Health?

Your thyroid gland plays a central role in regulating nearly every system in your body—including metabolism, heart rate, body temperature, and brain function.

When thyroid hormone levels are out of balance, it can affect:

  • Energy levels and fatigue
  • Weight management
  • Mood and cognitive function
  • Hormonal balance and metabolism

Because symptoms can be subtle or mistaken for other conditions, testing is one of the most reliable ways to identify thyroid issues early and guide appropriate next steps.

Thyroid Stimulating Hormone (TSH)

What it measures:
TSH is produced by the pituitary gland and signals your thyroid to produce hormones. It is the primary screening marker for thyroid function.

Why it matters:
TSH helps determine whether your thyroid is underactive or overactive. High or low levels often indicate underlying dysfunction.

If levels are high (possible hypothyroidism):

  • Fatigue
  • Weight gain
  • Cold sensitivity
  • Depression or brain fog

If levels are low (possible hyperthyroidism):

  • Anxiety or irritability
  • Rapid heart rate
  • Weight loss
  • Heat intolerance
Free T4 (Thyroxine)

What it measures:
Free T4 is the primary hormone produced by the thyroid and circulates in the bloodstream before being converted into active T3.

Why it matters:
It reflects how much hormone your thyroid is producing and available for conversion.

If levels are low:

  • Fatigue
  • Weight gain
  • Dry skin
  • Hair thinning

If levels are high:

  • Increased sweating
  • Nervousness
  • Insomnia
  • Unintentional weight loss
Free T3 (Triiodothyronine)

What it measures:
Free T3 is the active form of thyroid hormone responsible for regulating metabolism, heart rate, and energy production.

Why it matters:
It shows how effectively your body is converting T4 into usable energy.

If levels are low:

  • Low energy and sluggishness
  • Difficulty concentrating
  • Weight gain

If levels are high:

  • Rapid heartbeat
  • Anxiety
  • Increased appetite
  • Trouble sleeping

Test Anytime, Anywhere

How at-home health testing works

1

Order Your Lab Kit

Find the right test for your unique needs and receive clinic-grade sample collection kits delivered to your door.

2

Collect Your Sample

Follow the included instructions to easily collect your sample and ship it back to us using the prepaid return shipping label.

3

Review Your Results

Within days your test results and unique health insights will be available on our convenient online dashboard.

my labs direct at-home health testing digital health dashboard
4

Your Health, Empowered

Based on your results, we empower better health through treatments, prescription access, and physician consultation.

FAQs

Answering Your Questions

What is the Thyroid Health Test Kit?

The Thyroid Health Test Kit is an at-home blood test designed to evaluate how well your thyroid gland is functioning. It measures key thyroid hormones to help identify potential conditions such as hypothyroidism (underactive thyroid) or hyperthyroidism (overactive thyroid).

What does this test measure?

This test includes a comprehensive thyroid panel that measures:

  • Thyroid Stimulating Hormone (TSH)
  • Free T3 (Triiodothyronine)
  • Free T4 (Thyroxine)

These biomarkers provide insight into your metabolism, energy levels, and overall endocrine function.

Who should take this test?

This test is recommended for individuals who:

  • Experience symptoms like fatigue, weight changes, hair thinning, or temperature sensitivity
  • Have a family history of thyroid disease
  • Want to monitor an existing thyroid condition
  • Are over age 35 and due for routine thyroid screening

Regular thyroid screening can help detect issues early and support better long-term health.

Why is thyroid testing important?

The thyroid plays a critical role in regulating metabolism, energy production, and organ function. Imbalances can affect your heart rate, body temperature, mood, and weight. Early detection allows you to take proactive steps toward managing your health and preventing complications.

How does at-home lab testing work?

Using a My labs Direct at-home lab test kit is quick and convenient:

  1. Order your test kit online
  2. Complete your sample collection and send the sample back to our lab in the included pre-pair shipping bag
  3. Your sample is analyzed in our certified laboratory
  4. Receive secure, easy-to-understand results online

This process allows you to assess your overall health and risk factors without scheduling a doctor’s appointment.

How accurate is at-home lab testing?

Our clinical-grade test kits are processed in our own CLIA-certified laboratory using standardized testing methods, ensuring results that are as accurate and reliable as traditional in-clinic lab tests.

How long does it take to get lab results?

Most customers receive their lab results within 1–3 business days after the sample is received and processed. Results are delivered securely through an online portal for easy access.

Can I use this test instead of seeing a doctor?

This at-home test is a powerful screening tool, but it does not replace medical advice or diagnosis. If your results are elevated, it’s important to consult with a healthcare provider for further evaluation and guidance.

What are the benefits of using an at-home lab test?

This at-home lab test kit offers several advantages:

  • Convenient testing without clinic visits
  • Early detection of serious health conditions
  • Affordable pricing with no insurance required
  • Fast and confidential results
  • Empowerment to take control of your health

It’s an easy way to stay proactive about your overall health.

Is my health information secure?

Yes. Your personal and health data is protected with advanced encryption and is fully HIPAA-compliant. Your results remain private and accessible only to you.

Can I use HSA or FSA funds to purchase the test?

In most cases, yes. Our at-home lab test kits are be eligible for purchase using HSA or FSA funds. Check with your plan provider for details.

What this Test measures

Thyroid Test Panel

The thyroid gland is a butterfly-shaped endocrine gland located in the lower front of the neck. The thyroid’s job is to make thyroid hormones, which are secreted into the blood and then carried to every tissue in the body. Thyroid hormones help the body use energy, stay warm, and keep the brain, heart, muscles, and other organs working as they should. My Labs Direct’s thyroid test is one of the best ways to learn more about the current health of your thyroid gland and ensure its functioning properly.

Thyroid stimulating hormone is made by the thyroid gland and is released into the blood where it is delivered to tissues in the body. It helps the body stay warm, use energy, and keeps the brain, heart, muscles, and other organs working as they should.  TSH can serve as an ‘early warning system’ in the body because it will indicate early changes in thyroid function before thyroid hormones become too high or too low.  Because of this, measuring the TSH level in a blood sample is considered the best way to initially test thyroid function.

High TSH levels The pituitary gland produces more TSH when the thyroid gland does not produce enough hormones. High levels are an indication that the thyroid gland is not making enough thyroid hormone (primary hypothyroidism).

Low TSH levels Low TSH levels are an indication that the thyroid is producing too much thyroid hormone (hyperthyroidism or overactive thyroid). Low TSH may result from an abnormality in the pituitary gland. This abnormality prevents it from making enough TSH to stimulate the thyroid.

Symptoms of high TSH levels:

  • Rapid heartbeat
  • Muscle weakness
  • Nervousness or irritability
  • Insomnia
  • Frequent bowel movements or diarrhea
  • Weight loss
  • Mood changes

Symptoms of low TSH Levels:

  • Weight gain
  • Fatigue
  • Swelling of face
  • Sensitivity to cold temperatures
  • Slow heart rate
  • Dry skin
  • Depression
  • Constipation

The thyroid produces a hormone called triiodothyronine, known as T3. Most of the T3 in your body binds to protein. The T3 that doesn’t bind to protein is called Free T3. It helps regulate the speed with which the cells/metabolism work. It also regulates your heart rate and how fast your intestines process food. Measuring T3 in the blood is a way to determine if there is a thyroid problem.

High levels of Free T3 levels cause an excessively high metabolic rate and increased risk of hyperthyroidism.

Low levels of Free T3 levels cause slowed metabolic rate and may be a sign of hypothyroidism.

Symptoms of high levels of Free T3 levels:

  • Rapid heart rate
  • Elevated blood pressure
  • Anxiety
  • Increased sweating
  • Insomnia
  • Weight loss

Symptoms of low levels of Free T3 levels:

  • Fatigue
  • Weight gain
  • Puffy face
  • Trouble tolerating cold
  • Constipation
  • Dry skin
  • Thinning hair
  • Depression
  • Slowed heart rate

T4, also called thyroxine, is the main form of thyroid hormone made by the thyroid gland.  T4 is mostly bound to proteins with a small amount unbound, or free. This test measures the amount of free/or unbound T4 circulating through the blood and indicates how well the thyroid gland is functioning.

High levels of Free T4 may be caused by certain thyroid problems such as thyroiditis, a goiter, high levels of protein in the blood, and hyperthyroidism.

Low levels of Free T4 may be caused by fasting, malnutrition, iodine deficiency, medication that affects protein levels, illness, pituitary problems, and hypothyroidism.

Symptoms of high Free T4:

  • Anxiety
  • Unplanned weight loss
  • Tremors
  • Diarrhea

Symptoms of low Free T4:

  • Weight gain
  • Fatigue
  • Hair loss
  • Low tolerance for cold temperatures
  • Irregular period
  • Constipation

How At-Home Testing Works

Step One

Select The Test That's Right For You

Collect your own lab sample anytime, anywhere through an easy-to-use test kit that’s shipped direct to you.

Step Two

Collect And Return
Your Sample

Quickly collect your sample from the comfort of your home using our ground-breaking Quick Draw device or traditional finger prick lancet.

Step Three

View Your
Results

Your lab results will be available on your personal online dashboard. Results are in an easy-to-understand educational format that helps you manage your health.

We are a REAL LAB,
not a marketing company

All tests are processed through our university backed, CLIA certified labs and HIPAA secure results are delivered in real time. After your test is processed, we offer in-depth results to not only help you make important decisions about your health in conjunction with your treating physician or medical team, but solutions to any health issues that may be discovered during the process.

Questions? We Have Answers.

When should I take my test?

Please prepare to test first thing in the morning. Be sure to drink plenty of water before testing! Being well hydrated will help increase blood flow and improve the testing experience.

*Note: Do not test on a Friday, Saturday, Sunday, or Holiday. Your sample must be picked up, dropped at a dropbox location or brought to FedEx on the same day you test. 

Does your thyroid function impact weight gain?

The thyroid is a small, butterfly shaped endocrine gland located in your neck that produces three hormones: Thyroxine (T4), Triiodothyronine (T3) and Calcitonin.  These hormones are secreted into the blood, and two of them, T3 and T4, directly impact your metabolism.  How?  These hormones regulate how quickly your body’s cells work.  If your thyroid secretes too much T4 and T3, your cells will become charged and start working faster than normal – this is called Hyperthyroidism, or overactive thyroid.  If your thyroid secretes too little of the hormones, your cells will slow.  This condition is called Hypothyroidism, or underactive thyroid.

So how does this over or under production of T4/T3 impact your metabolism?  T3 and T4 control your heart rate, body temperature and, as it relates to metabolism, they also regulate how quickly your intestines process foods and how fast calories are burned.  The condition of under-production of T3 and T4, commonly referred to as Hypothyroidism, can make it impossible to lose weight if not treated. While scientists don’t fully understand why an underactive thyroid causes weight gain or prevents weight loss, they suspect it’s due to:

  • Slow metabolism
  • Lack of energy that leads to less activity
  • Changes in how your body processes, stores and burns off fat and glucose
  • Fluid retention
What is Hypothyroidism?

Hypothyroidism occurs when the thyroid stops producing enough T3 and/or T4 and metabolic function becomes impaired.  The most common causes of hypothyroidism are autoimmune failure (Hashimoto’s Thyroiditis) and surgical removal or destruction of the thyroid gland which occurs when a goiter is removed or to treat thyroid cancer.

Signs and symptoms of hypothyroidism (underactive thyroid) include:

  • Fatigue
  • Sleepiness
  • Mood swings
  • Forgetfulness
  • Weight gain
  • Depression/irritability
  • Muscle cramping and aching
  • Weakness
  • Decreased perspiration
  • Changes in blood pressure
  • High cholesterol
  • Swelling in legs
  • Blurred vision
  • Cold intolerance
  • Hoarse voice
  • Heavy menses
  • Coarse, dry hair and skin
  • Hair loss (on head and/or body)
  • Constipation
What will my results tell me?

MLD’s Thyroid At Home test results will provide detailed information regarding your TSH, T3 and T4  levels.  Our easy to navigate patient dashboard will tell you if your thyroid levels are low, normal or high. 

Interpreting thyroid blood test results:

Comparing TSH with T4 values can provide you and your healthcare provider with a picture of a possible thyroid issue.  For example:

  • Normal TSH + normal T4 = normal thyroid function
  • Low TSH + high T4 = hyperthyroidism/overactive thyroid
  • High TSH + low T4 = hypothyroidism/underactive thyroid
  • Low TSH + low T4 = low thyroid function due to another problem, such as pituitary gland dysfunction
Can I share my results with my healthcare provider?

Your results can be easily shared with your healthcare provider, and in fact, we encourage you to share your data in order to obtain the treatment you might need.  Contact us for a network of healthcare providers that specialize in treating hormone deficiencies.

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