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e-Pakiet tarczycowy rozszerzony — Extended Thyroid Panel

Type

Blood Testing

Biomarkers

8

Duration

15 min

Results

48 hours

Extended thyroid assessment with 6 markers — TSH, free T3, free T4, plus three autoimmune markers (anti-TPO, anti-TG, anti-TSHR). Detects Hashimoto thyroiditis, Graves disease, and subclinical thyroid dysfunction at early stages. At 249 PLN (~58 EUR) with blood draw included — less than half the cost of an equivalent panel in Scandinavia.

This panel provides the most thorough thyroid assessment available in a standard package, combining functional hormone measurement with comprehensive autoimmune screening at Diagnostyka's Tricity locations. The three functional markers form the diagnostic backbone: TSH (thyroid-stimulating hormone) is the most sensitive single indicator of thyroid dysfunction; free T3 (triiodothyronine) and free T4 (thyroxine) measure the biologically active, unbound fractions of circulating thyroid hormones. The three autoimmune antibodies elevate this panel from screening to diagnostic investigation. Anti-TPO (anti-thyroid peroxidase) antibodies are elevated in approximately 90% of Hashimoto thyroiditis cases — the most common autoimmune disease worldwide and the leading cause of hypothyroidism in iodine-replete populations. Anti-TG (anti-thyroglobulin) antibodies provide additional sensitivity for Hashimoto patients who test anti-TPO negative. Anti-TSHR (anti-TSH receptor antibodies, also called TRAb) are the pathognomonic marker of Graves disease — the most common cause of hyperthyroidism. Stimulating TSHR antibodies directly activate thyroid hormone production independent of pituitary control. This antibody's inclusion distinguishes Diagnostyka's panel from many competitors that offer only anti-TPO and anti-TG. The clinical value of autoimmune screening lies in early detection. Thyroid antibodies frequently precede overt thyroid dysfunction by five to ten years. A patient with normal TSH but elevated anti-TPO has a 2-4% annual risk of progressing to hypothyroidism — knowledge that enables proactive monitoring rather than reactive treatment. Hashimoto thyroiditis disproportionately affects women (10:1 female-to-male ratio) and is associated with other autoimmune conditions including type 1 diabetes, coeliac disease, and vitiligo. Family history is a strong risk factor. Post-partum thyroiditis affects 5-10% of women. At 249 PLN with blood draw included, comprehensive thyroid autoimmune assessment becomes accessible for routine use. Patients arriving in Gdańsk from Sweden — whether by the Stena Line ferry from Nynäshamn to Gdynia or by direct flight from Stockholm or Gothenburg — would pay 200-400 EUR for an equivalent 6-marker thyroid panel at a Scandinavian private lab. The Baltic coast location makes Gdańsk a natural medical tourism gateway for Nordic travellers seeking affordable diagnostics.

Key Details

Biomarkers
6
Results
1-2 days
Includes
3 autoimmune markers

Who Is This For?

Hashimoto screening, Graves disease investigation, family history of thyroid disease, post-pregnancy thyroid check, autoimmune workup

What's Included

TSH
Free T3 (fT3)
Free T4 (fT4)
Anti-TPO antibodies
Anti-thyroglobulin (anti-TG)
Anti-TSH receptor (anti-TSHR / TRAb)

Preparation Required

No fasting required. Morning draw preferred as TSH follows a circadian rhythm with peak levels in early morning.

Panel Categories

Thyroid Panel

Biomarkers Tested

8
Free T3 (Triiodothyronine) pg/mL

The active form of thyroid hormone responsible for regulating metabolism, energy, and body temperature. Free T3 is converted from T4 in tissues and is three to four times more potent than T4.

Free T4 (Thyroxine) ng/dL

The unbound, active form of the main thyroid hormone T4. Free T4 directly reflects thyroid gland output and is used alongside TSH to diagnose and monitor thyroid disorders.

FT3 pg/mL

Free triiodothyronine; high levels indicate hyperthyroidism, low levels hypothyroidism.

FT4 ng/dL

Free thyroxine; high levels indicate hyperthyroidism, low levels hypothyroidism.

Globulin g/dL

A group of proteins in blood including antibodies (immunoglobulins), transport proteins, and enzymes. Elevated globulin can indicate chronic infection, inflammation, or blood cancers. Calculated by subtracting albumin from total protein.

Reverse T3 (rT3) ng/dL

An inactive form of T3 produced when the body converts T4. Elevated reverse T3 can occur during illness, stress, or caloric restriction and may indicate impaired thyroid hormone activation despite normal TSH levels.

Thyroid Peroxidase Antibodies (TPO) IU/mL

Antibodies against thyroid peroxidase, an enzyme essential for thyroid hormone production. Positive TPO antibodies indicate autoimmune thyroid disease, most commonly Hashimoto's thyroiditis, even before symptoms or TSH changes appear.

TSH (Thyroid-Stimulating Hormone) mIU/L

The primary screening test for thyroid function. TSH is produced by the pituitary gland to regulate thyroid hormone production. High TSH indicates an underactive thyroid (hypothyroidism), while low TSH suggests an overactive thyroid (hyperthyroidism).

Compare Blood Testing in Poland →
zł 249