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 — roughly half the cost of equivalent testing in Germany.
This panel delivers the most thorough standard thyroid assessment available in a packaged format, combining functional hormone measurement with comprehensive autoimmune screening at any of Diagnostyka's Warsaw locations. The three functional markers form the diagnostic core: TSH (thyroid-stimulating hormone) is the single most sensitive indicator of thyroid dysfunction; free T3 (triiodothyronine) and free T4 (thyroxine) quantify the biologically active, unbound fractions of circulating thyroid hormones. The three autoimmune antibodies distinguish this panel from a routine thyroid check. Anti-TPO (anti-thyroid peroxidase) antibodies are elevated in roughly 90% of Hashimoto thyroiditis patients — the most common autoimmune condition worldwide and the leading cause of hypothyroidism in iodine-sufficient regions. Anti-TG (anti-thyroglobulin) antibodies provide additional diagnostic sensitivity for the subset of Hashimoto patients who are anti-TPO negative. Anti-TSHR (anti-TSH receptor antibodies, also termed TRAb) are the pathognomonic marker of Graves disease — the most common cause of hyperthyroidism. Stimulating TSHR antibodies directly activate thyroid hormone production, bypassing pituitary control. The inclusion of this antibody is a meaningful differentiator from many competitors' thyroid panels, which offer only anti-TPO and anti-TG. The clinical rationale for autoimmune screening is early detection. Thyroid antibodies frequently appear five to ten years before overt thyroid dysfunction develops. A patient with normal TSH but elevated anti-TPO carries a 2-4% annual risk of progressing to hypothyroidism — knowledge that enables proactive monitoring and timely intervention rather than reactive treatment after symptoms emerge. 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 after delivery. At 249 PLN with blood draw included, thorough thyroid autoimmune assessment becomes accessible for routine clinical use. German private laboratories typically charge 150-300 EUR for an equivalent 6-marker thyroid panel. Warsaw's extensive international flight network — Chopin Airport connects to over 100 destinations — makes the capital an accessible destination for patients seeking affordable thyroid 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
Preparation Required
No fasting required. Morning draw preferred as TSH follows a circadian rhythm with peak levels in early morning.
Panel Categories
Biomarkers Tested
8The 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.
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.
Free triiodothyronine; high levels indicate hyperthyroidism, low levels hypothyroidism.
Free thyroxine; high levels indicate hyperthyroidism, low levels hypothyroidism.
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.
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.
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.
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).
249 PLN for 6-marker extended thyroid panel. Blood draw fee included.
- Category
- Diagnostic
- Sample Type
- Blood (venous draw)
- Duration
- 15 min
- Results
- 48 hours