We stand behind our service
Go directly to the lab, no extra fees
With friendly doctor's notes & guidance
Lab visit as quick as 10 mins in & out
We stand behind our service
Go directly to the lab, no extra fees
With friendly doctor's notes & guidance
Lab visit as quick as 10 mins in & out
This test is ideal if you're experiencing unexplained fatigue, weight changes, mood swings, or temperature sensitivity that might be related to thyroid issues. It helps identify whether your thyroid hormones are being transported properly through your bloodstream, which can affect your energy levels, metabolism, and overall well-being. Many people use this test when standard thyroid tests seem normal but symptoms persist, or to clarify conflicting thyroid results.
No special preparation is needed for this test—no fasting is required. You can take the test at any time of day and continue your normal eating and drinking habits beforehand. However, it's helpful to inform your healthcare provider about any medications you're taking, especially birth control pills or hormone therapy, as these can affect TBG levels and should be noted when interpreting your results.
This test evaluates the level of Thyroxine Binding Globulin (TBG) in your blood, which is the primary protein that transports thyroid hormones throughout your body. Understanding your TBG levels helps clarify whether abnormal thyroid hormone levels are due to actual thyroid dysfunction or simply variations in the binding protein. This is particularly important when other thyroid tests show confusing results or when you're taking medications like birth control or hormone replacement therapy that can affect TBG levels.
What this means
Your TBG level is elevated above the optimal range, which means you have more carrier protein for thyroid hormones than usual. This can happen with estrogen-containing medications, pregnancy, or certain genetic factors, and may cause your total thyroid hormone tests to appear high even when your active thyroid function is normal.
Recommended actions
Discuss any hormonal medications with your doctor, as birth control or hormone therapy can elevate TBG
Support liver health with a balanced diet rich in leafy greens, lean protein, and antioxidants
Avoid excessive alcohol consumption which can affect liver function and protein production
Retest in 8-12 weeks, especially if starting or stopping hormonal medications