Why Private MD Labs?
90-day money-back guarantee Lab order in minutes Save a trip to the doctor Low prices since 2005 Labs within 2 miles
Sample image
Sample report
Free T4 thyroid test for individuals experiencing fatigue, weight changes, and energy issues

Thyroid Test for Fatigue and Weight Changes

Thyroxine Free (FT4), Immunoassay

Google
3,138 reviews
  • Pinpoint the cause of your fatigue
  • Reveal hidden thyroid issues effortlessly
  • Clarify why you're gaining weight
First results as soon as overnight*

90 day happiness guarantee

We stand behind our service

Prescription & fees included

Go directly to the lab, no extra fees

Easy to understand results

With friendly doctor's notes & guidance

Fast & convenient

Lab visit as quick as 10 mins in & out

90 day happiness guarantee

We stand behind our service

Prescription & fees included

Go directly to the lab, no extra fees

Easy to understand results

With friendly doctor's notes & guidance

Fast & convenient

Lab visit as quick as 10 mins in & out

What's this test for?

This test is ideal if you're experiencing unexplained fatigue, sudden weight gain or loss, mood swings, or sensitivity to hot or cold temperatures. It helps identify whether your thyroid gland is producing too much or too little hormone, which can affect your energy levels, metabolism, and overall well-being. Many people use this test when they suspect their symptoms might be thyroid-related and want clear answers.

How should I prepare for this test?

No fasting is needed for this test, which makes it convenient and easy to schedule. You can eat and drink normally before your blood draw. If you're taking thyroid medication, it's best to take your test before your morning dose or as directed by your healthcare provider to get the most accurate reading.

What's included in this test?

T4, Free

This test measures Free T4 (thyroxine), which is the active thyroid hormone circulating in your bloodstream that isn't bound to proteins. Free T4 directly affects your metabolism, energy production, body temperature regulation, and weight management. By measuring this specific form of thyroid hormone, the test helps pinpoint whether fatigue, weight changes, or other symptoms are caused by thyroid dysfunction.

What happens after I get my results?
You'll receive detailed doctor notes in simple language explaining what your Free T4 level means for your energy, metabolism, and overall health. These notes include personalized recommendations like dietary changes, supplement suggestions, or whether you should consider follow-up testing with a thyroid specialist. You'll also get the standard lab report and can track your thyroid levels over time using our trends feature to see how lifestyle changes or treatments are working.
Who should consider getting this test?
This test is ideal for anyone experiencing unexplained fatigue, weight changes, mood issues, hair loss, or irregular periods. It's especially important if you have a family history of thyroid disease, are pregnant or trying to conceive, or have been previously diagnosed with a thyroid condition and need monitoring. People who feel their symptoms aren't improving despite lifestyle changes should also consider testing.
What symptoms indicate I may need this test?
Common symptoms that suggest you might benefit from this test include persistent tiredness despite adequate sleep, unexplained weight gain or difficulty losing weight, feeling unusually cold or hot, dry skin and hair, brain fog or difficulty concentrating, and mood changes like anxiety or feeling down. Physical signs can include puffy face, muscle weakness, slower heart rate, or changes in menstrual cycles.
How can I naturally support my thyroid function?
Supporting thyroid health starts with ensuring adequate iodine and selenium intake through foods like fish, eggs, Brazil nuts, and dairy products. Getting 7-8 hours of quality sleep, managing stress through yoga or meditation, and regular exercise can help balance thyroid hormones. Limiting processed foods, reducing excess soy consumption, and avoiding smoking can also support healthy thyroid function.
What is Free T4 and why does it matter?
Free T4 (thyroxine) is the unbound, active form of thyroid hormone that's available for your body to use immediately. It plays a crucial role in regulating your metabolism, heart rate, body temperature, and how your body uses energy. Unlike total T4, which includes both bound and unbound hormone, Free T4 gives a more accurate picture of how much thyroid hormone is actually available to affect your cells and tissues.
What does low Free T4 mean?
Low Free T4 typically indicates hypothyroidism, meaning your thyroid gland isn't producing enough thyroid hormone. This can cause symptoms like fatigue, weight gain, feeling cold, dry skin, constipation, and sluggish thinking. Low levels may be caused by thyroid gland problems, certain medications, iodine deficiency, or autoimmune conditions like Hashimoto's thyroiditis.
What does high Free T4 mean?
High Free T4 usually suggests hyperthyroidism, where your thyroid is overactive and producing too much hormone. This can lead to symptoms like unexplained weight loss, rapid heartbeat, anxiety, tremors, excessive sweating, and difficulty sleeping. Common causes include Graves' disease, thyroid nodules, or excessive thyroid medication dosage if you're already being treated.
How’s this work?
Getting your blood test with us is easy, private & backed by the power of science.

Long story short:
  1. In the test options, use the filters or search box to narrow your choices and find the test you want.
  2. If you need a hand navigating through options, text our super friendly support team at 754-799-7833, and we'll provide tailored suggestions to help you find the ideal test.
  3. Once your order is placed, we’ll create your doctor’s lab order remotely, without any need for you to make a trip to a doctor in person or to talk to the doctor. Expect to receive your doctor’s lab order right in your inbox. It will also be in your patient portal if you need to find it later. We’ll also include instructions regarding fasting and other requirements for your test. Your patient portal will be auto-created hassle-free during checkout.
  4. If this is your first time ordering, you'll be prompted to create a password for instant login access to your patient portal. It's a quick way to conveniently access your orders and results whenever you want.
  5. When you’re ready, visit one of our 4,000 locations. Just bring your ID – no printing or faxing of your lab order is needed, as your order and details will already be in the lab system.
  6. Note that most lab locations don’t accept walk-ins, so it’s best to book an appointment in advance. Don’t worry – we’ll provide detailed instructions along the way.
  7. You’ll get your results via email & SMS and dive into understanding your body better. Yup, that easy!
  8. If you have any questions, please text us at 754-799-7833 or email [email protected] and we'll gladly help you.
How do I know which test to get?
In the test options, find the test you want. If you’re not sure which test to get, we can lend a hand in finding the right option.

Just text or call us at 754-799-7833, email us at [email protected], and we'll gladly help you. We've got your back and reply quickly.
Is it possible to make changes to my lab order if I made a mistake with the name, date of birth, or any other details?
Absolutely! We totally understand that errors can happen. No worries, we're here to help you.

Just reach out to us via text at 754-799-7833 or shoot us an email at [email protected]. Remember to include your order number and let us know the correct information you’d like to update. Our awesome team will jump right in and make sure everything is sorted out and accurate for you.

There are no changes necessary if your address is wrong on the requisition though. We don’t mail anything out.

Our lab requires an address to be listed to generate an order.
Do you accept health insurance?
Only HSA & FSA is accepted.

Our services are strictly self-pay and cannot be submitted to your health insurance provider except for Health Savings Accounts or Flexible Savings Accounts.

This policy applies to all insurance companies, including federal health insurance programs like Medicare.

If you have any questions, please text us at 754-799-7833 or email [email protected].
Can I cancel my order?
Yes.

We get it – sometimes your needs change.

As long as your samples haven’t been collected yet, we’re happy to help you cancel your order.

If you have any further questions, please text us at 754-799-7833 or email [email protected].

You can read more about our cancellation policy here.
How can I find a lab location near me?
During the ordering process, you’ll be able to select a specific lab near you, with no strings attached! You can switch it up later easily and visit any of our authorized locations as long as it’s the same lab company you selected your test for (Quest Diagnostics or Labcorp).

Before you proceed with your order, feel free to browse through all our lab locations here. This will give you the peace of mind of knowing that there's a lab nearby your home, office or your favorite gym.

If you have any questions, please text us at 754-799-7833 or email [email protected] and we'll gladly help you.

Here’s why 1,000,000+ customers chose us for affordable hassle-free private blood testing.

You get clinical lab reports & simplified health insights.
Save time & gas, go straight to the lab. Our doctors cover the rest.
Results start landing the next day after your lab visit.*
We don’t sell or share your data. Your time & privacy matter.
US-licensed doctors have your back if things get unclear.
No hidden fees, nice discounts for regular checkups.
Save a trip to the doctor, go directly to the lab
Instant orders, results often overnight*
Results explained in simple language
Reviewed by US licensed doctors
Fast & confidential, we never sell or share your data
No insurance needed, transparent pricing
Demo results
Free T4 (Thyroxine) 0.68 ng/dL
Demo results
Low Optimal 0.8 - 1.8 High
0.68 ng/dL

What this means

Your Free T4 level is slightly below the optimal range, which may indicate your thyroid isn't producing quite enough hormone. This can contribute to symptoms like fatigue, difficulty losing weight, feeling cold, and sluggish thinking. While this is a mild finding, addressing it can help improve your energy and metabolism.

* Regular blood test results (e.g., CBC) typically start arriving the next business day after sample collection. More complex tests, such as hormone panels, may take up to 10–15 business days due to their complexity.
Here’s how easy it is to get blood work done on your terms
Choose a checkup
Order your test Save a trip to the doctor. Your results will come with clear, friendly explanations. Takes 2 minutes
Book a lab
Book an appointment Visit any of our 4,000 nearby lab locations to have your samples collected. Book or walk-in
Choose a checkup
Get results Receive a clear, easy-to-digest health report by email & SMS within a few business days. Get answers, fast

Thyroid Test for Fatigue and Weight Changes

Google
3,138 reviews
  • Pinpoint the cause of your fatigue
  • Reveal hidden thyroid issues effortlessly
  • Clarify why you're gaining weight

1,000,000+ blood tests later, here's what our customers say

Google reviews 3138 reviews Next
Still got questions? Text our super-cool support team at 754-799-7833 to get help finding your ideal checkup.