Thyroid Pharmacist Recommended Tests

Are you interested in getting thyroid tests but don't know where to start? Learn more about thyroid pharmacist recommended tests here.

Name Matches

TP - Root Cause Thyroid Panel #1 contains the following tests.

  •  T3 Reverse (RT3), LC/MS/MS #90963
  •  T3, Free #34429
  •  T4, Free #866
  •  Thyroid Peroxidase and Thyroglobulin Antibodies #7260
  •  TSH #899

"IMPORTANT - Please note that Quest only returns values up to 900 for the Thyroid Peroxidase Antibodies test. 

TP - Root Cause Thyroid Panel #2 contains the following tests.

  • T3, Free #34429 (3 Biomarkers)
  • Thyroid Peroxidase and Thyroglobulin Antibodies #7260 (2 Biomarkers)
  • T4, Free #866 (4 Biomarkers)
  • TSH #899 (1 Biomarkers)

"IMPORTANT - Please note that Quest only returns values up to 900 for the Thyroid Peroxidase Antibodies test.

TP - Basic Thyroid Panel

  • T3, Free
  • T4, Free
  • TSH


Patient Preparation 

Fasting specimen is preferred. Patient should be free from medications for 2 days.  IMPORTANT DO NOT DISCONTINUE MEDICATIONS WITHOUT THE SUPERVISION AND APPROVAL OF YOUR PHYSICIAN.


Clinical Significance

Alpha MSH is a 13 amino acid peptide (1665 kD) with serine at the N terminal end and amidated valine at the C terminal end. Alpha MSH is derived from pro-opiomelanocorticotropin, a precursor protein which contains within its structure, the sequence of ACTH, beta MSH and gamma MSH. The amino acid sequence of alpha MSH is identical to ACTH 1-13 in humans. Alpha MSH stimulates melanosome dispersion within dermal melanocytes and melanin biosynthesis within epidermal melanocytes. It also stimulates aldosterone synthesis. Plasma alpha MSH increases in humans with high fever due to endotoxin. Average plasma alpha MSH has been found higher in AIDS patients and also in obese men with insulin resistance.




Babesia serological testing is used to diagnose infection by the Babesia tick-borne protozoan. Infection may cause hemolytic anemia.

Bartonella Species Antibodies (IgG, IgM) with Reflex to Titer. Includes Bartonella henselae IgG, IgM; Bartonella quintana IgG, IgM.

Additional charges my apply if one or more of the following reflex tests are run by the lab. If B. henselae (IgG) screen is positive, the B. henselae (IgG) titer will be performed at an additional charge (CPT code(s): 86611).
If B. quintana (IgG) screen is positive, the B. quintana (IgG) titer will be performed at an additional charge (CPT code(s): 86611).
If B. henselae (IgM) screen is positive, the B. henselae (IgM) titer will be performed at an additional charge (CPT code(s): 86611).
If B. quintana (IgM) screen is positive, the B. quintana (IgM) titer will be performed at an additional charge (CPT code(s): 86611).

A Complete Blood Count (CBC) Panel is used as a screening test for various disease states including anemia, leukemia, and inflammatory processes.

A CBC blood test includes the following biomarkers: WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet count, Neutrophils, Lymphs, Monocytes, Eos, Basos, Neutrophils (Absolute), Lymphs (Absolute), Monocytes(Absolute), Eos (Absolute), Basos (Absolute), Immature Granulocytes, Immature Grans (Abs)

NOTE: Only measurable biomarkers will be reported.

Reflex Parameters for Manual Slide Review
  Less than  Greater Than 
WBC  1.5 x 10^3  30.0 x 10^3 
Hemoglobin  7.0 g/dL  19.0 g/dL 
Hematocrit  None  75%
Platelet  100 x 10^3  800 x 10^3 
MCV  70 fL  115 fL 
MCH  22 pg  37 pg 
MCHC  29 g/dL  36.5 g/dL 
RBC  None  8.00 x 10^6 
RDW  None  21.5
Relative Neutrophil %  1% or ABNC <500  None 
Relative Lymphocyte %  1% 70%
Relative Monocyte %  None  25%
Eosinophil  None  35%
Basophil  None  3.50%
Platelet  <75 with no flags,
>100 and <130 with platelet clump flag present,
Instrument Flags Variant lymphs, blasts,
immature neutrophils,  nRBC’s, abnormal platelets,
giant platelets, potential interference
The automated differential averages 6000+ cells. If none of the above parameters are met, the results are released without manual review.
CBC Reflex Pathway

Step 1 - The slide review is performed by qualified Laboratory staff and includes:

  • Confirmation of differential percentages
  • WBC and platelet estimates, when needed
  • Full review of RBC morphology
  • Comments for toxic changes, RBC inclusions, abnormal lymphs, and other
  • significant findings
  • If the differential percentages agree with the automated counts and no abnormal cells are seen, the automated differential is reported with appropriate comments

Step 2 - The slide review is performed by qualified Laboratory staff and includes: If any of the following are seen on the slide review, Laboratory staff will perform a manual differential:

  • Immature, abnormal, or toxic cells
  • nRBC’s
  • Disagreement with automated differential
  • Atypical/abnormal RBC morphology
  • Any RBC inclusions

Step 3 If any of the following are seen on the manual differential, a Pathologist will review the slide:

  • WBC<1,500 with abnormal cells noted
  • Blasts/immature cells, hairy cell lymphs, or megakaryocytes
  • New abnormal lymphocytes or monocytes
  • Variant or atypical lymphs >15%
  • Blood parasites
  • RBC morphology with 3+ spherocytes, RBC inclusions, suspect Hgb-C,
  • crystals, Pappenheimer bodies or bizarre morphology
  • nRBC’s

Comprehensive Metabolic Panel

The Copeptin test is used in the diagnosis of central diabetes insipidus and in the differential diagnosis of central or nephrogenic diabetes insipidus. It is a reliable surrogate marker for arginine vasopressin (AVP).

Coxsackie B viruses can cause rashes, pharyngitis, menigitis and myocarditis.

Intrauterine or congenital CMV infections occur in 0.5 to 2.2% of all live births. Symptomatic congenital infections usually occur in infants born to nonimmune mothers who have primary infections during pregnancy. Latency and reactivation of CMV influence the interpretation of serological results. A single positive CMV IgG result is and indication of present or past infection. The presence of CMV IgM suggests a recent CMV exposure but does not differentiate between primary infection and reactivation.

Epstein-Barr Virus (EBV) Antibody Panel

Includes: Epstein-Barr Virus VCA Antibody (IgM), Epstein-Barr Virus VCA Antibody (IgG), Epstein-Barr Virus Nuclear Antigen (EBNA) Antibody (IgG)

Clinical Significance: Primary infection by EBV causes infectious mononucleosis, usually a self-limiting disease in children and young adults. Infection with EBV can cause lymphoproliferative disorders including tumors. VCA-IgM is typically detectable at clinical presentation, then declines to undetectable levels within a month in young children and within 3 months in other individuals. VCA-IgG is typically detectable at clinical presentation, and persists for life. EBNA IgG typically appears during convalescence (3-4 months after clinical presentation) and remains detectable for life.

EBV-VCA IgG/IgM (viral capsid antigen): A positive IgG means you’ve had or currently have the infection; A positive IgM means the virus has been reactivated.

EBV-EBNA IgG (nuclear antigen): A positive test result is usually associated with past infections.

Reference Range(s)

Epstein-Barr Virus VCA Antibody (IgM)


  • <36.00 Negative
  • 36.00-43.99Equivocal
  • >43.99Positive

Epstein-Barr Virus VCA Antibody (IgG)


  • <18.00 Negative
  • 18.00-21.99Equivocal
  • >21.99Positive

Epstein-Barr Virus Nuclear Antigen (EBNA) Antibody (IgG)


  • <18.00 Negative
  • 18.00-21.99Equivocal
  • >21.99Positive

Alternative Name(s)

EBV Comprehensive,Infectious Mononucleosis Panel


Clinical Significance

Primary infection by EBV causes infectious mononucleosis, usually a self-limiting disease in children and young adults. Infection with EBV can cause lymphoproliferative disorders including tumors. IgG recognizing Early Antigen D typically appears within a month after clinical presentation and is transient, lasting only 3-4 months. Persistently elevated levels suggest reactivation or persistence of EBV infection.

The Epstein-Barr EBV Early Antigen D Ab IgG test that will let one know if the virus is actively replicating.

Most Popular

Useful in the diagnosis of hypochromic, microcytic anemias. Decreased in iron deficiency anemia and increased in iron overload.

According to the American Thyroid Association, more than 12 percent of Americans experience a disease or condition of the thyroid in their lifetime, yet 60 percent of those with thyroid disease are unaware they have a condition. Women are much more likely to develop thyroid problems.

Untreated thyroid conditions can lead to serious health issues like infertility, heart problems, and even death. It is very important that you stay proactive about your health, monitor changes in your body closely, and get tested for common conditions like thyroid disorders.

Conditions of the thyroid tend to be life-long, but common treatments are available to improve quality of life and health. Don't hesitate to order lab tests if you're concerned about your thyroid function.

When Should You Test Your Thyroid Function?

Your thyroid is an essential organ in your endocrine system that helps regulate:

  • Hormone levels
  • Metabolism
  • Body temperature
  • Brain function
  • Heart rate

People with thyroid disorders generally suffer from either an underactive or overactive thyroid. Sometimes, this is an issue of the thyroid itself. Other times, other health conditions are affecting how the thyroid functions.

An underactive thyroid is not processing thyroid hormones as quickly as it should, so the body slows down, and the metabolism decreases in function. People who suffer from an underactive thyroid typically experience symptoms such as:

  • Fatigue
  • Weight gain
  • Dry skin
  • Cold limbs

An overactive thyroid is processing thyroid hormones too quickly, which speeds up the function in the body. People who suffer from an overactive thyroid can experience anxiety, heart palpitations, and weight loss.

Thyroid pharmacist-recommended lab tests and panels can help analyze the blood for thyroid hormones and other indicators that could assist in diagnosing your condition.

Benefits of Thyroid Lab Tests and Panels

To assess thyroid function, thyroid blood tests can test the levels of thyroid hormones in your bloodstream. These blood tests are the best way to assess exactly what is affecting your endocrine system. Most commonly, thyroid tests will check for TSH, T3, and T4 levels.

The pituitary gland produces TSH (thyroid-stimulating hormone) to tell the thyroid to work. If blood tests show that your TSH levels are abnormal, it could mean that your pituitary gland is reacting to abnormal thyroid function.

T3 and T4 are the hormones that the thyroid itself produces and sends out to tell the body how to use energy. If a test finds abnormal T3 and T4 levels in the blood, it means that the thyroid is functioning at an abnormal speed.

Sometimes, blood tests will show normal levels for one type of hormone and abnormal levels for another. For example, if your TSH is too high, but your T3 and T4 are normal or too low, it could mean that the pituitary gland is working overtime to try to get the thyroid to function at a normal level. Therefore, you have an underactive thyroid.

If your initial blood test shows that you have an underactive thyroid, you can take further tests to determine why. Some people are born with an underactive thyroid, while others might have suffered physical damage to their thyroid or have an autoimmune disease that attacks it.

Overall, ordering a thyroid blood test or panel will help you find the reason behind your symptoms and further investigate why your thyroid might not be functioning properly.

What Are Thyroid Pharmacist Recommended Lab Tests?

Ulta Lab Tests offers thyroid pharmacist recommended lab tests and lab panels that will help you assess thyroid function and investigate root causes of your condition. To get a better understanding of what tests are available to you, below is a list of panels you can order and what they determine.

TP - Basic Thyroid Panel

The basic thyroid panel checks for the typical three biomarkers that most medical professionals will consider when diagnosing a thyroid condition. This blood test will check for Free T3, Free T4, and TSH.

TP - Root Cause Thyroid Panel #1

In the Root Cause Thyroid Panel #1, you'll assess Free T3, Free T4, T3 Reverse, and TSH. These biomarkers will show how your pituitary gland and thyroid are communicating and the levels of hormones your thyroid is producing.

Thyroid Peroxidase and Thyroglobulin Antibodies are also tested, which will help determine if your immune system is attacking your thyroid, whether due to conditions like Hashimoto's Thyroiditis or Grave's Disease.

TP - Root Cause Thyroid Panel #2

The Root Cause Thyroid Panel #2 tests the same biomarkers as #1. The difference is that it excludes T3 reverse. Typical blood tests generally do not check T3 Reverse unless symptoms persist beyond usual treatment.

T3 Reverse continues to be controversial, as testing can show abnormal results because treatments have not yet been found for this issue. Knowing that you have an issue with T3 Reverse, however, could be useful in understanding your condition.

TP - Root Cause Infections Panel

Medicinal science has found that a large number of infections can either trigger or cause thyroid conditions. This Root Cause Infections Panel checks your bloodstream for indications that you've been infected by:

  • Babesia Microti
  • Bartonella Species Antibodies
  • Coxsackie B
  • Cytomegalovirus
  • Epstein-Barr
  • Herpes Simplex
  • Lyme Disease

Finding these infections early and treating them can lead to improved health and thyroid function.

TP - Root Cause Epstein-Barr (EBV) Panel Plus

If you know that you've had mononucleosis in the past, you might have Epstein-Barr living in your system. Epstein-Barr is known to lead to similar symptoms as thyroid conditions, and it also has been studied in correlation with thyroid conditions, so it's a good idea to get tested with the Root Cause Epstein-Barr Panel for the virus.

TP - Mold Illness Panel #1 and #2

Mold is a thyroid disruptor, and it can attack your thyroid when exposed. Testing for mold exposure can help find the cause of your condition. Mold Illness Panels check for alpha-melanocyte-stimulating hormone, copeptin, and HLA DRB3, 4, and 5. Panel #2 checks for Hla Class Li Dr Dq Dna Typing, too.

TP - Mold Allergy Panel Expanded (IgE)

Mold Allergy Panel Expanded (IgE) is a blood test that checks for 11 different antibodies in your bloodstream that react to common outdoor and indoor molds. People with mold allergies that breathe in mold spore can suffer from allergic reactions and thyroid dysfunction.

The Thyroid Secret Root Cause Panel and Plus Panel

The Thyroid Secret Root Cause Panel checks for your typical thyroid hormones (Free T3, Free T4, TSH, antibodies). In addition, it runs a complete blood count (CBC) and a comprehensive metabolic panel. These extra panels will check for irregularities in your blood platelets, nutrients, and other necessary molecules in your system.

The Plus Panel checks for all of that in addition to your Reverse T3. 

Order Your Thyroid Pharmacist Recommended Lab Tests and Panels from Ulta Lab Tests

Ulta Lab Tests offers highly accurate and reliable tests so that you can make informed decisions about your health. Here are a few great things to love about Ulta Lab Tests:

  • You'll get secure and confidential results
  • You don't need health insurance
  • You don't need a physician's referral
  • We offer a 100 percent satisfaction guarantee

Order your Thyroid Pharmacist Recommended Lab Tests and Panels today, and you will receive results in 24 to 48 hours for most tests.

Take control with Ulta Lab Tests today!