Not All Normal TSH Means Normal Thyroid – Here’s Why Reflex Testing Matters

When a patient presents with classic symptoms of thyroid dysfunction—fatigue, hair thinning, unexplained weight changes—but their TSH comes back within the reference range, it’s tempting to rule out thyroid disease and look elsewhere. However, a “normal” TSH does not always mean a healthy thyroid. Relying solely on TSH can miss subtle or evolving thyroid disorders, […]