Library
/
Sex Hormones
/
Thyroid antibodies Test

Thyroid antibodies Test

January 21, 2026
Subscribe for updates
By clicking “Subscribe” you agree to our Terms and Privacy Policy.
Your content is on its way!
By clicking “Subscribe” you agree to our TOS and Privacy Policy.
Oops! Something went wrong while submitting the form.

Do I need a Thyroid antibodies test?

Feeling unexplained fatigue, weight changes, brain fog, or temperature sensitivity that won't go away? Could your immune system be attacking your thyroid, and could testing for thyroid antibodies reveal what's happening?

Thyroid antibodies indicate whether your immune system is mistakenly targeting your thyroid gland, which can disrupt hormone production and trigger symptoms like exhaustion, weight fluctuations, and mood changes. Elevated levels often point to autoimmune conditions like Hashimoto's or Graves' disease.

**Testing your thyroid antibodies** gives you a vital snapshot of your immune activity and thyroid health, empowering you to personalize your treatment plan, adjust your lifestyle, and address the root cause of your symptoms. **Get tested** to take control and start feeling better.

Book your test now
With Superpower, you have access to a comprehensive range of biomarker tests
Book a Thyroid antibodies Test Test
Physician reviewed
CLIA-certified labs
HIPAA compliant

Get tested with Superpower

**If you’ve been postponing blood testing for years or feel frustrated by doctor appointments and limited lab panels, you are not alone.** Standard healthcare is often reactive, focusing on testing only after symptoms appear or leaving patients in the dark.

Superpower flips that approach. We give you full insight into your body with over **100 biomarkers**, personalized action plans, long-term tracking, and answers to your questions, so you can stay ahead of any health issues.

With physician-reviewed results, CLIA-certified labs, and the option for at-home blood draws, Superpower is designed for people who want clarity, convenience, and real accountability - all in one place.

Key benefits of Thyroid antibodies testing

  • Detects autoimmune thyroid disease before symptoms appear or hormone levels shift.
  • Explains unexplained fatigue, weight changes, or mood swings linked to thyroid inflammation.
  • Identifies Hashimoto's thyroiditis, the most common cause of underactive thyroid.
  • Flags Graves' disease, which drives overactive thyroid and metabolic stress.
  • Guides treatment decisions when thyroid hormone levels are borderline or fluctuating.
  • Protects fertility by uncovering antibodies that may impair conception or pregnancy.
  • Tracks disease activity over time to adjust therapy and prevent complications.
  • Best interpreted with TSH and thyroid hormone levels for complete thyroid assessment.

What is Thyroid antibodies?

Thyroid antibodies are immune proteins (immunoglobulins) produced by your body's defense system that mistakenly target components of your own thyroid gland. The most common types are thyroid peroxidase antibodies (TPO antibodies) and thyroglobulin antibodies (TG antibodies). These antibodies arise when the immune system incorrectly identifies thyroid tissue or thyroid-related proteins as foreign invaders.

When your immune system turns on your thyroid

The presence of thyroid antibodies signals autoimmune thyroid disease, where ongoing immune activity can damage thyroid cells and disrupt hormone production. TPO antibodies attack an enzyme essential for making thyroid hormones, while TG antibodies target the protein scaffold used to build those hormones.

A marker of immune confusion, not infection

Unlike antibodies that fight bacteria or viruses, thyroid antibodies reflect a misdirected immune response against self. They are the hallmark of conditions like Hashimoto's thyroiditis and Graves' disease. Detecting these antibodies helps identify the autoimmune nature of thyroid dysfunction, distinguishing it from other causes of thyroid imbalance.

Why is Thyroid antibodies important?

Thyroid antibodies reveal whether your immune system is mistakenly attacking your thyroid gland, the metabolic control center that governs energy production, temperature regulation, heart rate, and brain function. Their presence signals autoimmune thyroid disease, the most common cause of thyroid dysfunction worldwide, affecting metabolism, fertility, mood, and cardiovascular health across decades.

When antibodies stay absent or minimal

In healthy individuals, thyroid antibodies are undetectable or present at very low levels, reflecting immune tolerance. This absence protects the thyroid from inflammatory damage. Women planning pregnancy benefit especially from negative antibody status, as elevated antibodies increase miscarriage risk and postpartum thyroiditis even when thyroid hormone levels appear normal.

What rising antibodies signal systemically

Elevated thyroid peroxidase (TPO) or thyroglobulin antibodies indicate active autoimmune attack, most commonly Hashimoto's thyroiditis, which gradually destroys thyroid tissue and leads to hypothyroidism. Symptoms emerge slowly: fatigue, weight gain, cold intolerance, brain fog, constipation, and depression. TSH receptor antibodies, seen in Graves' disease, overstimulate the gland, causing hyperthyroidism with anxiety, palpitations, heat intolerance, and weight loss. Women face autoimmune thyroid disease five to eight times more often than men, with peaks during reproductive years and perimenopause.

The long view on immune-thyroid crosstalk

Thyroid antibodies predict future thyroid failure years before hormone abnormalities appear, allowing early monitoring. They also cluster with other autoimmune conditions like type 1 diabetes and celiac disease. Tracking antibody trends helps assess disease activity, guide surveillance intervals, and protect metabolic and reproductive health over the lifespan.

What do my Thyroid antibodies results mean?

Low or undetectable thyroid antibodies

Low values usually reflect the absence of autoimmune activity against the thyroid gland. This means your immune system is not producing antibodies that target thyroid tissue or thyroid-related proteins. Most healthy individuals have undetectable or very low levels of thyroid peroxidase antibodies and thyroglobulin antibodies, which supports normal thyroid function and gland integrity over time.

Optimal thyroid antibody levels

Being in range suggests no active autoimmune thyroid disease. For thyroid antibodies, optimal is typically at the low end or undetectable, as any elevation may signal immune activation even before thyroid hormone levels change. Stable low levels support long-term thyroid health and reduce risk of progression to overt autoimmune thyroid conditions.

Elevated thyroid antibodies

High values usually reflect autoimmune thyroid disease, most commonly Hashimoto thyroiditis or Graves disease depending on the antibody type. Elevated thyroid peroxidase or thyroglobulin antibodies indicate immune attack on thyroid tissue, which can gradually impair hormone production and lead to hypothyroidism. Thyroid receptor antibodies, when elevated, often drive hyperthyroidism by overstimulating the gland. Women are more frequently affected than men, and antibody levels may fluctuate with pregnancy or postpartum periods.

Factors that influence thyroid antibody interpretation

Antibody levels can vary with assay methods and may rise or fall over time independent of symptoms. Pregnancy often suppresses antibodies temporarily, while the postpartum period may trigger flares. Isolated antibody elevation without thyroid dysfunction warrants monitoring but does not always progress to disease.

Method: FDA-cleared clinical laboratory assay performed in CLIA-certified, CAP-accredited laboratories. Used to aid clinician-directed evaluation and monitoring. Not a stand-alone diagnosis.

Subscribe for updates
By clicking “Subscribe” you agree to our Terms and Privacy Policy.
Your content is on its way!
By clicking “Subscribe” you agree to our TOS and Privacy Policy.
Oops! Something went wrong while submitting the form.

Similar biomarker tests from Superpower

See more biomarkers

Frequently Asked Questions

Read more
How it works
What should I expect during a blood draw?
  • A trained phlebotomist will guide you through the process.
  • A tourniquet is placed on your arm, the site is cleaned, and a small needle is used to collect blood into one or more tubes.
  • Results are usually ready in about a week.
  • Most people feel only a quick pinch.
  • The needle is removed, gentle pressure is applied, and a bandage is placed.
How do I prepare for a blood draw?
  • Drink plenty of water beforehand — hydration makes veins easier to find.
  • Wear loose sleeves so your arm is easy to access.
  • Follow any fasting instructions you’ve been given.
  • Let us know if you’re on medications, have fainted before, or have needle anxiety.
What should I do after my blood draw?
  • Press gently on the site for a few minutes.
  • Keep the bandage on for 4-6 hours.
  • Skip heavy lifting or strenuous exercise for the rest of the day.
  • Drink extra water to rehydrate.
  • Monitor the site for redness, swelling, or pain.
How do I book a blood draw with Superpower?

Your membership includes:

  • An annual full body test and report across 100+ biomarkers
  • A personalized action plan to optimize your biomarkers and reach your health goals
  • A dashboard to centralize your health data and track changes across a lifetime
  • Access to a health concierge for questions on your plan and help scheduling
  • Plus a marketplace of curated health products and services cheaper than amazon

Many concierge clinics charge $10k – $100k for their services, we’ve built technology to make the world’s best healthcare as accessible as possible via an all-in-one membership.

Where can I take my blood test?

Superpower is currently available in the following US states:

  • Alabama
  • Arizona
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Florida
  • Georgia
  • Idaho
  • Illinois
  • Indiana
  • Kansas
  • Maine
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Missouri
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • Ohio
  • Oklahoma
  • Oregon
  • Pennsylvania
  • South Carolina
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
Our testing
Does Superpower replace my primary care provider?

Superpower specializes in prevention-based testing and treatments and is not intended for emergency or immediate health issues.

While you will have a Superpower care team, your annual membership is designed to complement a primary care doctor if you have one, not replace them.

We are happy to help you share any test results with an outside provider to ensure you receive well-rounded medical care.

How fast are blood test results and how do I read them?

Your annual lab test panel takes about a week to process. We will text you as soon as they become available in your dashboard. Other types of tests may have different testing windows. The Superpower concierge is your own health assistant who helps answer your questions on your results, ensure smooth scheduling, coordination of any office-based tests, specialist referrals as needed, and navigating you to interface with your care team.

Does Superpower accept health insurance?

Superpower membership and products are all eligible for HSA/FSA funding.

We see Superpower like a gym membership for those committed to prevention and performance. Superpower is a bridge between wellness and healthcare. Health insurance traditionally focuses on reactive care whereas, at Superpower, we believe it’s never too early to start looking out for your long-term health.

What if I want more than 1 blood test per year?

Absolutely — you're not limited to just one. Your membership includes one comprehensive 100+ biomarker blood test each year, but if you'd like to track your progress more closely, you can add extra tests at any time. Each additional full-panel test costs $179. You can order as many as you'd like throughout the year.

“Best health check of my entire life.”

Vinay Hiremath, Founder of Loom

“Life changing”

Jordi Hayes, Founder of Capital.xyz

Frequently Asked Questions about Thyroid antibodies Test

What are thyroid antibodies (TPO and thyroglobulin antibodies) and what do they mean?

Thyroid antibodies are immune proteins made when the immune system mistakenly targets the thyroid gland. The most common are thyroid peroxidase (TPO) antibodies and thyroglobulin (TG) antibodies, which bind to thyroid proteins and mark thyroid cells for attack. Their presence is a hallmark of autoimmune thyroid disease, most often Hashimoto’s thyroiditis or Graves’ disease, and can explain why thyroid function may become impaired over time.

Why would my doctor order a thyroid antibodies test if my TSH is normal?

Thyroid antibodies can be elevated years before TSH or thyroid hormone levels shift. Testing helps detect autoimmune thyroid disease early, especially when symptoms like fatigue, weight changes, mood swings, brain fog, or temperature sensitivity are present despite “normal” thyroid labs. Antibody results also help interpret borderline or fluctuating TSH and thyroid hormone patterns and support proactive monitoring to prevent progression to overt hypothyroidism or hyperthyroidism.

What are the key benefits of thyroid antibodies testing for long-term health?

Thyroid antibodies testing can detect autoimmune thyroid disease before symptoms become severe or thyroid hormones become abnormal. It helps identify Hashimoto’s thyroiditis (a common cause of underactive thyroid) and flags Graves’ disease (a driver of overactive thyroid). Results can guide treatment decisions when thyroid levels are borderline, support fertility and pregnancy planning, and allow tracking of disease activity over time to reduce risks like cholesterol imbalance and heart rhythm issues.

What is considered a normal or low thyroid antibody level (IU/mL) for TPO and TG antibodies?

In many lab reference ranges, thyroid antibodies are considered low or absent when they are undetectable or very low - often below about 35 IU/mL for TPO antibodies and below about 40 IU/mL for TG antibodies. Low levels generally suggest no clinically significant autoimmune activity against the thyroid. However, “normal” cutoffs can vary by lab, so results are best interpreted alongside your specific reference range and thyroid function tests.

What does it mean if my thyroid antibodies are high but I don’t have symptoms yet?

Elevated thyroid antibodies usually indicate an autoimmune process affecting the thyroid, even if symptoms have not appeared. High TPO antibodies often precede hypothyroidism by years, as immune-driven inflammation gradually damages thyroid tissue. It’s also possible to have positive antibodies for a long time without developing overt thyroid dysfunction. Monitoring over time - especially with TSH and thyroid hormones - helps anticipate changes before metabolism, energy, and mood are significantly affected.

How are Hashimoto’s thyroiditis and Graves’ disease connected to thyroid antibodies?

Thyroid antibodies are a hallmark of autoimmune thyroid disease. In Hashimoto’s thyroiditis, immune attack commonly leads to gradual thyroid destruction and underactive thyroid (hypothyroidism). Graves’ disease is another autoimmune condition linked to thyroid dysfunction, typically driving overactive thyroid (hyperthyroidism) and metabolic stress. Detecting thyroid antibodies helps distinguish autoimmune thyroid disorders from other causes of thyroid problems and supports earlier identification of the underlying immune activity affecting the gland.

How do thyroid antibodies affect metabolism, energy, and mood when the immune system attacks the thyroid?

When thyroid antibodies signal an immune attack on thyroid tissue, hormone production can become disrupted over time. Because thyroid hormones regulate metabolism, energy, temperature control, heart rate, and brain function, autoimmune thyroid inflammation may contribute to fatigue, weight gain or loss, mood swings, depression, brain fog, and cold or heat intolerance. Symptoms can occur even before hormone levels become abnormal, and severity doesn’t always match antibody levels.

Why do thyroid antibodies matter for fertility and pregnancy outcomes?

Thyroid antibodies can affect reproductive health by increasing the risk of conception challenges and pregnancy complications. In pregnancy, thyroid antibodies are associated with a higher risk of miscarriage and postpartum thyroiditis. Antibody levels may be suppressed or unmasked during pregnancy and can rise postpartum, complicating interpretation. Identifying antibodies early supports closer monitoring of thyroid function during pregnancy and postpartum, helping protect maternal metabolism, energy, and hormonal stability.

Do thyroid antibody levels always correlate with how severe my symptoms are?

No. Antibody levels do not always align with symptom severity or current thyroid function. Some people have elevated anti-TPO or anti-TG antibodies with normal TSH and thyroid hormones, while others have significant symptoms with only modest antibody elevations. Antibody levels can also fluctuate over time, and pregnancy/postpartum changes may alter results. For the most complete picture, thyroid antibodies are best interpreted alongside TSH and thyroid hormone testing.

How should thyroid antibodies be interpreted alongside TSH and thyroid hormone tests for a complete assessment?

Thyroid antibodies identify autoimmune thyroid disease risk and immune activity, while TSH and thyroid hormones show current thyroid function. Using them together helps explain borderline or fluctuating results and can detect autoimmune thyroid disease before hormone levels shift. Antibodies can predict future thyroid failure and guide follow-up frequency, especially in higher-risk groups (women, postpartum, or those with fertility concerns). Tracking trends over time supports earlier intervention and complication prevention.

Finally, healthcare that looks at the whole you