Hormonal imbalances
Identify if there are any abnormalities in levels of your thyroid hormones, like free T4, free T3 and TSH, which could be linked to changes in your normal mood, weight, metabolism and overall health.

Your thyroid controls more than you might think: from metabolism and mood to mental sharpness. As well as measuring levels of your thyroid hormones and detecting any antibodies against the thyroid gland, this comprehensive test also checks vitamin D levels, which play a key role in immunity and thyroid health.
Hormonal imbalances
Identify if there are any abnormalities in levels of your thyroid hormones, like free T4, free T3 and TSH, which could be linked to changes in your normal mood, weight, metabolism and overall health.
Vitamin D
Vitamin D plays a crucial role in the normal functioning of our organs, including the thyroid gland. Low levels of vitamin D pose a risk factor for developing thyroid disorders, including autoimmune thyroid disease.1,2
Immune status
Check for evidence of antibodies that may be targeted against your thyroid and disrupting your immune system, and which can be responsible for an overactive or underactive thyroid gland.3
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A thyroid blood test checks your hormone levels, including TSH, Free T3 and Free T4, to see how well your thyroid gland is working. These hormones help regulate your energy, mood, metabolism, bone health, weight and more. It can be a helpful first step in identifying if your thyroid gland is overactive or underactive so that you can understand your body better and take meaningful steps to improve your health
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Your blood sample can easily be taken from home. It includes step-by-step instructions and pre-paid return packaging.
Do I need to fast?
No fasting is required for this thyroid blood test.
When is the best time to test?
We recommend collecting your sample in the morning before 10am, when hormone levels are most stable.
Can I take any medication as normal?
Yes, but if you’re on thyroid hormone replacement (e.g. levothyroxine), take your medication after your blood test, not before, for the most accurate reading.
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People often choose this test to explore symptoms like tiredness, mood changes, weight fluctuations, or irregular periods, especially if thyroid disorders run in the family or are suspected.
For women, it’s commonly used during hormonal shifts such as pregnancy, postpartum, or perimenopause. For men, it’s often used to investigate unexplained fatigue, low mood, or metabolism changes.
Order your at-home test and get free 48-hour letterbox delivery.
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Follow the simple instructions in your blood test. Return your sample for free.
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Get your personalised results with actionable insights from our experts in 3-5 days.
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Danielle Brightman
Clinical Director
MPharm PgDip PCert

Zoe Griffiths
VP of Behavioural Medicine
BSc (Hons) RD SCOPE

Abby Watts
Senior Nurse Prescriber
BSc Adult Nursing, IP

This test measures thyroid hormones (TSH, Free T4, Free T3) and thyroid antibodies (anti-TPO and anti-TG), along with vitamin D. Together, they provide a detailed picture of how well your thyroid gland is functioning and if an autoimmune component is present.
The presence of anti-thyroid peroxidase (TPO) and anti-thyroglobulin (anti-TG) antibodies can help to identify if autoimmunity is present, which can cause thyroid dysfunction.
Symptoms of an underactive thyroid typically include tiredness, weight gain, feeling cold, and low mood4. An overactive thyroid might cause weight loss, anxiety, a fast heartbeat, or difficulty sleeping5.
Vitamin D is crucial for the normal functioning of many organs, including the thyroid gland, and low vitamin D may contribute to fatigue or immune system dysfunction. Vitamin D deficiency is considered a risk factor for the development of many thyroid disorders, including autoimmune disease1.
No fasting is required for you to take this blood test.
This test helps identify patterns consistent with thyroid disease, but a full diagnosis should be made in consultation with a healthcare professional based on your symptoms and medical history.
Yes, but let us know if you're taking thyroid hormones, as your results should be interpreted in that context.
The test can be taken at any time of day, but ideally in the morning. If you're on thyroid medication, speak to your doctor about the best timing.
You should receive your blood test results 3-5 working days after you post your blood samples.
You’ll get an email notifying you that your results have arrived in your Numan account, so keep an eye on your inbox so you don’t miss them. Additionally, you’ll receive a written review of your results from one of our clinicians, which you can read alongside your results to help you understand them.
Once they’re in your account, you can view your results any time you wish. You can also view them in-app and save your results as a PDF to help you keep track of them (and show them to your GP if need be).
Yes. It’s designed to be taken at home and we’ve included detailed instructions to help you through the process. We’ll also break down your results into simple, easy-to-understand language, so you’ll learn where you stand and how you can improve your health.
It’s generally a good idea to take your test every few months, but since every patient is different there’s no set timescale. If you’re unsure, you can ask our clinical team.
Each test is a finger-prick test, so you may feel a small scratch when you use the lancet provided with it to take a blood sample. This is only temporary, and any discomfort should subside swiftly afterwards.
Small changes to your biomarkers are normal and generally nothing to worry about. However, any significant changes in your health markers should prompt a discussion with a healthcare professional. They can provide context, possible explanations, and guidance.
1. Zhao Rui , Zhang Wei , Ma Chenghong , Zhao Yaping , Xiong Rong , Wang Hanmin , Chen Weiwen , Zheng Song Guo. Immunomodulatory Function of Vitamin D and Its Role in Autoimmune Thyroid Disease. Frontiers in Immunology. Volume 12 - 2021. 10.3389/fimmu.2021.574967.
2. Alijani, S., Ghadir, M. & Gargari, B.P. The association between dietary inflammatory index and dietary total antioxidant capacity and Hashimoto’s thyroiditis: a case-control study.BMC Endocr Disord 24, 177 (2024). https://doi.org/10.1186/s12902-024-01708-z
3. Fröhlich E, Wahl R. Thyroid Autoimmunity: Role of Anti-thyroid Antibodies in Thyroid and Extra-Thyroidal Diseases. Front Immunol. 2017 May 9;8:521. doi: 10.3389/fimmu.2017.00521. PMID: 28536577; PMCID: PMC5422478.
4. NICE CKS Summary on Hypothyroidism: https://cks.nice.org.uk/topics/hypothyroidism/
5. NICE CKS Summary on Hyperthyroidism: https://cks.nice.org.uk/topics/hypothyroidism/
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