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Thyroid

Insight into your anti-TPO level.

Anti-TPO are antibodies against the thyroid enzyme thyroid peroxidase. Their presence fits with an autoimmune thyroid condition such as Hashimoto's, and gives context to an abnormal thyroid result.

Also known as: TPO antibodies, anti-TPO, thyroid antibodies

Results within a few business days
No referral required
800+ collection points

Interpreted by BIG-registered doctors

How it works?

How Bloodworks works

  1. Order online

    Choose your package and preferred location

  2. Receive your lab form

    Within 24 hours by email, with appointment planner

  3. Schedule your blood draw

    Or choose a walk-in location

  4. Blood draw

    Takes just a few minutes

  5. Receive your report

    Securely, within a few working days from our physicians

Background

What are anti-TPO antibodies?

Thyroid peroxidase, or TPO for short, is an enzyme in the thyroid needed to produce thyroid hormone. In some people, the immune system makes antibodies against this own enzyme. Those antibodies are called anti-TPO. Their presence shows that the immune system is directed at thyroid tissue, and fits with an autoimmune thyroid condition such as Hashimoto's disease and, to a lesser extent, Graves' disease.

Anti-TPO says something about the nature of a thyroid problem, not about how the thyroid is working. That function is measured with TSH and Free T4. Antibodies are also found in people whose thyroid works perfectly well, more often in women and at older ages. A detectable anti-TPO is therefore not a diagnosis in itself. The height of the value also says nothing about the severity of any condition or about your symptoms. The result gains meaning in combination with your thyroid function and your personal story.

In brief

Antibody

Directed against the thyroid enzyme TPO

Autoimmune

Fits with Hashimoto's and sometimes Graves'

Not a function test

Function is measured with TSH and Free T4

No measure of severity

The height says nothing about how severe symptoms are

Common reasons to test

When can insight into your Anti-TPO be valuable?

Below are some situations in which measuring Anti-TPO can provide insight.

Context for an abnormal thyroid value

If your TSH or Free T4 is abnormal, anti-TPO helps to understand whether the immune system plays a role.

When Hashimoto's is suspected

With persistent symptoms that fit an underactive thyroid, anti-TPO is often added to the investigation.

With thyroid conditions in the family

Autoimmune thyroid conditions run in families. With a family history, anti-TPO gives additional insight.

With another autoimmune condition

Autoimmune conditions more often occur together. Those who already have one sometimes include thyroid antibodies in their testing.

Before and during a wish to conceive

Thyroid antibodies play a role in questions around fertility and pregnancy. A test may form part of preconception checks.

With a borderline value you want to interpret

With a slightly abnormal TSH, anti-TPO helps to place the result and to judge whether follow-up is worthwhile.

What your result means

How do we read your Anti-TPO level?

Anti-TPO is measured in kU/L, sometimes expressed as IU/mL. The laboratory states the reference values that apply there alongside your result. Important: anti-TPO does not measure how your thyroid is working, but the presence of antibodies. A result can only be interpreted together with TSH and Free T4 and your personal situation.

Low / below reference

A low or undetectable value

If the antibodies are undetectable or barely detectable, that makes an autoimmune thyroid condition less likely. It cannot be ruled out entirely: a share of people with Hashimoto's have no detectable anti-TPO. If there are symptoms, or if your thyroid function is abnormal, that function remains leading for the next step.

Within reference

A value within the reference range

An anti-TPO within the laboratory's reference values is usually reported as negative. That gives a reassuring picture for this marker. In itself it says nothing about how your thyroid is working, for which our doctor looks at TSH and Free T4.

Above reference

An elevated value

An elevated anti-TPO means antibodies against the thyroid enzyme are detectable. That fits with an autoimmune thyroid condition such as Hashimoto's. At the same time, an elevated value also occurs in people with a normally functioning thyroid and no symptoms. It is therefore not a diagnosis in itself, and the height of the value says nothing about severity. Our doctor assesses the result together with your thyroid function and explains whether follow-up or periodic monitoring is customary.

How we interpret your result

Our doctors interpret your anti-TPO against the laboratory's reference values, your thyroid function and your personal context, such as symptoms, family history and medication use.

Related tests

Often combined with Anti-TPO.

A single marker gives one perspective. For a broader picture you can combine Anti-TPO with a theme package or related markers.

Frequently asked questions

Everything you want to know

Do I need to fast for an anti-TPO test?

No, you do not need to fast for anti-TPO. You can have blood drawn at any time of day.

Does an elevated anti-TPO mean I have Hashimoto's?

No. Detectable antibodies fit with an autoimmune thyroid condition, but are not a diagnosis in themselves. Antibodies also occur in people with a normally functioning thyroid and no symptoms. Your thyroid function, measured with TSH and Free T4, together with your symptoms, determines the picture. Our doctor explains what your result means in your situation.

Does the height of the value say anything about severity?

No. A strongly elevated anti-TPO does not mean you have more symptoms or that a condition will follow a more serious course. The level of the antibodies does not track severity. This is also why anti-TPO is usually not repeated to follow a course over time.

What is the difference between anti-TPO and TSH?

TSH shows how your thyroid is working at this moment, under signalling from the pituitary gland. Anti-TPO shows whether your immune system is making antibodies against thyroid tissue. The first measures function, the second a possible cause. They complement each other.

Can I have anti-TPO without symptoms?

Yes. A share of people with detectable antibodies have a normally functioning thyroid and no symptoms at all. People with antibodies do sometimes choose periodic monitoring of thyroid function, because the chance of developing an underactive thyroid over time is somewhat higher. Our doctor will explain this.

How often should I have anti-TPO measured?

A single measurement is usually enough. Once the antibodies have been detected, repeating the same antibody test adds little. What people do instead is have their thyroid function checked periodically with TSH and Free T4.

Does my medication affect the result?

Biotin supplements can interfere with the measurement. Some medicines, such as amiodarone and lithium, can affect the thyroid. Please tell us about your medication and supplements so our doctor can take this into account during interpretation.

What do I do with my result?

You receive a PDF report with your value and a personal explanation from a doctor. The report is written in medical language, so you can discuss it with your GP if you wish. What you do with it remains entirely your choice.

Ready for insight into your anti-TPO level?

For €89 you receive your anti-TPO level including personal explanation from a doctor, typically within a few working days. No referral required.

Order Anti-TPO for €84

Want to test multiple markers at once?

Combine Anti-TPO with other markers via Bloodworks Select. Blood draw costs are waived from €225.

Open Bloodworks Select →

84,-

All-in, blood draw included

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