Thyroid Function - Diagnosis and Monitoring

A two-marker at-home blood test checking TSH and free T4, for a first look at possible underactive or overactive thyroid function.

  • At-home test
  • Doctor reviewed
Sample
Blood
Collection
At-home finger-prick kit, venous draw at a partner clinic or home visit by a phlebotomist
Results in
1 day
Biomarkers
2
Doctor reviewed
Yes
Tests for
  • Thyroid Stimulating Hormone
  • Free T4 (thyroxine)

Test specifications

Sample type
blood
Collection method
at-home finger-prick kit, venous draw at a partner clinic or home visit by a phlebotomist
Turnaround time
1 day
Biomarkers tested
2
At-home test
Yes
Doctor reviewed
Yes
Gender focus
Both

What's tested

2 biomarkers as listed by London Medical Laboratory.

Hormones

  • Thyroid Stimulating Hormone

Thyroid

  • Free T4 (thyroxine)

About this test

TSH and free T4 are the two markers most commonly used as a starting point for assessing whether the thyroid gland is underactive or overactive. Both can be affected well before more obvious symptoms appear, which is why this pairing is often used as a first check rather than a final answer.

There is no named comparison group on record for this specific test, so it is scored against the wider set of thyroid tests we track. On that basis its two-marker depth places it around the 30th percentile for biomarker count, while its £49 price sits roughly 10% below the £54.58 median for similarly sized thyroid tests.

Collection convenience scores highly because the test can be done entirely at home, and trust signals reflect the provider's CQC registration and doctor-reviewed report as standard.

Who is it for?

This is a reasonable first check for anyone with possible thyroid symptoms who wants a quick, low-cost, at-home option, and it is worth discussing any symptoms with a GP alongside testing. If you want antibody testing as well, in case an autoimmune cause is suspected, London Medical Laboratory's own Thyroid Full Profile checks five markers for £79.

How it works

This is a blood test. You can use an at-home finger-prick kit (£3.99 postage), attend a partner clinic for a venous draw (£35), or arrange a phlebotomist home visit. Results are typically ready within a day and are reviewed by a doctor.

Pros & cons

Pros

  • Can be done entirely at home with a finger-prick kit
  • Priced around 10% below the average for similarly sized thyroid tests
  • Results reviewed by a doctor and typically back within a day

Cons

  • Only two markers, with no thyroid antibody testing included
  • No named comparison group in our data, which makes direct rival comparisons harder

Our editorial score

Compare Health Test Score Simplest thyroid check in London Medical's range
Editorial confidence: 10.0/10

This £49 test checks just TSH and free T4, a first-line pair commonly used to assess thyroid function. It is narrower and cheaper than London Medical Laboratory's own five-marker Thyroid Full Profile, and it can be done with an at-home finger-prick kit rather than a clinic visit.

Score breakdown

  • Clarity and documentation 9.0/10

    The listing publishes a detailed description, the full biomarker list, a stated turnaround, clear collection options, the sample type; it does not state what the report looks like.

  • Clinical depth 6.2/10

    2 biomarkers, placing it in the 29th percentile of thyroid tests we track.

  • Collection convenience 9.0/10

    A finger-prick sample you take at home; with a venous or clinic option as well; results in around 1 days, well ahead of the thyroid norm of 2.

  • Results and follow-up 7.0/10

    Results are reviewed by a doctor; the provider does not describe the report format.

  • Trust signals 6.5/10

    No Trustpilot rating on record; CQC registered; doctor review as standard.

  • Value for money 7.0/10

    £49.00 against a median of £54.58 for the 24 similarly sized thyroid tests we track (-10%).

Calculated 13 September 2026 from the facts we hold about this test and provider, using our published scoring formula. Scores are not hand-edited.

View all →

Thyroid Function Blood Test

Three-hormone thyroid panel priced like a two-hormone test

Checks TSH, free thyroxine and free T3, the three core hormones used to assess thyroid function. Suited to people investigating symptoms like fatigue or weight change, or monitoring a known thyroid condition.

  • At-home test
8.7 / 10

Thyroid Blood Test

Full TSH, FT4 and FT3 panel at the group median price

Checks the three core thyroid markers, TSH, free T4 and free T3, used to help assess an underactive or overactive thyroid. Suited to anyone with possible thyroid symptoms who wants more than a single TSH reading.

  • At-home test
8.6 / 10