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A thyroid stimulating hormone (TSH) test is an initial test used to determine how your thyroid is functioning. A high TSH level indicates that the thyroid gland isn't making enough hormones, causing hypothyroidism. Conversely, if the TSH level is low it indicates an overactive thyroid, known as hyperthyroidism. The TSH normal level range that most physicians refer to is .3 to 4.5.

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