When it comes to testing for thyroid health, Thyroid-Stimulating Hormone (TSH) is one of the most important markers. However, did you know that your TSH levels can change throughout the day? This is due to what we call the circadian rhythm—a natural cycle that causes hormone levels, like TSH, to rise and fall over 24 hours.

How TSH Levels Change Throughout the Day

TSH doesn’t stay at the same level all day. Here’s how it works:

• Highest Levels: TSH tends to be at its peak late at night and early in the morning.
• Lowest Levels: In the late afternoon and early evening, TSH levels drop to their lowest.

This daily pattern is controlled by your body’s internal clock. During the night, TSH rises to help prepare your body for the next day’s activities.

Why Timing Is Important for TSH Testing

Because TSH levels change over the course of the day, the time of your blood test can affect your results:

• Morning Tests: Testing for TSH in the morning usually gives more accurate results because levels are at their highest. This makes it easier to get a true picture of your thyroid function.
• Afternoon Tests: Testing later in the day can show lower TSH levels simply due to natural fluctuations, which might not reflect your true thyroid health.

What to Keep in Mind for Accurate Testing

1. 1. Morning is Best: Try to schedule your thyroid tests for the morning, when TSH levels are naturally higher.
   2. Be Consistent: If you need regular thyroid tests to monitor a condition, it’s best to test at the same time each day to avoid differences caused by daily changes.
   3. Follow Your Doctor’s Advice: Your healthcare provider will guide you on when and how to test, taking into account any other factors, such as medications that might affect your results.

TSH levels naturally rise and fall throughout the day, so the timing of your test matters. By testing in the morning and following your doctor’s advice, you can ensure you get the most accurate results. This helps you and your healthcare provider better understand and manage your thyroid health.

So, the next time you need a thyroid test, remember: timing can make a big difference!