Book Your Advanced Thyroid Testing in London Today What Tests You Need at Marylebone Diagnostic Centre

Advanced Thyroid Blood Tests: Beyond TSH in Private Clinics

Reviewed by Dr Lauren Holland • Marylebone Diagnostic Centre
Results within 24–42 hours. Westminster residents receive 20% off.

Thyroid symptoms are increasingly common among adults in London. Many people experience unexplained weight gain, fatigue, low mood, cold sensitivity, hair loss, dry skin or brain fog. While NHS screening often checks TSH only, this does not always provide a full picture of thyroid health. At Marylebone Diagnostic Centre, our advanced thyroid testing panel evaluates TSH, Free T4, Free T3, thyroid antibodies and related metabolic markers to give a more accurate assessment.

This blog explains why advanced thyroid testing matters, what symptoms are linked to thyroid imbalance, and which tests provide the clearest answers.

What the Thyroid Does

The thyroid controls:

  • metabolism
  • temperature regulation
  • weight balance
  • energy levels
  • heart rate
  • hair growth
  • menstrual cycles
  • digestion
  • mood stability

Even small changes affect many body systems.

Symptoms of Thyroid Imbalance

People often report:

  • weight gain
  • fatigue
  • cold hands and feet
  • constipation
  • dry skin
  • brittle hair
  • hair thinning
  • depression or anxiety
  • brain fog
  • slow heart rate
  • heavy periods
  • low libido

These symptoms usually warrant a comprehensive thyroid assessment.

The Limitations of TSH-Only Testing

TSH alone cannot diagnose:

  • early hypothyroidism
  • central hypothyroidism
  • poor T4–T3 conversion
  • autoimmune thyroid disease
  • subclinical thyroid disorders

Many patients have symptoms despite “normal” TSH.

What Advanced Thyroid Testing Includes at MDC

TSH
Initial screening hormone to check overall thyroid function.
Free T4
Shows how much thyroid hormone the body can use.
Free T3
The active form of thyroid hormone. Low T3 causes fatigue and slow metabolism.
Thyroid antibodies (TPO & TgAb)
Detect autoimmune thyroid disease, such as Hashimoto’s.
Ferritin (Iron Stores)
Essential for thyroid hormone production and optimal energy levels.
Vitamin D & B12
Low levels can worsen thyroid symptoms and fatigue.
HbA1c
Metabolic issues are common alongside thyroid imbalance; this test helps assess blood sugar control.

Why People Choose Private Thyroid Testing

  • Faster access to detailed results
  • More extensive hormone evaluation
  • Ability to test T3, antibodies and minerals together
  • Explanation of results by a clinician
  • Early detection of subtle thyroid issues
  • Personalised follow-up plan

MDC Thyroid Profiles

Full Thyroid Panel
Includes TSH, FT4, FT3, and thyroid antibodies for a comprehensive assessment.
Thyroid + Wellness Panel
Combines thyroid testing with vitamins, minerals, HbA1c, liver, and kidney markers.
Thyroid + Ferritin
Recommended for patients experiencing fatigue and hair loss.

Advanced Thyroid Markers Explained

MarkerWhat It ShowsWhy It Matters
TSHThyroid stimulationFirst screening marker
FT4Available hormoneLow in hypothyroidism
FT3Active hormoneLow despite normal TSH
TPO antibodiesAutoimmune activityDetects Hashimoto’s early
FerritinIron storesNeeded for hormone production
Vitamin DMetabolic supportLow in most thyroid patients
B12Energy & nervesOften low with thyroid issues
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FAQs

Do I need to fast for thyroid tests?
No.
How long do results take?
24–42 hours.
Can I test even if NHS results were normal?
Yes. Advanced testing can detect subtle issues that standard tests may miss.
Is the test private?
Yes. Results are confidential.

Book Your Advanced Thyroid Testing at MDC

Marylebone Diagnostic Centre
73 Baker Street, London W1U 6RD
Tel: +44 7495 970109
Open Monday–Saturday, 08:00–16:00

Fast, private and confidential results within 24–42 hours.

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