Understanding thyroid blood testing in New Zealand

The thyroid plays an important role in regulating metabolism, energy production, temperature control, and hormone balance throughout the body.

Thyroid blood tests measure key hormones involved in thyroid function and may help provide additional insight into symptoms such as fatigue, weight changes, temperature sensitivity, or changes in mood and concentration.

Understanding thyroid function

The thyroid is a small butterfly-shaped gland located in the neck. It produces hormones that help regulate how the body uses energy, alongside supporting heart rate, digestion, body temperature, and normal metabolic function.

Because thyroid hormones affect multiple systems throughout the body, changes in thyroid function can sometimes contribute to a wide range of non-specific symptoms.

Many people first explore thyroid testing when experiencing symptoms such as:

  • ongoing fatigue
  • unexplained weight changes
  • sensitivity to cold or heat
  • hair thinning
  • brain fog or difficulty concentrating
  • menstrual irregularities
  • changes in mood or energy levels

Symptoms associated with thyroid dysfunction can overlap with other health conditions or life stages, including stress, menopause, nutritional deficiencies, or general wellbeing concerns.

What does a thyroid blood test measure?

A thyroid blood test typically measures:

  • TSH (Thyroid Stimulating Hormone) – helps regulate thyroid hormone production
  • Free T4 (Thyroxine) – the main hormone produced by the thyroid gland
  • Free T3 (Triiodothyronine) – the active thyroid hormone involved in metabolism and energy regulation

These markers are often interpreted together to provide a broader picture of thyroid function.

Why are TSH, Free T4 and Free T3 measured together?

TSH is commonly used as an initial screening marker for thyroid function. However, additional thyroid hormones such as Free T4 and Free T3 may provide further context depending on the clinical situation.

Assessing these markers together may help provide more information about how the thyroid gland is functioning and whether additional medical follow-up may be appropriate.

Thyroid test interpretation should always consider:

  • symptoms
  • medications
  • pregnancy status
  • medical history
  • previous thyroid conditions

Understanding thyroid test results

Thyroid test results should be interpreted by a qualified healthcare professional in the context of your symptoms, medical history, medications, and other clinical information. An abnormal result does not always indicate a thyroid disorder on its own.

Examples may include:

  • Elevated TSH with low Free T4 may be associated with hypothyroidism
  • Low TSH with elevated thyroid hormones may be associated with hyperthyroidism
  • Borderline changes may require repeat testing or ongoing monitoring

Some people also use thyroid testing to establish a baseline or monitor changes over time in consultation with their healthcare provider.

Thyroid testing through BODYiQ

BODYiQ provides self-requested thyroid blood testing through Awanui’s nationwide collection centre network.

How it works:

  1. Order your test online
  2. Visit an Awanui collection centre
  3. Have your sample collected by qualified staff
  4. Receive your results securely online

Testing is performed in IANZ-accredited Awanui laboratories used by healthcare providers throughout New Zealand.

Thyroid tests

Wellness
Thyroid Health Bundle
$59.99Includes 3 tests
The Thyroid Health Bundle evaluates key hormones produced by the thyroid gland, which plays a vital role in regulating metabolism, weight, energy, and mood. Thyroid hormone levels can fluctuate over time, impacting various bodily functions. \ \ This bundle can help assess general thyroid health, monitor hormone production, and can guide thyroid hormone replacement therapy.
Wellness
Free T3
$21.99Includes 1 tests
Tri-iodothyronine (T3) is one of the main thyroid hormones that help control energy levels, metabolism, and body temperature. The Free T3 Test measures the amount of active (unbound) T3 circulating in the blood, providing a more accurate picture of how well your thyroid is working. \ \ This test is often used to help diagnose hyperthyroidism (overactive thyroid), hypothyroidism (underactive thyroid), and other thyroid-related conditions. It’s also useful for people experiencing symptoms like unexplained weight changes, fatigue, heart palpitations, or mood swings, and for monitoring T3 treatment.
Wellness
Free T4
$24.99Includes 1 tests
Thyroxine (T4) is one of the main thyroid hormones that helps regulate metabolism, energy levels, and body temperature. The Free T4 Test measures the amount of active (unbound) T4 in the blood, giving a clear picture of how well your thyroid is working. \ \ This test is often used to diagnose hypothyroidism (underactive thyroid), hyperthyroidism (overactive thyroid), and other thyroid-related conditions. It’s useful for people experiencing symptoms like fatigue, weight changes, dry skin, hair thinning, or mood swings.
Wellness
Thyroid Antibody - anti-TPO
$38.99Includes 1 tests
The Thyroid Antibody Test measures the presence of antibodies targeting thyroid peroxidase (TPO), an enzyme crucial for thyroid hormone production. Elevated levels of these antibodies can indicate autoimmune thyroid diseases such as Hashimoto's thyroiditis (hypothyroidism) and Graves' disease (hyperthyroidism).
Wellness
Thyroid Stimulating Hormone (TSH)
$22.99Includes 1 tests
Thyroid Stimulating Hormone (TSH) is produced by the pituitary gland and regulates the production of thyroid hormones, triiodothyronine (T3) and thyroxine (T4), which are essential for metabolism, energy levels, and overall bodily functions. \ \ The TSH test evaluates the concentration of TSH in the blood to determine thyroid health.

Reviewed by Dr Melissa Yssel, Chemical Pathologist and Clinical Lead at Awanui Labs.
Dr Yssel has more than 25 years' experience in laboratory medicine, specialising in biochemistry, endocrinology, toxicology, and molecular diagnostics.

May, 2026

References:
- Healthify NZ – Thyroid function tests
- Royal College of Pathologists of Australasia (RCPA) Manual
- American Thyroid Association – Thyroid Function Tests
- Ministry of Health NZ – Thyroid Disorders Information