Where to get tested, what each test measures, and how to interpret your results.
Thyroid blood tests are widely available across Nepal — most major laboratories offer TSH and thyroid hormone panels, with more specialized tests (antibodies, TRAb) at larger facilities. No referral is typically needed for basic testing.
Results are interpreted as a panel — TSH pattern plus free hormone levels defines the type and severity of dysfunction. Antibody tests identify autoimmune causes. A single test rarely tells the whole story.
The TSH (thyroid-stimulating hormone) test is the most important single test for thyroid function. It measures the signal the pituitary sends to the thyroid — and because the pituitary responds sensitively to hormone levels, TSH often changes before thyroid hormones do.
Learn moreThe free T4 (FT4) test measures thyroxine — the main hormone the thyroid produces — that is not bound to proteins and is therefore biologically active.
Learn moreThe free T3 (FT3) test measures triiodothyronine — the most biologically active thyroid hormone — in its unbound, available form.
Learn moreThe total T3 test measures all triiodothyronine in the blood — both protein-bound and free fractions.
Learn moreThe total T4 test measures all thyroxine in the blood — bound to carrier proteins plus the small free fraction.
Learn moreThe anti-TPO (anti-thyroid peroxidase) antibody test detects antibodies against an enzyme in the thyroid — a marker of autoimmune thyroid disease, most commonly Hashimoto’s thyroiditis.
Learn moreIf your results are abnormal or you're unsure what they mean, a thyroid specialist consultation provides expert interpretation and a clear management plan.
Thyroid blood tests (TSH, free T4, free T3) are available at most laboratories in Kathmandu, Lalitpur, Pokhara, Chitwan and other major cities. Antibody tests and specialized panels are available at larger labs. For ultrasound and biopsy, hospitals and specialist clinics offer these services.
Costs vary by laboratory and test type — a basic TSH test is inexpensive while full panels with antibodies cost more. Contact laboratories directly for current pricing.
In Nepal, thyroid blood tests can typically be requested directly at laboratories without a prescription. However, interpretation of results and any treatment requires a qualified clinician.
Most thyroid blood tests return results within 1–3 working days. Specialized tests may take longer.
Some specialist clinics offer same-day testing and consultation. Contact The Thyroidologist to discuss arranging coordinated testing and review.
Book a specialist consultation — in person or by teleconsultation.