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What labs are used to diagnose thyroid problems? Free and total T3 Free and total T4 TSH Anti-TPO Hypothyroidism labs increased TSH, decreased T3 &T4 hyperthyroidism labs decreased TSH and increased T3 &T4 When to recheck labs after starting levothyroxine? 6-8 weeks or after dose change, then 12 months once stabilized S/S hypothyroidism