Does anyone have an article they can link discussing the daily fluctuation in TSH values based on time of the day?

[rjb112]

I have read here that we should get our blood drawn for TSH first thing in the morning, as TSH is highest then. Does anyone have an article they can link which discusses the daily fluctuation of TSH?

Thanks very much

[helvella Administrator Thyroid UK]

I have posted a few times but cannot find any of my posts!

This link might be what you want:

academic.oup.com/jcem/artic...

[rjb112 in reply to helvella]

"I have posted a few times but cannot find any of my posts!"

Thanks very much for looking. i'll read the one you linked...

[rjb112 in reply to helvella]

Yes helvella, that was a great article, thanks very much

[prussianblue]

tiredthyroid.com/tsh.html

Is that helpful at all?

[rjb112 in reply to prussianblue]

"Is that helpful at all?"

I better take it up again tomorrow......almost 1 am now.

Thanks very much!

[rjb112 in reply to prussianblue]

"Is that helpful at all?"

Yes it is.....a good article which also has some good references to other articles. Thanks!

[SlowDragon Administrator]

TSH daily variation (original post by helvella )

healthunlocked.com/thyroidu...

Median TSH graph

healthunlocked.com/thyroidu...

[rjb112 in reply to SlowDragon]

Great articles SlowDragon. Thanks so much.

[diogenes Remembering]

Paper discussing TSH changes over the day and implications for diagnosis

Endocr Res. 2013;38(1):24-31. doi: 10.3109/07435800.2012.710696. Epub 2012 Aug 2.

Clinical significance of TSH circadian variability in patients with hypothyroidism.

Sviridonova MA1, Fadeyev VV, Sych YP, Melnichenko GA.

[rjb112 in reply to diogenes]

Great article diogenes, thank you very much.