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A health practitioner may order a TSH test when someone has symptoms of hyperthyroidism or hypothyroidism and/or when a person has an enlarged thyroid gland (goiter). The eyes may be affected: puffiness around the eyes, dryness, irritation, and, in some cases, bulging of the eyes.
While a TSH test is usually used as the initial blood test to detect hypothyroidism, the doctor may need to order additional tests to diagnose hypothyroidism. The doctor also may check your level of FT 4, or free thyroxine, which is the amount of thyroxine in your body.