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Thyroid

TSH Receptor Antibodies

TRAb antibodies may indicate Graves' disease, which can cause hyperthyroidism. For active individuals, an uncontrolled overactive thyroid can significantly impact heart rate, recovery, and body composition. TRAb testing may help identify the cause of unexplained performance changes.

Doctor's Assessment Included

Reference Ranges

No established reference range

There is no generally accepted reference value for TSH-receptor antibodies. The NVKC states that no general normal values are available: reference values depend on the assay used and differ between laboratories. The Dutch thyroid guideline therefore states that an absolute cut-off cannot be formulated, because the available assays are not standardised against one another. In practice the upper limits used by Dutch laboratories for this one test span more than a five-fold range, and even the unit printed on the report differs (E/l, U/l, IU/l, kU/l and AU/l are all used for the same quantity). So do not convert your result. The guideline judges the result relative to the laboratory itself: a value above three times the performing laboratory's own upper limit is considered clinically relevant, and that laboratory states its upper limit on your report. Discuss your result with your GP.

Unit: kU/l

Reference ranges may vary between laboratories. When you order a test, a BIG-registered doctor assesses your personal results in context. For treatment decisions, discuss your results with your GP.

What It Measures

This test measures antibodies that bind to the TSH receptor on thyroid cells. These may include stimulating antibodies that cause overactive thyroid function or blocking antibodies that may reduce thyroid activity. TRAb testing is commonly used by healthcare providers to evaluate and monitor autoimmune thyroid disease.

Why It Matters

Active individuals with undiagnosed Graves' disease may experience elevated resting heart rate, excessive muscle breakdown, weight loss despite adequate nutrition, or heat intolerance during training. TRAb testing may help your healthcare provider identify the underlying cause and develop a treatment plan that supports your return to optimal performance.

When to Test

Your healthcare provider may recommend TRAb testing when Graves' disease is suspected, to differentiate between causes of hyperthyroidism, to assess relapse risk after completing antithyroid medication, or during pregnancy when there is a history of Graves' disease. Timing of testing may depend on your specific clinical situation.

Symptoms

Low Levels

Low or undetectable TRAb levels are generally considered normal and typically do not cause symptoms. The absence of these antibodies may suggest that Graves' disease is less likely as a cause of hyperthyroidism. Your healthcare provider will consider other factors alongside TRAb results for a comprehensive assessment.

High Levels

Some people with elevated TRAb may experience symptoms of hyperthyroidism, including unexplained weight loss, rapid or irregular heartbeat, anxiety, tremors, excessive sweating, heat intolerance, or Graves' eye disease. Symptoms may vary depending on whether the antibodies are stimulating or blocking. Consult your healthcare provider for evaluation.

Lifestyle Tips

While lifestyle measures alone may not directly reduce TRAb levels, some people find that stress management, adequate sleep, a balanced diet, and avoiding smoking may support overall thyroid health. Selenium supplementation has been studied in relation to Graves' eye disease. Always consult your healthcare provider before starting supplements or making significant changes.

Frequently Asked Questions

What is the difference between TRAb and TSI?
TRAb is a broader category of antibodies that bind to the TSH receptor, which may include both stimulating and blocking types. TSI specifically measures the stimulating antibodies. Your healthcare provider may request one or both tests depending on the clinical question being addressed.
Can TRAb levels predict Graves' disease relapse?
Research suggests that TRAb levels measured at the end of antithyroid medication treatment may help predict the likelihood of relapse. Higher levels at treatment completion may be associated with greater relapse risk. Your healthcare provider can discuss what your specific results mean for your prognosis.
Why are TRAb levels monitored during pregnancy?
TRAb antibodies can cross the placenta and potentially affect the baby's thyroid function. Monitoring TRAb levels during pregnancy, particularly in the third trimester, may help your healthcare provider assess and manage any risk to the baby. Discuss pregnancy-related thyroid monitoring with your provider.

Tests with related values

These panels measure values from the same category as this marker.

Complete Health

360 Health

Broad health panel: hormones, thyroid, vitamins, lipids, liver, kidney, and blood count.

HbA1c (Glycated Hemoglobin) TSH (Thyroid Stimulating Hormone) Triglycerides Urea (BUN) Creatinine eGFR (Estimated Glomerular Filtration Rate) Free T4 (Thyroxine) LDL Cholesterol Liver Function Test (LFT) SHBG (Sex Hormone Binding Globulin) Vitamin B12 Vitamin D (25-OH) Total Testosterone Free T3 (Triiodothyronine) Ferritin HDL Cholesterol Albumin Total Cholesterol Basic Blood Count
€346,-
Health Checkups

InsideTracker

A 36-biomarker performance and longevity panel inspired by InsideTracker Ultimate — covering heart, hormones, metabolism, inflammation, recovery and iron status.

SHBG (Sex Hormone Binding Globulin) TSH (Thyroid Stimulating Hormone) ALT (Alanine Aminotransferase) LDL Cholesterol GGT (Gamma-Glutamyl Transferase) Cortisol DHEA-S Estradiol (E2) Free Testosterone Total Testosterone Folate (Folic Acid) Vitamin B12 Calcium Ferritin Iron (Serum) Magnesium Magnesium (Intracellular) Potassium Progesterone Sodium Transferrin CRP (C-Reactive Protein) Glucose (Fasting) HbA1c (Glycated Hemoglobin) ApoB (Apolipoprotein B) HDL Cholesterol Total Cholesterol Albumin AST (Aspartate Aminotransferase) Vitamin D (25-OH) Insulin (Fasting) Leukocyte Differential Creatine Kinase (CK) Transferrin Saturation Triglycerides Basic Blood Count
€399,-

Whoop

A 44-biomarker comprehensive health panel inspired by WHOOP Advanced Labs — a deep look at metabolism, cardiovascular risk, hormones, liver, kidney and inflammation.

SHBG (Sex Hormone Binding Globulin) TSH (Thyroid Stimulating Hormone) ALT (Alanine Aminotransferase) LDL Cholesterol Cortisol DHEA-S Estradiol (E2) Free Testosterone FSH (Follicle Stimulating Hormone) LH (Luteinizing Hormone) Total Testosterone Bicarbonate Calcium Chloride Ferritin Iron (Serum) Magnesium Potassium Sodium Transferrin CRP (C-Reactive Protein) Homocysteine Glucose (Fasting) HbA1c (Glycated Hemoglobin) ApoB (Apolipoprotein B) HDL Cholesterol Omega-3 Index Total Cholesterol Albumin HOMA-IR ALP (Alkaline Phosphatase) AST (Aspartate Aminotransferase) Bilirubin (Total) Total Protein Urea (BUN) Creatinine Vitamin D (25-OH) eGFR (Estimated Glomerular Filtration Rate) Insulin (Fasting) Leukocyte Differential Transferrin Saturation Lipoprotein(a) Triglycerides Basic Blood Count
€499,-

TSH Receptor Antibodies

€65,-