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Thyroid antibody tests

Also called: TPO antibodies, Thyroid peroxidase antibodies, TSI, TRAb, Thyroglobulin antibodies

Thyroid antibody tests look for autoimmune thyroid disease, like Hashimoto's thyroiditis or Graves' disease.

SampleA small tube of blood from a vein in your arm
Fasting?Usually not needed
ResultsSeveral days
Good to knowOne result rarely tells the whole story. Your provider looks at your results together with your symptoms, exam, and other tests.

What the test is

TPO antibodies are common in Hashimoto's. TSI or TRAb point to Graves' disease.

Why it's done

  • An abnormal TSH
  • Goiter
  • Pregnancy with thyroid concerns

Getting ready and what happens

  • No special preparation is needed.

How the test is done

  • A health worker cleans the skin, puts a band around your arm, and draws blood from a vein with a small needle. It takes a few minutes.

What the results mean

Positive TPO

Suggests Hashimoto's. You may develop an underactive thyroid over time, so TSH is checked regularly.

Positive TSI or TRAb

Supports Graves' disease.

Questions to ask your provider

  • What do my results mean for me?
  • Do I need to repeat this test or have other tests?

Risks

A blood draw is very safe. You may have slight pain or a small bruise where the needle went in.

Related conditions

Related tests

Sources

Last updated 2026-11-13.