Rowe & Wren
← Thyroid guide

How your thyroid works

Film 1 of 5 · 1 min 15 · No sound needed

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The film in words

The thyroid is a small gland at the front of the neck, just below the Adam’s apple. It has two lobes, one on each side of the windpipe, joined by a small bridge of tissue.

It makes two hormones, T4 and T3. They set the speed the body’s cells work at, and affect everything from heart rate, circulation and bones to how you think and feel.

T4 is the main hormone the thyroid makes. The test measures the “free” part, which the body can use.

The body turns T4 into T3, the form it actually uses. Free T3 is usually only tested to check for an overactive thyroid, or how overactive it is.

TSH is a hormone from a small gland at the base of the brain. It tells the thyroid how much hormone to make. When thyroid hormone is low, TSH goes up. When it’s high, TSH goes down.

If the thyroid makes too little hormone, the body’s cells and organs slow down. This is an underactive thyroid (hypothyroidism), the most common thyroid disorder.

Sources: British Thyroid Foundation: your thyroid gland; British Thyroid Foundation: thyroid function tests

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General information, not a diagnosis. Your GP can tell you what your results mean for you.