Thyroid system

Thyroid Peroxidase Antibodies (TPO)

TPO Ab

Antibodies against the thyroid enzyme TPO — the primary marker for autoimmune thyroid disease.

What is it

Thyroid Peroxidase Antibodies (TPO) — in plain English.

TPO antibodies are immune system antibodies that target thyroid peroxidase, an enzyme involved in thyroid hormone production. Elevated levels are a primary marker of autoimmune thyroid disease.

Why it's measured

What TPO Ab can reveal.

TPO antibodies have been associated with Hashimoto's thyroiditis and other autoimmune thyroid conditions in published research.

Reference range

Where most laboratories draw the standard line.

Standard laboratory reference

< 35 IU/mL

Reference ranges vary by laboratory. Your individual reference range will appear on your test report and should be interpreted by your physician in the context of your overall health profile.

What results may indicate

Higher vs. lower TPO Ab — at a high level.

Elevated

Has been associated with autoimmune thyroid disease, including Hashimoto's, in published research.

Lower

Is generally considered favorable.

These associations are general. They are not a personal diagnosis or prediction. Discuss your individual results with your physician in the context of your full health profile.

When it's measured

When TPO Ab is typically run.

Used in evaluating autoimmune thyroid disease, particularly when TSH is abnormal or symptoms persist.

Related markers

Often measured alongside TPO Ab.

Measured in

TPO Ab is one of 160 biomarkers in the Apex Panel.

A complete look at your heart, hormones, metabolism, inflammation, and longevity systems — drawn at Quest or LabCorp, reviewed by a U.S.-licensed physician.

Explore the Apex Panel
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This information is for general educational purposes only and is not medical advice. Lab results alone are not intended to diagnose, treat, or cure any condition and do not replace the advice of a healthcare provider. OPTML does not offer medical advice, a diagnosis, medical treatment, or any form of medical opinion.