Lab references

Thyroid Function and Thyroid Autoimmunity

TSI / TRAb — lab reference

Use the exact assay cutoff. Helpful in selected Graves disease questions.

Updated Sep 23, 2026 · Educational reference

Purser Wellness approved rule

Unit: assay-specific

Male: Negative below lab cutoff

Female: Negative below lab cutoff

How to read this marker

Use the exact assay cutoff. Helpful in selected Graves disease questions.

The wider testing context

Adult, nonpregnant starting intervals. Pregnancy, severe illness, biotin exposure, binding-protein changes, and assay method require separate interpretation.

Using this reference

This is the approved adult, nonpregnant baseline unless the rule explicitly states otherwise. Keep the performing laboratory’s reference interval separate from this Purser Wellness rule. Match units and review the specimen, method, timing, medicines and relevant clinical context before interpreting a result. These pages do not calculate a personal high/low status or prescribe treatment.

A question to bring to your visit

Which parts of the TSI / TRAb rule apply to my report’s method, units and collection conditions, and what other findings should we review alongside it?

Approved by Dr. Daniel Purser, MD · PW-LABS-1.0. The source laboratory’s interval remains separate.

Names you may see

TSI / TRAb