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The treatment goals for hypothyroidism are to reverse clinical progression and correct metabolic derangements, as evidenced by normal blood levels of thyroid-stimulating hormone (TSH) and free thyroxine (T4). Thyroid hormone is administered to supplement or replace endogenous production.
The most common method used to detect hypothyroidism is a blood test. The tests for T3 and T4 measure circulating hormone levels. The TSH test measures the pituitary thyroid-stimulating hormone, which in turn signals the production of T3 and T4.