As you know from this article a normal TSH range depending on the lab is around 0.5 to 5.0 which is why your TSH of 4.46 was determined normal, however the very fact that your first TSH test showed up 6.49 should be reason to investigate further.
Liver Ultrasound Preparation guidelines. 1  Do not drink or eat at least 6 hours before the test. 2  On the day before the test, do not eat â fresh fruits and vegetables, fried and oily food, milk, eggs, bread. 3  What you should eat â cooked vegetables, puree, marmalade, honey, roasted bread, soup, and rice.
Most ultrasound exams require no preparation, with a few exceptions: 1  For some ultrasound exams, such as of the gallbladder, your doctor may ask that you not eat or drink for up to 6 hours before the exam. Other ultrasound exams, such as of the pelvis, may require a full bladder, so your doctor might ask you to drink up to six glasses of water two hours before the exam and not urinate until the exam is completed.