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Subclinical hypothyroidism is the third stage of the condition, while overt hypothyroidism is the 4th. When the TSH is between 2.5 and 10 mIU/L and T3 and T4 is within normal limits, this is known as subclinical hypothyroidism (at this point, people may or may not have thyroid antibodies). This means that your thyroid is still able to make enough thyroid hormone, but not without sacrifice.
While screening patients for thyroid disease, physicians often find increased thyrotropin-stimulating hormone (TSH) levels in patients whose free thyroxine (T 4) levels are not below normal. This state, termed âsubclinical hypothyroidism,â is most commonly an early stage of hypothyroidism.easurement of serum TSH is generally considered the best screening test for thyroid disease; increased values usually indicate hypothyroidism, and decreased values usually indicate hyperthyroidism. This test has proved to be both sensitive and specific.