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A health practitioner may order a TSH test when someone has symptoms of hyperthyroidism or hypothyroidism and/or when a person has an enlarged thyroid gland (goiter). The eyes may be affected: puffiness around the eyes, dryness, irritation, and, in some cases, bulging of the eyes.
A TSH test is a lab test that analyzes your blood to determine the body's overall TSH levels. If you begin to show signs of a malfunctioning thyroid your doctor my order a test to check for the TSH levels in your system. If these show a high level of TSH you may have a sluggish thyroid, but low levels of TSH signal that your thyroid may be overactive.