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.
If you are having your liver, gallbladder, spleen, and pancreas checked, you may need to eat a fat-free meal on the evening before the test. Then you may need to avoid eating for 8 to 12 hours before the test. For a test of the kidneys, you may be asked to drink 4 to 6 glasses of liquid about an hour before the test. This is to fill your bladder. You may need to avoid eating for 8 to 12 hours before the test to avoid gas buildup in the intestines. Gas could affect the results of the kidney ultrasound.