Thyroid Peroxidase Antibodies (TPO Ab)

An antibody that signals autoimmune thyroid disease, most often Hashimoto's.

Last reviewedJune 16, 2026
Serum
sample type
~5 mL
blood needed
~7 days
results in app
Any time of day
best timing
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In short

Thyroid peroxidase antibodies, or TPO antibodies, are immune proteins that target thyroid peroxidase, an enzyme your thyroid needs to make hormones. Their presence is a sign that the immune system is reacting against the thyroid.

Thyroid Health
Reviewed against DGKL reference practice.
Why it matters

Why test this?

TPO antibodies are the most useful marker for autoimmune thyroid disease. They are found in most people with Hashimoto thyroiditis and many with Graves disease.

A positive result supports an autoimmune cause when thyroid hormones are out of range, and it signals a higher chance of developing an underactive thyroid over time, including during and after pregnancy.

Reference ranges

What is a normal result?

Aniva reads your result against research-backed ranges, not just the lab's wide normal. The reference shown below is specific to this biomarker.

Typical adult serum cut-off, guidance only and assay dependent. Each lab sets its own threshold, so always use the range printed with your result.

MeasureReference range
TPO antibodiesNegative, below the lab cut-off (often under 34 to 60 IU/mL)

Source: LOINC 8099-4. Confirm against your own laboratory's range.

Ranges are guidance and vary by lab and assay, aligned with DGKL practice. Always read your result against your own lab's reference interval.
What you'll learn

What insights will this test give you?

Your result shows whether antibodies are attacking your thyroid. Read with TSH and free T4, it helps confirm an autoimmune cause and estimate your future risk of thyroid problems, which can guide how often you retest.

What affects your level

What can affect this result?

What can skew the result

Results differ between assays, so values are not directly comparable across labs. Low positive levels can occur in healthy people, more often women and with age. High-dose biotin supplements can interfere with certain assays.

Best interpreted with

Best read together with TSH, free T4, and thyroglobulin antibodies (TgAb).

How testing works

How is this tested?

Sample
Serum
Blood needed
~5 mL
Method
Immunoassay
Best timing
Any time of day
FAQ

Common questions

Related biomarkers

Markers usually read alongside this one

On this page
Why testReference rangesWhat you'll learnWhat affects itHow testing worksSourcesFAQ
✦ Privately insured? German PKV usually reimburses.

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