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Anti-thyroglobulin antibodies

Antibodies against the thyroid protein thyroglobulin — a sign of autoimmune thyroid disease that also interferes with thyroglobulin measurement.

Other names: Anti-Tg, thyroglobulin antibodies, TgAb Section: Thyroid
In shortAnti-thyroglobulin antibodies (anti-Tg) appear in autoimmune thyroid conditions such as Hashimoto's thyroiditis. A negative result typically corresponds to values below about 2 IU/mL, but each laboratory sets its own cutoff. They are read together with TPO antibodies, TSH, and thyroid ultrasound.

Reference ranges

GroupReference range
Result — typical range (international reference, not a national standard)negative (typical cutoff up to 2 IU/mL (2 kIU/L), method-dependent)
Lab Tests Online notes that each laboratory defines its own negative/positive threshold — the report's reference applies. This is an international typical range, not a national standard.

Check your value

Enter your result — we will show how it compares with a typical range. Match the units of the selected row.

Approximate comparison with a typical range, not a diagnosis. Reference intervals vary by laboratory and method — check your report; result interpretation is done by a doctor.

What this marker is

Thyroglobulin is the storage protein of thyroid hormone inside the gland. When the immune system targets it, anti-Tg antibodies appear — most often in Hashimoto's thyroiditis, sometimes in Graves' disease.

These antibodies matter twice: they signal autoimmunity, and they distort thyroglobulin measurement — which is why thyroglobulin is always reported together with anti-Tg after thyroid cancer surgery.

When it is high

Hashimoto's thyroiditisThe most common cause; usually accompanied by TPO antibodies and a characteristic ultrasound picture.
Graves' diseaseAnti-Tg can accompany the TSH-receptor antibodies that drive the disease.
After thyroid surgery or biopsyManipulation of the gland can transiently raise antibody levels.

When it is low

Expected findingMost healthy people have no detectable anti-Tg antibodies.

What can skew the result

These factors can shift the value without any disease — worth considering before a retest:

Autoimmune thyroid diseaseThyroid surgery and biopsyPregnancy

How to prepare

Blood from a vein; no special preparation.

When a retest makes sense

A positive result is followed with TSH as the endocrinologist advises; antibody levels themselves are not a treatment target.

Who usually reviews this result

A result outside the reference range is usually reviewed by: an endocrinologist. Bring your lab report and any previous results to the appointment.

Names used on lab reports

Your report may use any of these names:
Anti-TgTgAbThyroglobulin antibodiesAnti-thyroglobulin

Units and conversion

Measured in: IU/mL

IU/mL = kIU/L
1 IU/mL = 1 kIU/L — the number stays the same. Results are rounded to 2 decimal places.

Several markers on your report?

See how MedProtect explains results in the app: the whole report, a check of the recognized values, and a clear breakdown.

Frequently asked questions

Do anti-Tg antibodies need treatment?
Antibodies themselves are not treated — management targets thyroid function (TSH and hormone levels), not the antibody titer.
Can antibodies disappear?
Levels can fall over years, but positivity usually persists; what matters clinically is whether thyroid function stays normal.
Why are they measured with thyroglobulin?
Because the antibodies interfere with the thyroglobulin assay — a thyroglobulin result is only trustworthy when the antibody status is known.

Sources

  1. Thyroid antibodies: Lab Tests Online — Testing.com (AACC). Accessed: August 31, 2026.

See also