Thyroid disorders may be missed if only TSH is tested. Dr Vinda Agrawal, Consultant Endocrinologist at CARE Hospitals, Hyderabad, emphasised evaluating Free T3, Free T4, and thyroid antibodies for accurate diagnosis. Autoimmune thyroid disease and early hypothyroidism can present with normal TSH. Persistent symptoms with normal TSH need full thyroid testing and expert consultation for proper care.