Thyroid-stimulating hormone levels vary significantly over the course of a day
Thyroid-stimulating hormone (TSH) levels exhibit robust, statistically significant diurnal variation over the course of a day, typically peaking overnight and reaching lower levels in the afternoon.
The claim that TSH levels vary significantly over the course of a day is well-supported by multiple retrieved papers demonstrating circadian and diurnal rhythms of TSH in both human and animal studies (e.g., papers 2, 4, 6, and 11). There is no evidence refuting this physiological fact.
B. Stringer, D. Wynford-Thomas, B. Jasani, E. D. Williams. Effect of goitrogen administration on the circadian rhythm of serum thyroid stimulating hormone in the rat. 1981. https://doi.org/10.1530/acta.0.0980396
Demonstrates a significant diurnal rhythm of serum TSH in animal models independent of peripheral thyroid hormones.
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Rabab BZ, Jensen CZ, Jørgensen HL, Sennels HP. Diurnal fluctuations in thyroid hormones - the Bispebjerg study of diurnal variations.. 2026. https://doi.org/10.1080/00365513.2026.2659592
Shows statistically significant diurnal variation of TSH in humans, peaking at 2 AM and varying substantially over 24 hours.
Meristoudis G, Savvidis C, Ilias I. Chronotherapeutic optimization of radioactive iodine therapy in differentiated thyroid cancer: The rationale for evening administration.. 2025. https://doi.org/10.5493/wjem.v15.i4.110893
Highlights the circadian rhythm of TSH, which peaks overnight and is relevant for clinical treatment timing.
Anish Bagga, Qiang Zhang. PBK Modeling of Thyroid Hormone Circadian Rhythm: Elucidating Thyroidal and Extrathyroidal Contributions to Thyroid Hormone Chronobiology. 2025. https://doi.org/10.1152/physiol.2025.40.s1.1969
Describes the robust circadian pattern and daily oscillations of TSH regulated by the hypothalamic-pituitary-thyroid axis.
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