The Thyrotropin Receptor Ab test detects the autoantibody that's associated with Graves' disease. An antibody is a specialized protein made by your immune system. Antibodies are custom made to kill pathogens in your body, such as viruses or bacteria.
Thyrotropin is also called thyroid-stimulating hormone, or TSH. TSH binds to receptors on the thyroid gland to tell it to produce thyroid hormone. The thyrotropin receptor antibody mimics TSH, so when it's present, it directs the thyroid to keep releasing hormone when your body doesn't need it. That results in high levels of thyroid hormones, which is what causes symptoms. If the thyrotropin receptor antibody is present, it's an indicator of Graves' disease.
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