Thyroid stimulating hormone 32.24mIU/L may be more serious, the normal value is usually 0.3mU/L to 5.0mU/L, the reference range of different laboratories is slightly different, consider hypothyroidism, subclinical hypothyroidism, pituitary tumors and other disorders, should improve the thyroid function, imaging and other tests. Thyroid stimulating hormone is abbreviated as TSH, the normal value is generally 0.3mU/L to 5.0mU/L, the reference range of different laboratories is slightly different. TSH 32.24mIU/L is elevated, and needs to be diagnosed in combination with T3, T4, and imaging tests. 1. Hypothyroidism: Causes include hypothyroidism stage of autoimmune thyroiditis, thyroid radioactive iodine treatment or after thyroid surgery, and congenital thyroid deficiency. In addition to elevated TSH, hypothyroidism is also accompanied by decreased T3 and T4, which may be manifested as loss of appetite, fear of cold, dry skin, mucous edema, etc. In severe cases, mucous edema coma may occur. 2. Subclinical hypothyroidism: TSH is elevated, T3 and T4 are normal, and it is easy to be transformed into typical hypothyroidism without timely and effective treatment. 3. Pituitary tumor: TSH is secreted by the pituitary gland, and pituitary tumors can cause elevated TSH, which can be diagnosed by cranial magnetic resonance imaging. 4. Non-disease causes: Taking certain medications may cause TSH elevation, and regular monitoring of thyroid function is needed during medication. Thyroid stimulating hormone 32.24mIU/L may indicate disease, and timely consultation is needed to clarify the specific cause of the disease.