Comprehensive Platinum Full Body Checkup

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Brand: Tata 1mg
SKU: Comprehensive Platinum Full Body Checkup
Price: 3149 INR
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92 tests

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Unhealthy lifestyle and stress can gradually take a toll on our health. Early detection can help to capture the warning signs of masked diseases in the body.

Comprehensive Platinum Full Body Checkup Package provides a comprehensive range of tests that check your liver, heart and kidney function, blood sugar, thyroid status, digestive health, immune system, lipid profile, blood profile, vitamins, urine and more.

In addition to all the features of Comprehensive Gold Full Body Checkup Package, it also provides cardiac risk markers, pancreatic enzymes and allergy tests.

This package – a part of our ‘premium range’ of diagnostic tests – can be ordered once every 6 to 12 months or as recommended by your doctor.

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Tata 1mg Labs (Tata 1mg Technologies Private Limited)

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TATA 1mg labs is a state-of-art facility offering the highest quality diagnostic services at the convenience of your doorstep. We pride ourselves on three things 1) Assured Quality 2) Best Prices 3) Excellent Turn Around Time. We believe in providing the highest level of transparency to our customers. Testimony to the quality is the ISO certification, a gold standard in the quality of diagnostics. Our entire team is dedicated to providing the best customer experience and continuously strives to come up with solutions to remain in line with the needs of our customers.

What does Comprehensive Platinum Full Body Checkup measure?

Contains 92 tests

Calcium

Calcium (Ca) Test measures the levels of calcium in blood. Calcium is essential for body processes including cell signaling, blood clotting, contraction of muscles, and functioning of nerves. It plays a crucial role in the formation and maintenance of healthy bones. Deficiency of calcium results in Osteoporosis, a disease in which the bones lose their density and become soft and fragile, causing them to fracture very easily.

About 99% of the total amount of calcium received by the body is bound as calcium complex in bones, and the remaining 1% lies in blood circulation. Of the amount of calcium circulating in the blood, about half remains bound to albumin protein or other ions and are metabolically inactive, while the remaining half remains free and metabolically active. Blood Calcium tests can be of two types: Total Calcium Test used to measure the total calcium concentration in blood including both the free and bound forms, and Ionized Calcium Test used to measure the concentration of only the metabolically active form.

Calcium levels in the blood are maintained within a very narrow range by a number of mechanisms. Deviation from the normal range of calcium concentration causes Hypocalcemia (low levels of calcium), or Hypercalcemia (excess of calcium). Both these conditions impact normal body processes in the short term and may give rise to other conditions in the long term.

A blood calcium test cannot be used to check for a lack of calcium in your diet or for osteoporosis (loss of calcium from bones) as the body can have normal calcium levels even in case of dietary deficiency of Calcium. The body can augment mild calcium deficiency by releasing the calcium stored in bones.

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Vitamin Profile

For healthy living, vitamins play a very important role. However, any deficiency or increased presence of these vitamins are not good for health. The deficiency of vitamins can be due to not taking proper diet while excess can be due to excessive supplementation.

Vitamins are classified as Water soluble and Fat-soluble vitamins.

Fat-soluble vitamins include: Vitamin A, K, D (25-OH), and E

Water-soluble vitamins include Vitamin B-1 (Thiamine), B-2 (Riboflavin), B-3 (Niacin), B-5 (Pantothenic acid), B-6 (Pyridoxine), B-7 (Biotin), B-9 (Folate), B-12 (Cobalamin), and Vitamin C.

The most common vitamins which are found deficient include Vitamin D (25-OH), Vitamin B12, and Vitamin B9.

Vitamin D (25-OH) helps our body absorb calcium and phosphorus, and maintain strong bones and teeth. Vitamin D (25-OH) test measures the level of Vitamin D (25-OH) in the blood which is a useful indicator of osteoporosis (bone weakness), rickets (bone malformation), and osteomalacia.

Vitamin B12 is also called Cobalamin. It is a water-soluble vitamin. Vitamin B12 plays an important role in the formation of normal red blood cells, repair of tissues, DNA synthesis, and genetic material in cells. It is not produced in the body and has to be taken in the diet. The diet sources which includes Vitamin B12 are red meat, fish, milk, poultry, yogurt, eggs, fortified cereals, bread, and other grain products. It can also be taken in the form of Vitamin B12 tablets or multivitamin pills. Low levels of Vitamin B12 results in macrocytic anemia (size of red blood cells larger than normal).

Vitamin B9 along with Vitamin B12 and iron plays an important role in the formation of red blood cells. It plays an important role in the functioning of nerves and cell replication in the body. In pregnant ladies, it is required for proper development of fetus spinal cord. Low levels of Vitamin B9 can lead to anemia.

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Vitamin B 9

The Vitamin B9 test measures the levels of Vitamin B9 in the blood. Vitamin B9 also known as folate is a part of the B complex of vitamins. It is important for the formation of normal red blood cells, tissue and cell repair, and synthesis of DNA. This vitamin cannot be produced in the body, and hence it has to be taken in the diet.

Folate is the naturally occurring form of the vitamin, while folic acid is referred to as a supplement which is added to food and drinks. This vitamin is found in food sources such as green leafy vegetables, citrus fruits, peas, dry beans, yeast, and liver. Apart from these food sources, Vitamin B9 can be found in fortified cereals (in which minerals are added), bread, and other grain products.

The deficiency of Vitamin B9 can lead to macrocytic anemia in which the size of red blood cells becomes larger than normal. Such type of macrocytic anemia includes Megaloblastic anemia which is characterized by the production of fewer but larger red blood cells. These red blood cells are known as macrocytes. Along with this, white blood cells may also get reduced and low platelet count can be seen.

Vitamin B9 is important for cell division such as in the case of developing a fetus. The deficiency of this vitamin during early pregnancy can expose the growing fetus to the risk of neural tube defects such as spina bifida.

The cause of Vitamin B9 deficiency can be due to not taking supplements or diet rich in Vitamin B9, inadequate absorption of this vitamin or at the time of pregnancy when the requirement of this vitamin increases.

Vitamin D (25-OH)

Vitamin D Test measures the levels of Vitamin D in the blood. Two forms of vitamin D can be measured in the blood, 25-hydroxyvitamin D and 1,25-dihydroxyvitamin D. The 25-hydroxyvitamin D is the major form found in the blood and is the relatively inactive precursor to the active hormone, 1,25-dihydroxyvitamin D. Because of its long half-life and higher concentration, 25-hydroxyvitamin D is commonly measured to assess and monitor vitamin D status in individuals.

The 25-hydroxyvitamin D test is done to determine the level of Vitamin D in your blood, whether it is low or higher than normal. Low levels can be seen if a person is not getting enough exposure to sunlight or enough dietary vitamin D to meet his or her body's demand or if there is a problem with its absorption from the intestines (cystic fibrosis, crohn’s disease, who have undergone gastric bypass surgery). Sometimes, medicines used to treat seizure (Phenytoin) can cause Vitamin D deficiency by interfering with transformation to 25-hydroxyvitamin D in the liver. Severe liver and kidney diseases can also cause vitamin D deficiency. High levels reflects excess supplementation of the vitamin.

Vitamin B12

Vitamin B12 is a part of B complex of vitamins. Vitamin B12 is also called as Cobalamin. It is a water soluble vitamin. Vitamin B12 plays an important role in formation of normal red blood cells, repair of tissues, DNA synthesis and genetic material in cells. It is not produced in the body and has to be taken in diet. The diet sources include red meat, fish, milk, poultry, yoghurt, eggs, fortified cereals, breads and other grain products. It can also be taken in the form of Vitamin B12 tablets or multivitamin pills. The deficiency of Vitamin B12 results in macrocytic anemia (size of red blood cells larger than normal).

Megaloblastic anemia is a type of macrocytic anemia, in which large size red blood cells called as macrocytes are produced. These red blood cells are fewer in number. There is a decrease in white blood cell count and platelet count. Megaloblastic anemia occurs due to acquired deficiency of Vitamin B12. The reason can be an inadequate dietary intake of Vitamin B12 or any problem in the absorption of Vitamin B12 from the intestines.

In case of problem in the absorption of Vitamin B12 from intestines, it is known as Pernicious anemia. It occurs due to lack of intrinsic factor which is present in secretions of the stomach.

Vitamin B12 is also important for nerve health and is taken as a nutritional supplement for the treatment of nerve damage.

Vitamin B12 binds with intrinsic factor (protein secreted by cells in the stomach). After binding, a complex is formed which is absorbed by the small intestine. In case of any disease interfering in this process can cause weakening of absorption of Vitamin B12.

Erythrocyte Sedimentation Rate

The ESR test measures the rate at which red blood cells (erythrocytes) settle (sediment) at the bottom of a tube that contains a blood sample in one hour. The test result is expressed in millimeters per hour (mm/hr).

In the presence of inflammation, certain proteins mainly fibrinogen increase in blood. This high proportion of fibrinogen in the blood causes the red blood cells to form a stack (rouleaux formation) which settle quickly due to their high density.

The ESR test is a non-specific measure of inflammation. An ESR can be affected by conditions other than inflammation also. Although a high ESR can detect the presence of inflammation, it cannot provide any information regarding the cause and site of inflammation. Hence, an ESR test is done along with other tests.

Know more about Erythrocyte Sedimentation Rate

Microalbumin Creatinine Ratio, Urine

Usually, albumin and creatinine tests are done randomly (not timed) on a urine sample, and the results are used to calculate an albumin/creatinine ratio (ACR). This test gives a more accurate indication of how much albumin is being released into the urine.

The healthy kidneys keep healthy components such as albumin and filter waste from the blood. In case of kidney damage, albumin can leak through the kidneys and exit the body through urine.

In case of any damage caused to the kidney, albumin is one of the first proteins to leak through the kidney. This test is recommended in those patients who are at increased risk of kidney disease or damage such as patients with type 1 diabetes, type 2 diabetes, or high blood pressure.

Creatinine is a byproduct of muscle metabolism. Normally, it is released into the urine at a constant rate. The level of creatinine in the urine is an indication of the urine concentration. Thus, creatinine measurement can be used to indicate correct urine concentration when measuring albumin in a random urine sample.

The presence of a small amount of albumin in the urine can be an early indicator of kidney disease. The term ‘microalbuminuria’ is referred to a condition in which a small amount of albumin is present in the urine, while the term ‘albuminuria’ refers to a condition where there is presence of any amount of rise in albumin levels in the urine.

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Diabetes Screening

Diabetic screening includes two set of tests - Glycosylated Hemoglobin test and Glucose - Fasting blood test.

Glycosylated Hemoglobin Test measures the percentage of glycosylated hemoglobin in blood which reflects the average blood glucose over a period of past two to three months (8 - 12 weeks).

Hemoglobin is a protein found in Red Blood Cells and is responsible for transporting oxygen. There are different types of hemoglobin among which Hemoglobin A is predominant. With the elevation of blood sugar levels, some glucose binds spontaneously to Hemoglobin A (this binding is called Glycosylation or Glycation) and remains bound for the complete lifetime of the RBC, which is normally 120 days. Higher the level of glucose in the blood, the greater the amount of it binding to Hemoglobin A. Hemoglobin A1c is the dominant form of Glycated Hemoglobin. As RBCs die and get replaced, Hemoglobin A1c is cleared and gets slowly replaced with non-glycosylated hemoglobin. Measurement of HbA1c level over a period of time gives an indication of the level of glucose in the blood over that specific period of time. This not only helps in the diagnosis of Diabetes but also is useful for monitoring the effectiveness of measures taken to reduce blood sugar levels.

Glucose - Fasting Blood Test is done to measure the levels of glucose in blood during the period of fasting.

Glucose is the main source of energy for the body. Carbohydrates consumed in the diet are broken down in the body to form glucose, which is absorbed by the intestines and transported by the blood to various organs. The cells of these organs utilize the glucose to produce energy when required, and the excess is stored either as glycogen in the liver for short-term storage or in fat tissues as triglycerides for long-term storage. The uptake, utilization, and storage of glucose after it has been absorbed in the intestine is facilitated by a hormone called insulin. This hormone is secreted by the pancreas. Insulin influences the transport of glucose to the organs like heart, brain, working muscles, etc. It also directs the storage of excess glucose. These actions of insulin reduces sugar levels in the blood.

After a meal, sugar levels increase in blood, and insulin is secreted in response to reduce the sudden increase in sugar levels until it becomes normal. If in this process glucose levels fall too low in blood, another pancreatic hormone called glucagon is released. This hormone, directs the liver to convert stored glycogen into glucose and releases it into the blood. Both these hormones, insulin and glucagon, create a feedback mechanism to keep blood glucose levels within the normal range. Any imbalance in their activity causes an excess or shortage of blood sugar.

Glucose - Fasting blood Test helps to determine if the body is able to utilize or store glucose efficiently. High levels of sugar in blood indicate diabetes or resistance to insulin. Type 1 Diabetes is caused when insulin is not produced or produced in very little quantity. Type 2 Diabetes is caused when insulin is produced but is not being effectively utilized by the body. In both these cases, blood sugar levels rise, while cells remain deprived of nutrition.

Know more about Diabetes Screening

Glucose - Fasting

Glucose - Fasting Blood Test is done to measure the levels of glucose in blood during period of fasting.

Glucose is the main source of energy for body. Carbohydrates consumed in the diet are broken down in the body to glucose, which is absorbed by the intestines and transported by the blood to various organs. The cells of these organs utilize the glucose to produce energy when required, and the excess is stored either as glycogen in the liver for short-term storage or in fat tissues as triglycerides for long-term storage. The uptake, utilization, and storage of glucose after it is absorbed in the intestines is facilitated by the hormone- insulin which is secreted by the pancreas. Insulin influences the transport of glucose to the organs like heart, brain, working muscles, etc. It also directs storage of excess glucose. The action of insulin reduces sugar levels in the blood.

After a meal, sugar levels increase in blood and insulin is secreted in response to reduce sugar levels until it becomes normal. If glucose levels fall too low in blood, another pancreatic hormone called glucagon is released, which directs the liver to convert stored glycogen into glucose and releases it into the blood. The insulin and glucagon hormones create a feedback mechanism to keep blood glucose levels within the normal range. Imbalance in their activity causes an excess or shortage of blood sugar.

Glucose - Fasting blood Test helps to determine if the body is able to utilize or store glucose efficiently. High levels of sugar in blood indicates diabetes or resistance to insulin. Type 1 Diabetes is caused when insulin is not produced or produced in very little quantity. Type 2 Diabetes is caused when insulin produced is not utilized effectively by the body. In both these cases, blood sugar level rises, while cells are deprived of nutrition.

Glycosylated Hemoglobin

Glycosylated Hemoglobin Test measures the percentage of glycosylated hemoglobin in blood which reflects the average blood glucose over a period of past two to three months (8 - 12 weeks).

Hemoglobin is the protein found in Red Blood Cells and is responsible for transporting oxygen. Of the different types of hemoglobin, Hemoglobin A is predominant. With the elevation of blood sugar levels, some glucose binds spontaneously to Hemoglobin A (this binding is called Glycosylation or Glycation) and remains bound for the complete lifetime of the RBC, which is 120 days normally. Higher the level of glucose in the blood, greater is the amount of it binding to Hemoglobin A. Hemoglobin A1c is the dominant form of Glycated Hemoglobin. As RBCs die and are replaced, Hemoglobin A1c is cleared and slowly replaced with non-glycosylated hemoglobin. Measurement of HbA1c level over a period of time gives an indication of the level of glucose in the blood over the specified period of time. This helps in the diagnosis of Diabetes and is useful for monitoring the effectiveness of measures taken to reduce blood sugar levels.

Complete Blood Count

Blood Stag is composed of blood cells suspended in blood plasma (yellowish-colored liquid). The blood cells include red blood cells (also called RBCs or erythrocytes), white blood cells (also called WBCs or leukocytes), and platelets (also called thrombocytes).

Red blood cells (RBCs) are the most abundant blood cells. RBCs contain hemoglobin which helps in the transportation of oxygen to the tissues. RBC count is the measurement of the number of RBCs in a given volume of blood.

Packed Cell Volume (PCV) or Hematocrit (Hct) is the measurement of the blood volume occupied by RBCs. It is expressed in percentage.

White blood cells (WBCs) are key components of the immune system and thus protect the body from various infections and cancers. Total Leucocyte count (TLC) is the measurement of the total number of leukocytes (WBCs) in a given volume of blood.

There are five types of WBCs:

Neutrophils
Basophils
Eosinophils
Lymphocytes
Monocytes

Differential Leucocyte Count (DLC) determines the percentage of different types of WBCs.

Neutrophils, Basophils, and Eosinophils are called Granulocytes because of the presence of granules inside these cells.

Absolute count of different types of WBCs is the measurement of their absolute numbers in the given volume of blood.

Platelet count - Platelets (also called thrombocytes) are disc-shaped cell fragments without a nucleus that help in blood clotting. Platelet count is the measurement of the number of platelets in a given volume of blood.

Mean Platelet Volume (MPV) is a measurement of the average size of platelets.

PDW or platelet distribution width refers to the variation of platelet size distribution

Hemoglobin (Hb) - Hemoglobin (Hb) is a protein found in red blood cells (RBCs) that carries oxygen from the lungs to the body tissues, exchanges the oxygen for carbon dioxide, and then carries the carbon dioxide back to the lungs where it is exchanged for oxygen.

Mean Corpuscular Volume (MCV) is the average volume of a red blood cell.

Mean Corpuscular Hemoglobin (MCH) is the average amount of hemoglobin in the average red blood cell.

Mean Corpuscular Hemoglobin Concentration (MCHC) is the average concentration of hemoglobin in a given volume of red cells.

Red Cell Distribution Width Coefficient of variation (RDW CV)is a measurement of the variability of the red blood distribution curve and their mean size.

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RDW CV

Absolute Lymphocyte Countx

Absolute Neutrophil Count

It gives us a measure of one of the components of the white blood cells , called Neutrophils. While all white blood cells help your body fight infections, neutrophils are important for fighting against bacterial infection.

Differential leucocyte Count

Blood is made up of different types of cells which are suspended in a fluid called plasma. These include erythrocytes or red blood cells, leukocytes or white blood cells, and platelets. Blood cells are produced by the hematopoietic cells in bone marrow and are then released into circulation. RBCs carry oxygen to the tissues, platelets help in blood clotting at a site of injury, and leukocytes form an integral part of the immune system of the body.

WBCs are of five types, each having a different function and present in different numbers:

1. Neutrophils: Under normal conditions, the number of neutrophils present is higher than any other type of WBCs.. They provide protection against pathogens, mostly bacteria and sometimes fungi. Neutrophils engulf the pathogens completely and digest them (the process is called phagocytosis). They are usually associated with acute or short-term infections.

2. Eosinophils: Eosinophils are WBCs that are primarily responsible to fight parasitic infections. They are also involved in allergic reactions and regulation of the extent of immune response.

3. Basophils: Basophils are WBCs which are present in the lowest numbers in circulation. They are considered to play an important role in allergic response.

[Neutrophils, eosinophils, and basophils are together classified as granulocytes. Granulocytes are the WBCs which contain granules present in their cytoplasm. These granules secrete chemicals during immune response.]

4. Monocytes: Monocytes are WBCs which are also involved in protection against infectious pathogens by phagocytosis like neutrophils. However, monocytes are more commonly associated with chronic or long-term infections.

5. Lymphocytes: These are specialized WBCs which are responsible for recognizing and neutralizing foreign (non-self) cells and cancer cells in the body. Lymphocytes are of three types, all of which are differentiated from a common type of lymphocyte progenitor cell:

· T cells or T lymphocytes are produced in the bone marrow and mature in the thymus gland. They are responsible for differentiating between self and non-self cells of the body. T cells are also responsible for the initiation and extent of immune response, and targeted destruction of cancer cells and virus.

· B cells or B lymphocytes are control acquired immunity by producing antibodies against antigens found on foreign cells and pathogens like bacteria and viruses.

· Natural killer cells or NK cells destroy all foreign cells tagged by antibodies, cancer cells and virus-infected cells by phagocytosis.

Depending on various factors like age, gender, health condition, environmental factors, etc., varying amounts of different types of WBCs circulate in the blood. The bone marrow increases production of WBCs in response to an infection or inflammation anywhere in the body, which are then called to the site by a series of chemical signals, where they work to treat the condition. Depending on the condition, the count of one or more types of WBCs remains high in the blood. Once the condition subsides, WBC production by the bone marrow decreases and their count in circulation falls back to normal levels. Elevated amount of one or more types of leukocytes for a long time may be an indication of a chronic condition that is not resolving naturally and might need urgent attention.

Apart from an infection or inflammation, WBC count in blood can also be affected by other conditions like disorders of the immune system, autoimmune conditions, cancer, etc. One or more types of WBC count may be higher or lower than normal in these cases.

Differential Leukocyte Count Test serves as an indication of a condition affecting the body. Further tests are performed to confirm a particular condition and direct treatment.

This further contains

Differential Neutrophil Count
Differential Lymphocyte Count
Differential Monocyte Count
Differential Eosinophil Count
Differential Basophil Count

Red Blood Cell Count

Hemoglobin

The hemoglobin test measures the amount of hemoglobin in the blood.

Hemoglobin (Hb) is a protein found in red blood cells (RBCs) that carries oxygen from the lungs to the body tissues, and to exchange the oxygen for carbon dioxide. Hemoglobin then carries the carbon dioxide back to the lungs and where it is exchanged for oxygen. Iron is an essential part of hemoglobin. Most blood cells, including red blood cells, are produced regularly in your bone marrow (present within the cavities of many of large bones). To produce hemoglobin and red blood cells, your body needs iron, vitamin B12, folate and other nutrients from the foods you eat.

A decrease in hemoglobin concentration in blood results in anemia. Anemia is a blood disorder characterized by a decrease in the total amount of red blood cells (RBCs) or hemoglobin in the blood or a lowered ability of the blood to carry oxygen to body organs and tissues. Anemia is the most common blood disorder, affecting about a third of the global population and can cause symptoms like tiredness (fatigue), weakness, shortness of breath etc.

The hemoglobin test is usually performed as a part of complete blood count (CBC) test.

Platelet Count

The platelet count measures the number of platelets present in the blood. Platelets are also known as thrombocytes which are tiny fragments of cells. These are formed from large cells which are found in the bone marrow known as megakaryocytes. After the platelets are formed, they are released into the blood circulation.

Whenever there is an injury to a tissue or blood vessel, bleeding starts. At this point, platelets help in stopping the bleeding in three ways:

The platelets will adhere to the injury site
The platelets will accumulate at the injury site
The platelets will release chemical compounds which stimulate gathering of other platelets

With these steps, a loose platelet connection forms at the site of injury. This process is known as primary hemostasis. The activated platelets start to support the coagulation cascade which involves a series of steps that includes the sequential activation of clotting factors. This process is known as secondary hemostasis which results in the formation of fibrin strands that knit through the loose platelet connection to form a fibrin net. After that, the connection is compressed to form a stable clot so that it remains in place until the injury heals. Once the injury is healed, other factors come into play and break it down so that it gets removed.

In case the platelets are not sufficient in number or are not functioning properly, a stable clot might not form. These unstable clots can result in an increased risk of excessive bleeding.

Total Leucocyte Count

Blood is made up of different types of cells suspended in a fluid called plasma. These include erythrocytes or red blood cells, leukocytes or white blood cells, and platelets. Blood cells are produced by the hematopoietic cells in bone marrow and are then released into circulation. RBCs carry oxygen to the tissues, platelets help in blood clotting at a site of injury, and leukocytes form a part of the immune system of the body. WBCs are of five primary types: neutrophils, basophils, eosinophils, monocytes, and lymphocytes. Lymphocytes are further of three types: B-Lymphocytes, T-Lymphocytes, and natural killer (NK) cells. Neutrophils, basophils, eosinophils are collectively called granulocytes since they contain granules in cytoplasm.

Depending on various factors like age, gender, health condition, environmental factors, etc., varying amounts of different types of WBCs circulate in the blood. The bone marrow increases the production of WBCs in response to an infection or inflammation anywhere in the body. These WBCs are called to the site by a series of chemical signals, where they work to treat the condition. During this time, the total leukocyte count remains high in blood. Once the infection or inflammation subsides, WBC production by bone marrow decreases and WBC count in circulation falls back to normal levels. A continuously elevated WBC count may thus be an indication of a chronic condition that is not resolving naturally and might need urgent attention.

Apart from an infection or inflammation, WBC count in blood can also be affected by other conditions like disorders of the immune system, autoimmune conditions, cancer, etc. WBC count may be higher or lower than normal in these cases.

WBC count test serves as an indication of a condition affecting the body. Further tests are performed to confirm a particular condition and direct treatment.

Absolute Basophil Count

Absolute Monocyte Count

Absolute Eosinophil Count

The absolute eosinophil count measures the number of eosinophils present in the blood. Eosinophils, a type of white blood cells, helps in fighting the disease. These come into action for are said to be linked with certain infections and allergic diseases. The eosinophils are produced and mature in the bone marrow. They usually take about 8 days to mature and then are moved to blood vessels.

The eosinophils have varied functions which include the physiological role in organ formation such as the development of post-gestational mammary gland. Other functions include its movement to the areas of inflammation, trapping substances, killing cells, bactericidal and anti-parasitic activity. It also helps the treatment of immediate allergic reactions and modulation of inflammatory responses.

Hematocrit

Human blood is made up of erythrocytes or red blood cells, leukocytes or white blood cells, and platelets suspended in a fluid called plasma. Each of the component of blood performs a specific function. The packed cell volume or hematocrit is a ratio of the volume occupied by the RBCs to the total volume occupied by all the blood components or whole blood.

The RBCs transport inhaled oxygen from the lungs to all the cells of the body, and also a small amount of carbon dioxide from the cells to the lungs to be exhaled. The majority of carbon dioxide is transported in solution in plasma as bicarbonate ions. They contain a protein called hemoglobin which binds to oxygen for transport.

RBCs are produced in the erythropoietic cells of the bone marrow in response to the hormone Erythropoietin secreted by the kidneys when oxygen saturation of blood is detected to be low (hypoxia). The average lifespan of RBCs in circulation is 120 days. Hence, the bone marrows continuously produce RBCs to maintain a steady concentration in blood. The Packed Cell Volume Test depends on the count as well as the average size of the RBCs (Mean Corpuscular Volume or MCV). Higher than normal amount of RBCs produced by the bone marrow can cause the hematocrit to increase, leading to increased blood density and slow blood flow. Lower than normal hematocrit can be caused by low production of RBCs, reduced lifespan of RBC in circulation, or excessive bleeding, leading to reduced amount of oxygen reaching the cells.

Mean Corpuscular Volume

Mean Corpuscular Hemoglobin

Mean Corpuscular Hemoglobin Concentration

Mean Platelet Volume

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C- Reactive Protein Quantitative

CRP Test measures the levels of CRP in blood to detect the presence of an inflammation or to monitor the treatment and progress of an inflammatory condition. C-reactive Protein or CRP is an acute phase reactant protein which is produced and secreted by the liver in response to an inflammation in the body, which may be caused by tissue injury, infection, or autoimmune diseases. CRP levels increase in patients with trauma, heart attack, autoimmune diseases, bacterial infections, sepsis, post surgery, cancer, etc. CRP levels are often increased before the onset of other symptoms of inflammation such as pain, fever, etc. CRP levels in blood fall as the inflammation subsides.

It is a non-specific test. It can neither diagnose a condition by itself nor can it determine the location of a particular inflammation or disease. Other tests along with physical examination are performed to diagnose a particular condition and determine the location.

A variant of the CRP test is the High Sensitivity C-reactive Protein Test (hs-CRP) which is more sensitive for CRP levels and can detect blood CRP levels at a lower concentration than the standard CRP Test. The hs-CRP Test is performed usually to determine the risk of development of cardiovascular diseases in otherwise healthy individuals.

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HBsAg Screening (Rapid)

HBsAg test detects the presence or absence of Hepatitis B Surface Antigen (HBsAg) in the blood.

Hepatitis B virus is one of the five main hepatitis viruses, referred to as types A, B, C, D and E and is the causative agent of Hepatitis B (infection in the liver). Hepatitis B Surface Antigen (HBsAg) is present on the surface of the Hepatitis B virus (HBV). HBsAg is present in the blood of patients with viral hepatitis B (with or without clinical symptoms).

HBsAg is the first marker appearing in the blood at 6 to 16 weeks following exposure to HBV. In most cases after an acute infection, this virus clears up on its own in 1 to 2 months after the onset of symptoms. But in some people, the virus does not go away and results in chronic infection which over the years may lead to liver damage (scarring or cirrhosis) or liver cancer. Persistence of HBsAg for more than 6 months indicates the development of either a chronic carrier state or chronic HBV infection.

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Lipid Profile

The Lipid Profile Test typically measures the levels of total cholesterol, HDL cholesterol, LDL cholesterol, and triglycerides. Other results that may be reported include VLDL cholesterol, non-HDL cholesterol, and total cholesterol to HDL cholesterol ratio.

Lipids are fatty acids which store energy for the body and play essential roles in cellular structure and cell signaling. Cholesterols and triglycerides are essential lipids, carried in the blood by lipoprotein particles made up of cholesterol, triglycerides, proteins and phospholipid molecules. The lipoprotein particles are classified according to their densities into High Density Lipoproteins (HDL), Low Density Lipoproteins (LDL), and Very Low Density Lipoproteins (VLDL).

Cholesterol is a fat-like substance formed in the liver, as well as obtained from dietary sources. It is found in all the cells and is an essential part of the structural framework of the cells apart from performing various vital body processes. However, excess cholesterol is harmful. Increased cholesterol in blood can cause it to get deposited on the inner walls of the blood vessels forming plaque.

Triglycerides are the commonest type of fat in the body. Triglycerides are obtained from dietary sources and form the stored fat in adipose tissues. Increase in triglyceride concentration can also give rise to cardiovascular diseases.

High Density Lipoproteins or HDLs are high density particles which help to reduce the chances of cardiovascular diseases by picking up and carrying lipoprotein particles of lower density to the liver for disposal.

Low Density Lipoproteins or LDLs are lipoprotein particles of low density which carry cholesterol to the tissues. Cholesterol carried by LDLs easily comes out of blood and get deposited on the inner walls of the blood vessels, increasing the chances of cardiovascular diseases.

Very Low Density Lipoproteins or VLDLs are lipoprotein particles of very low density which carry triglycerides to the tissues. Excess triglycerides in blood causes increase in VLDL particles which in turn again increases the chance of developing cardiovascular diseases.

Plaque deposition makes the lumen of the blood vessels narrower thereby preventing proper flow of blood and may stop the flow completely. Excessive plaque deposition can also cause the arteries to harden, giving rise to a condition called Atherosclerosis. Improper flow of blood prevents the supply of nutrients and oxygen to the vital organs and may cause heart attack or stroke.

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Cholesterol - LDL

The cholesterol LDL test measures the levels of cholesterol LDL in the blood. LDL also known as low-density lipoprotein carries cholesterol in the blood. It consists mainly of cholesterol, similar other substances, and a small amount of protein.

It is very important to monitor and maintain healthy levels of lipids for staying healthy. Intake of foods that are high in saturated fats and trans unsaturated fats can raise the levels of cholesterol in the blood. The extra cholesterol gets deposited in plaques on the walls of blood vessels. This may result in atherosclerosis (hardening of the arteries). It can also increase the risk of various other health problems such as heart disease and stroke.

The cholesterol LDL is known as “bad cholesterol” as it gets deposited in the vessels as plaque, giving rise to cardiovascular diseases. The cholesterol HDL which is the high-density lipoproteins cholesterol is known as “good cholesterol” as its role is to transport cholesterol from the arteries to the liver and thus protects the body against heart diseases.

The cholesterol LDL test helps in determining the risk of heart disease in an individual. It also helps in planning out the treatment considering other known risk factors as well. The treatment can involve changes in lifestyle such as diet and exercise or lipid-lowering medications such as statins.

Triglycerides

Triglycerides test measures the levels of triglycerides in the blood.

Triglycerides are a type of body fat (lipid). Chemically, triglycerides consist of three ("tri-") molecules of fatty acid combined with a molecule of the alcohol glycerol ("-glyceride").

High levels of triglycerides in the blood have been linked to atherosclerosis which increases the risk of heart disease (Coronary Artery Disease), peripheral artery disease, stroke and kidney disease. Atherosclerosis is a disease in which plaque (made up of fat, cholesterol, calcium, and other substances) builds up inside the arteries (blood vessels) resulting in narrowing of the lumen. This restricts the flow of blood to the organs and other parts of the body. Signs and symptoms of atherosclerosis usually do not appear until severe or total blockage of the artery (blood vessel). Therefore, most people are not aware of atherosclerosis until they have a medical emergency, such as a heart attack or stroke.

Increased levels of triglycerides may also be seen in Metabolic syndrome (cluster of metabolic risk factors for cardiovascular disease, type 2 diabetes and stroke). Very high triglyceride levels can also cause inflammation of the pancreas (pancreatitis).

Triglycerides test is usually done as a part of lipid profile which includes other tests like cholesterol, HDL (High-density lipoprotein), LDL (Low-density lipoprotein), VLDL (Very low-density lipoprotein) also.

Cholesterol - Total

Cholesterol is essential for life, as it is required by the body to work properly. It plays a role in the formation of cell membranes in all organs and tissues in the body. It is associated with the formation of hormones which are important for development, growth, and reproduction. It forms bile acids, which help to absorb nutrients from food.

In the blood, a small amount of cholesterol circulates in the form of lipoproteins which contains protein, cholesterol, triglyceride, and phospholipid molecules. These are classified according to their density into HDL (high-density lipoproteins), LDL (low-density lipoproteins), and VLDL (very low-density lipoproteins). HDL cholesterol is also known as good cholesterol, as it carries excess cholesterol away for disposal while LDL cholesterol is also known as bad cholesterol, as it deposits cholesterol in tissues and organs.

It is important to maintain and monitor the levels of cholesterol for a healthy lifestyle. The source of cholesterol is diet as well. If a person is taking too much of cholesterol-rich foods, it can cause a rise in levels of cholesterol in the blood. The amount of cholesterol which is not required by the body starts to deposit in the form of plaques on the walls of blood vessels. These plaques can narrow or block the blood vessels opening which can lead to the hardening of arteries known as atherosclerosis. Also, with an increase in cholesterol levels, there is an increased risk of various conditions such as heart disease and stroke.

Cholesterol - HDL

Very Low Density Lipoprotein

Total Cholesterol/HDL Cholesterol Ratio

LDL/HDL Ratio

Non HDL Cholesterol

Rheumatoid Factor - Quantitative

Rheumatoid factor (RF) attacks healthy body tissues as it mistakes them for foreign body tissues. It is not found in healthy persons. The presence of RF means that the body has an autoimmune disease such as Rheumatoid arthritis. Symptoms of Rheumatoid arthritis include stiffness of joints especially in morning, pain in joints, underlying skin nodules, loss of bone and swelling of joints.

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Total IgE

IgE test measures the amount of IgE (immunoglobulin E) in the blood. It is an antibody produced by the immune system in response to danger. Normally, it is present in very small amounts in the blood. It belongs to the class of immunoglobulins which include five types of immunoglobulins: IgA, IgG, IgM, IgD, and IgE.

Immunoglobulins are produced by plasma cells (specific immune cells) when the body recognizes bacteria, viruses, other microorganisms or any other unknown substances as harmful foreign antigens to the immune system.

The production of IgE is seen in cases of response to allergens such as asthma and response to parasitic infections. Other allergens can include plant pollen, eggs, peanuts, bee venom, strawberries, and other allergens substances.

These IgE antibodies, once produced, bind to white blood cells and lead to the release of substances like histamine. This further causes constriction of bronchi in the lungs in allergic or asthmatic persons. Other signs and symptoms which can develop in these patients include running nose, skin itching, itchy eyes.

The severity of the reaction depends upon the body’s exposure to allergens which can be observed from mild reddening and itching of skin to problems in breathing (respiratory distress) to vomiting and diarrhea to conditions of shock.

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Peripheral Smear Examination

The peripheral smear examination evaluates the red blood cells (RBCs), white blood cells (WBCs), platelets and determines their relative percentages in the blood. It also helps in detecting, diagnosing, and monitoring deficiencies. Along with that, it detects diseases and disorders which involves the production of blood cells, their function, and lifespan.

To make a peripheral smear, a drop of blood is taken from the patient’s blood sample and is spread in a thin layer onto a glass slide. The slide is then stained with special stains. After the staining, the slide is examined and evaluated under the microscope for blood cells.

The following cells can be evaluated in the slide:

White blood cells (WBCs or leukocytes) - Their function is to fight infections and participate in immune responses.
Red blood cells (RBCs, erythrocytes) - Their function is to carry oxygen to the tissues.
Platelets (Thrombocytes) - These are small cell fragments which play an important role in blood clotting.

Platelets are produced and mainly mature in the bone marrow just like RBCs and WBCs. They are released into the stream of blood whenever required.

The peripheral smear examination helps to:

Compare the size, shape, and general appearance of WBCs along with determining its five different types and their relative percentages.
Detects the size, shape, and color of the RBCs.
Evaluates the number of platelets.

The number and the appearance of blood cells can be affected by a variety of diseases and conditions such as the smaller size of RBCs may indicate a type of anemia, increased number of WBCs may indicate infection or any other condition.

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Lipase

Lipase is an enzyme, which helps in the breakdown and digestion of dietary triglycerides (fats) into simple fatty acids for absorption. Lipase is secreted primarily by the pancreas, and in small amounts by the stomach, intestines, and the liver. The pancreas secretes lipase into the pancreatic duct, which flows into the duodenum (anterior portion of the small intestine). Normally only a small amount of lipase is secreted into the blood and is maintained at this low level. However, in the case of conditions like pancreatitis, blockage of the pancreatic duct, pancreatic cysts or tumors, etc., the levels of lipase in the blood get increased.

The Lipase Test may be performed together with Amylase Test to help in the diagnosis of pancreatitis or other conditions. Amylase levels also increase in case of pancreatitis. In Pancreatitis, Lipase rises almost at the same time as amylase (4-8 hrs) but the elevation lasts much longer (7-14 days) as compared to amylase.

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Urine Routine & Microscopy

Urine Routine and Microscopy test involve the three-part evaluation of the urine sample.

1. Gross Examination - It involves the visual examination of the urine sample for color and appearance.

2. Chemical Examination - It is done by urine dip-stick method which involves the use of reagent test strips. These test strips are dipped into the urine sample and the colors that develop are matched with the control for analysis. It is done to examine the urine sample for glucose, protein, pH, specific gravity, blood, nitrites, ketones, leukocyte esterase, bilirubin, and urobilinogen.

3. Microscopic Examination - It involves the examination of the urine sample under the microscope for casts, crystals, cells, bacteria, and yeast.

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Glucose - Fasting Urine

The Glucose - fasting urine test measures the levels of glucose in urine during the period of fasting. The most common cause of high levels of glucose in the urine is diabetes. In diabetes, the way the body processes the glucose gets affected. The insulin hormone is responsible for controlling the metabolism of glucose in the blood. In diabetic patients, the body is either not able to make enough insulin or the body is not able to utilize the insulin produced. Due to this, the glucose starts to build up in the blood and the kidneys are not able to control it to release it into the urine.

The presence of glucose in the urine is termed as glycosuria or glucosuria. This could be due to side effects caused by certain medicines or problems in the kidney, such as renal glycosuria.

Urobilinogen

Ketone

Nitrite

Colour

Appearance

Specific Gravity

Epithelial Cell

Casts

Crystals

Protein Urine

The Protein, Urine measures the excessive protein excreted in the urine. The urine protein tests measure the protein which is released into the urine. Normally, the urine protein elimination is less than 150 mg/day and less than 30 mg of albumin/day. Temporarily raised levels may be seen in conditions such as stress, infections, pregnancy, cold exposure, diet, or heavy exercise.

The appearance of persistent protein discharge in the urine suggests possible kidney damage or the requirement of additional tests to know the cause.

In a normal functioning kidney, the filtered proteins are retained or reabsorbed and sent back to the blood. Whereas, if any damage is caused to the kidneys then it may affect their functioning which may cause detectable amounts of protein extracted into the urine.

Ph for Urine

Amylase

Amylase is an enzyme that helps in the breakdown of complex dietary carbohydrates into simple carbohydrates for absorption. Digestion of carbohydrates begins in the mouth since amylase is secreted by the salivary glands. However, most of the amylase is produced by the pancreas and secreted into the duodenum of the small intestine. Amylase is also found in small quantities in blood, urine and peritoneal fluid.

The levels of amylase in blood rise either due to its increased secretion into the blood or decreased clearance by the kidneys or due to both these reasons. High levels are commonly seen in acute pancreatitis (inflammation of the pancreas) where the amylase levels rise rapidly (in 6 to 48 hours). In mild cases of pancreatitis, amylase levels slowly return to normal within a few days. Higher levels for longer periods indicate other complications.

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Liver Function Test

LFT measures the level of liver enzymes, proteins, and bilirubin in the blood.

The liver is a wedge-shaped organ located in the right upper part of the abdomen. The liver helps in the synthesis of certain proteins, produces bile (an alkaline compound which helps in the breakdown of fat), process the bilirubin (a yellowish substance produced from the breakdown of hemoglobin) and helps in removing ammonia and other toxins (harmful substances) from the body. It plays an important role in the metabolism of fats, protein, and carbohydrates. It stores glycogen, vitamins, and minerals as well as helps in the metabolism (breakdown) of certain drugs.

Many diseases affect the health of the liver like hepatitis A, hepatitis B, hepatitis C, alcoholic hepatitis, autoimmune hepatitis, cirrhosis, non-alcoholic fatty liver disease (NAFLD), bile duct obstruction, liver or bile duct cancer and many others. Liver function can also be affected by various risk factors like alcohol abuse, certain drugs, sedentary lifestyle, and obesity. Regular monitoring of liver function is essential for early detection of any liver abnormality.

LFT is a group of tests that measure the levels of Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT), Alkaline Phosphatase (ALP), Total protein, Bilirubin and Gamma Glutamyltransferase (GGT) in blood. Each component has its own significance and helps to understand a particular aspect of the liver function.

Alanine Aminotransferase (ALT)

Alanine Aminotransferase (ALT) is an enzyme and this test measures the level of this enzyme in the blood. ALT is also known as serum glutamic-pyruvic transaminase (SGPT) and is mainly found in the liver, but also in smaller amounts in the kidneys, heart, pancreas and muscles. This enzyme is released into the bloodstream in case of liver disease or damage leading to increased ALT blood levels, a specific indicator of liver injury. However, this test cannot determine the extent or severity of the liver damage.

Aspartate Aminotransferase (AST)

This test measures the level of the enzyme AST in your blood. It is also known as serum glutamic-oxaloacetic transaminase (SGOT). AST is found in the liver and is released in the blood in large amounts in case of any liver injury. AST levels are usually measured along with ALT as AST is not specific for liver (also found in the heart, skeletal muscle and other organs). Your doctor may also recommend an ALT/AST ratio to help in the diagnosis.

Alkaline phosphatase (ALP)

This test measures the blood levels of the enzyme ALP which is found in the liver (one of the main source), bile ducts, bones, intestine, pancreas and kidney. ALP helps to break down proteins in the body. Diseases that mainly harm or damage the cells of the liver and bile duct, leading to overproduction and release of this enzyme into the bloodstream. This causes increased blood ALP levels.

Total Serum Protein

This test measures the total amount of protein in the blood, which includes two major types of proteins: albumin and globulin. The test report mentions separate results for total protein, albumin, globulin and albumin/globulin ratio (A/G ratio).

The level of proteins in the blood indicates the biosynthetic capacity of the liver. Hepatocytes (liver cells) are unable to synthesize this protein in certain liver diseases leading to a fall in protein levels in the blood.

Albumin is synthesized only in the liver. It helps to transports minerals, enzymes, hormones, bilirubin and some medicines throughout your body. It prevents the fluid from leaking out of your blood vessels into the tissues.

Globulin is synthesized in the liver and by the cells of the immune system. It plays a key role in fighting infections and transports many enzymes, hormones, minerals and some medicines in the body.

Bilirubin

This test measures the amount of bilirubin in the blood. Bilirubin is a waste product formed by the breakdown of red blood cells and is processed by the liver.

Bilirubin blood test report includes separate values for direct (conjugated) bilirubin, indirect (unconjugated) bilirubin, and total bilirubin.

When heme is released from the hemoglobin, it is converted to bilirubin. This is called unconjugated (indirect) bilirubin which is carried to the liver by some proteins.

In the liver, bilirubin gets attached (conjugated) to modified sugars (glucuronic acid) and form conjugated (direct) bilirubin.

Both these forms can be measured or estimated by laboratory tests, and a total bilirubin result (includes both direct and indirect bilirubin) is also measured.

A damaged liver can’t properly process bilirubin, leading to abnormally high levels of bilirubin in the blood. Increased unconjugated bilirubin in the blood results due to its overproduction or improper uptake by the liver. Increased conjugated bilirubin results can be seen in diseases that reduce the rate of secretion of conjugated bilirubin into the bile or the flow of bile into the intestine resulting in a backward flow of conjugated bilirubin into the blood.

Gamma-glutamyltransferase (GGT)

This test measures the level of the enzyme GGT in your blood which is present in large amounts in the liver. It is a transport molecule and it helps the liver to metabolize many drugs and toxins. GGT is a very sensitive test for detecting any liver disease especially due to alcohol abuse and is also one of the first enzymes to rise in patients with bile duct obstruction like tumor or stones.

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Albumin

Bilirubin Indirect

Bilirubin Direct

Gamma Glutamyl Transferase

Protein Total

Bilirubin Total

The Bilirubin Total measures the amount of bilirubin present in the blood of a person. Bilirubin is an orange-yellow waste pigment produced by the normal breakdown of heme. The heme is a component of hemoglobin and is found in red blood cells. The liver processes the bilirubin and eliminates it from the body.

The life span of red blood cells is about 120 days. The heme which is released from the hemoglobin is converted into bilirubin which is called unconjugated bilirubin. It is then carried to the liver by proteins, where it gets attached to sugars and becomes conjugated bilirubin. This conjugated bilirubin enters the bile from the liver and passes to the small intestine. Here, it gets broken down by the bacteria and further gets eliminated in the stool. These breakdown products of bilirubin are responsible for giving the characteristic brown color to the stool.

A healthy adult body produces approximately 250 - 350 mg of bilirubin daily. About 85% of bilirubin comes from damaged or degraded RBCs while the remaining amount comes from the bone marrow or liver.

Small amount of unconjugated bilirubin is released in the blood normally, but there is no virtual presence of conjugated bilirubin in the blood.

Both the forms of bilirubin can be measured or evaluated by the laboratory tests, and total bilirubin (sum of conjugated or unconjugated bilirubin) may be reported. In case there is an increase in levels of bilirubin, there will be yellowing of the skin and white of the eyes, giving the appearance of jaundice.

Alanine Transaminase

Alanine Transaminase test measures the levels of alanine transaminase in the blood. Alanine Transaminase is an enzyme which is found in liver and kidney cells. However, this enzyme, in less quantity, can be found in the muscles and the heart. Its function is to convert alanine (an amino acid found in proteins) to pyruvate (intermediate in cellular energy production).

Generally, these levels of alanine transaminase in the blood remain low in healthy individuals. However, if there is any damage to the liver, alanine transaminase is released in the blood. This process helps in early detection of any damage to the liver.

The function of the liver is to process the nutrients of the body. It also produces bile which helps in digesting fats along with the production of other important proteins such as blood clotting factors and albumin. The liver breaks the potentially toxic substances into harmless products which can be used or eliminated by the body.

This test is done with another liver enzyme, aspartate aminotransferase (AST) as a part of the liver panel. In case of damage to the liver, there is a sudden rise in levels of both enzymes. However, alanine transaminase is more specific for the liver. In some cases, it is possible that only one of them is increased. The AST/ALT ratio can be calculated to differentiate between various causes and severity of the liver injury. This can also help to distinguish whether the injury is from damage to the liver or heart or muscles.

Alkaline Phosphatase

The alkaline phosphatase, serum test measures the alkaline phosphatase levels in the blood. Alkaline phosphatase (ALP) is an enzyme which is found in various tissues throughout the body. The maximum concentrations of ALP are present in cells of bone and liver. Usually, raised levels of ALP are caused due to liver disease or bone disorders.

ALP is found in the liver on the cell edges that join to form bile ducts. The bile ducts are the tiny tubes which drain bile from the liver to the bowels. The bile juice formed is required by the small intestine to help digest fat in the diet.

ALP is produced by osteoblasts cells in the bone which are involved in bone formation. The various tissue types produce distinct forms of ALP which are known as isoenzymes.

The levels of ALP generally increase to a great extent if one or more bile ducts get blocked. The reason could be inflammation of the gallbladder which is known as cholecystitis or the presence of gallstones. The small amount of increase of ALP in the blood can be seen in liver cancer and cirrhosis. These high levels can also be observed if there is intake of medications toxic to the liver and hepatitis.

In conditions, where there is formation of excessive bones such as Paget’s disease one can also have increased levels of ALP. Along with that, higher blood ALP levels can be seen in children and adolescents, as they are in the growing stage and so are their bones.

Aspartate Aminotransferase

Aspartate aminotransferase (AST) is an enzyme which is found in most of the body cells but mainly in the heart and liver. It is also present in kidneys and muscles but in smaller amounts. Normally, the levels of AST are low, but the levels rise when there is an injury to cells of the liver or muscle.

The rise in levels of AST can be due to conditions causing liver damage such as hepatitis, drugs which are toxic to liver, cirrhosis, or alcoholism. The AST test is not specific for the liver. Its levels may also rise in conditions which affect other parts of the body.

This test is done with alanine aminotransferase (ALT) test. Both the enzymes are found in the liver and their levels rise in case of liver damage. The ratio of AST/ALT helps in differentiating between the causes of liver damage in case of injury to heart or muscle.

Globulin, Serum

Albumin/Globulin Ratio, Serum

Thyroid profile Total

The Thyroid Profile Total test measures the levels of the following three hormones in the blood:
Thyroid Stimulating Hormone (TSH)
Thyroxine (T4) - Total
TriIodothyronine (T3) - Total

The thyroid gland (a small, butterfly-shaped gland located in front of the neck) secretes the following hormones:

Triiodothyronine (T3)
Thyroxine (T4)

Thyroid Stimulating Hormone (TSH), also called Thyrotropin is a hormone secreted into the blood by the Pituitary gland (a gland present in the brain)). It tells your thyroid gland to make and release the thyroid hormones (T3 & T4) into your blood. The thyroid gland uses the iodine gained from food to make the thyroid hormones.

The thyroid hormones are essential for growth and metabolism. If the thyroid gland produces very high amounts of T3 and T4 hormones, you may experience symptoms like weight loss, rapid heartbeat, tremors, sweating, anxiety, increased sensitivity to heat, etc. and this is known as Hyperthyroidism.

The decreased production of thyroid hormones (T3 and T4) results in Hypothyroidism which may lead to weight gain, fatigue, slow heart rate, increased sensitivity to cold, depression, dry and thin hair, etc.

There is a feedback system in the body to maintain stable amounts of the thyroid hormones (T3 and T4) in the blood. When the levels of thyroid hormone decrease, the pituitary gland is stimulated to release TSH. High TSH in turn increases the release of T3 and T4 thyroid hormones from the thyroid gland and vice-versa.

T3 and T4 circulate in the blood in two forms:

1) Bound form - It is bound to proteins present in blood and this prevents it from entering the body tissues. The three main proteins in the blood that the thyroid hormones are bound to are albumin, transthyretin and Thyroxine-binding globulin (TBG), also called Thyroid hormone Binding Globulin (THBG).

2) Free form - It enters the body tissues where it is needed

The total T3 or total T4 includes both bound and free forms circulating in the blood. Hence, thyroid hormones can be measured as Free T3, Total T3, Free T4, and Total T4.

The total T3 and total T4 levels can be affected by the amount of protein available in the blood to bind to them.

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Thyroxine - Total

Thyroxine (T4) Total test measures the total levels (both free and bound forms) of Thyroxine hormone (T4) in the blood.

The thyroid gland secretes the following hormones:

Triiodothyronine (T3)
Thyroxine (T4)

Thyroid Stimulating Hormone (TSH), also called Thyrotropin is a hormone secreted into the blood by the pituitary gland (a gland present in the brain). It directs the thyroid gland to produce and release the thyroid hormones (T3 & T4) into your blood. The iodine from the food stimulates the thyroid gland to make the thyroid hormones.

The thyroid hormones regulate growth and metabolism. If the thyroid gland produces very high amounts of these hormones (T3 and T4), symptoms of weight loss, rapid heartbeat, tremors, sweating, anxiety, increased sensitivity towards heat, etc occurs. This is known as Hyperthyroidism.

The decreased production of thyroid hormones (T3 and T4) results in Hypothyroidism which may lead to weight gain, fatigue, slow heart rate, increased sensitivity towards cold, depression, dry and thin hair, etc.

There is a feedback system in the body to maintain stable amounts of the thyroid hormones (T3 and T4) in the blood. When the levels of thyroid hormones decrease, the pituitary gland is stimulated to release TSH. High TSH, in turn, increases the release of thyroid hormones (T3 & T4) from the thyroid gland and vice-versa.

T4 hormone constitutes about 90% of thyroid hormones and circulates in the blood in two forms:

1) Bound form - It is bound to the proteins present in blood and this prevents it from entering the body tissues. The three main proteins in the blood that the T4 hormone is bound to are albumin, transthyretin and Thyroxine-binding globulin (TBG). TBG is also called Thyroid hormone Binding Globulin (THBG).

2) Free form - It enters the body tissues where it is needed and this is the active form.

Hence, the T4 hormone can be measured as Free T4 or Total T4. The total T4 includes both bound and free forms circulating in the blood and can be affected by the amount of protein available in the blood to bind to them.

While the total T4 test is a useful indicator of T4 levels in the presence of normal binding proteins, it is not useful when levels of binding proteins are increased or decreased. For example, increased total T4 levels can be seen despite normal levels of free T4 levels and normal thyroid function due to an increase in thyroxine-binding proteins.

Thyroxine (T4) Total test is also done as a part of the Thyroid profile Total test which includes two more tests: Thyroid Stimulating Hormone (TSH) and Triiodothyronine (T3) Total.

Triiodothyronine Total

Triiodothyronine (T3) Total Test measures the total levels (both free and bound forms) of Triiodothyronine (T3) hormone in the blood.

The thyroid gland secretes the following hormones:

Triiodothyronine (T3)
Thyroxine (T4)

Thyroid Stimulating Hormone (TSH) is a hormone secreted into the blood by a gland present in the brain (Pituitary gland) and it tells your thyroid gland to make and release the thyroid hormones (T3 & T4) into your blood. The thyroid gland uses iodine from food to make the thyroid hormones.

The thyroid hormones are essential for growth and metabolism. If the thyroid gland produces very high amounts of these hormones (T3 and T4), you may experience symptoms of weight loss, rapid heartbeat, tremors, sweating, anxiety, increased sensitivity to heat etc. and this is known as Hyperthyroidism.

Also, the decreased production of thyroid hormones (T3 and T4) results in Hypothyroidism which may cause symptoms like weight gain, fatigue, slow heart rate, increased sensitivity to cold, depression, dry and thin hair etc.

There is a feedback system in the body to maintain stable amounts of the thyroid hormones (T3 and T4) in the blood. When thyroid hormone levels decrease, the pituitary gland is stimulated to release TSH. This high TSH in turn leads to the release of more thyroid hormones (T3 & T4) from the thyroid gland and vice-versa.

Majority of the T3 hormone is formed from T4 hormone and a smaller fraction is produced directly by the thyroid gland. T3 hormone circulates in the blood in two forms:

1) Bound form - It is bound to proteins present in blood and this prevents it from entering body tissues. The two main proteins in the blood that the T3 hormone is bound to are albumin and Thyroxine-binding globulin (TBG), also called Thyroid hormone Binding Globulin (THBG).

2) Free form - It enters the body tissues where it is needed and this is the active form. Free Triiodothyronine (FT3) constitutes only 0.3% of the total T3 hormone.

The total T3 includes both bound and free forms circulating in the blood and can be affected by the amount of protein available in the blood to bind to them. The T3 hormone can be measured as Free T3 or Total T3. Triiodothyronine (T3) Total Test measures the total levels (both free and bound forms) of Triiodothyronine (T3) hormone in the blood and is usually done as a part of the Thyroid Profile Total test which includes two more tests: Thyroid Stimulating Hormone (TSH) and Thyroxine Total (T4) hormone.

Thyroid Stimulating Hormone, Ultrasensitive

Thyroid Stimulating Hormone (TSH) test measures the amount of TSH in your blood which helps to find out if the thyroid gland is working normally or not. Low TSH levels indicate hyperthyroidism and high TSH levels indicate hypothyroidism.

In case of hyperthyroidism, the thyroid gland produces very high amounts of thyroid hormones (T3 and T4) and you may experience symptoms of weight loss, rapid heartbeat, tremors, sweating, anxiety, increased sensitivity towards heat, etc. In case of Hypothyroidism, there is a decrease in the production of thyroid hormones (T3 and T4) which may cause weight gain, fatigue, slow heart rate, increased sensitivity towards cold, depression, dry and thin hair, etc.

There is a feedback system in the body to maintain stable amounts of the thyroid hormones (T3 and T4) in the blood. TSH signals the thyroid gland to make and release the thyroid hormones (T3 & T4) into the blood when the level of thyroid hormones is low and can also signal the thyroid gland to lower the production of thyroid hormones when the level of thyroid hormones is very high. So, when the thyroid hormone (T3 and T4) levels decrease, the pituitary gland is stimulated to release TSH and this high TSH level, in turn, stimulates thyroid gland to release more thyroid hormone (T3 & T4) from the thyroid gland and the vice-versa happens when the thyroid hormone levels are very high.

Urinary Electrolytes

Chloride Random Urine

Sodium Random Urine

Potassium Random Urine

Potassium is one of the essential body electrolytes along with sodium, chloride, bicarbonate, etc. As an electrolyte, potassium helps to regulate the amount of fluids present in the body and to maintain a correct pH balance. It performs a vital role in cellular metabolism. It also regulates the transport of nutrients and waste products in and out of cells. It is also essential for muscle activity.

The main source of potassium for the body is dietary sources. The amount of potassium required by the body is absorbed, and the remaining unabsorbed potassium is excreted by the kidneys. Body potassium is maintained within a small normal range principally by the hormone called aldosterone. Aldosterone acts on the nephrons in the kidneys and activates a sodium-potassium pump which helps the body to reabsorb sodium and excrete potassium. This helps to maintain the potassium concentration in the blood within its normal range. Deviation of potassium concentration from its normal range gives rise to hyperkalemia (high potassium level in blood) or hypokalemia (low potassium level in blood). Both these conditions may produce a number of symptoms, and may even be fatal if not controlled.

Urinary Creatinine Screen

Kidney Function Test with Electrolytes

This is a test panel done to evaluate the kidney functions. It contains a group of tests integrated to collectively analyze any malfunction related to the kidney.

The kidneys are a pair of bean-shaped organs located on either side of the spinal column in the abdomen towards the back. The kidneys perform a number of important functions. The most important of these is that they filter the blood and separate the waste products generated out of regular metabolic activities of the body, primarily urea. Following the separation, the kidneys excrete the waste products out of the body through urine. They help in maintaining the normal pH level and water balance of the body. The kidneys also play essential roles in the synthesis of Vitamin D and Red Blood Cells (RBCs).

The Kidney Function Test includes the following tests to monitor kidney function:

· Blood Urea Nitrogen (BUN)/ Urea:

Blood Urea Nitrogen is a test to measure the amount of urea nitrogen present in the blood. Urea is a nitrogenous by-product formed by the metabolism of protein, and its level in blood serves as an indication of the amount of nitrogen present in blood as urea. In simpler terms, BUN is the measure of the amount of nitrogen present in blood in the form of urea. High BUN levels in the blood can be caused as a result of kidney diseases, dehydration and obstruction in the urinary tract due to kidney stones, prostate gland enlargement, etc.

Urea test measures the level of urea in the blood. Urea is a final waste product formed from the breakdown of proteins. Urea is filtered out of the blood by the kidneys to excrete excess nitrogen present in the blood through urine. Excess of urea in blood is called uremia and can be caused by a number of conditions including kidney diseases.

· Uric Acid:

This test measures the level of uric acid in the blood. Uric acid is a waste product formed from the breakdown of purines, which are essential building blocks of DNA. It is also produced by the metabolism of proteinaceous food, especially red meat. Uric acid is excreted from the body by the kidneys through urine and a small portion through stool. Although indirectly but uric acid test helps in estimating the proper functioning of the kidneys, .

The presence of excess amounts of uric acid in the blood is called hyperuricemia. This accumulation of uric acid crystals in the synovial fluid between joints lead to the formation of gouts. Hyperuricemia also causes the formation of hard lumps of uric acid crystals called tophi under the skin and at the top of the ears. Uric acid crystals can also accumulate in the kidneys and cause kidney stones.

· Creatinine:

This test measures the level of Creatinine in blood. Creatinine is a waste product formed from the normal breakdown of muscles in the body. Creatinine is almost completely excreted by the kidneys, so their levels in the blood serve as an indication of improper kidney function.

The levels of creatinine in the blood can rise due to decreased elimination from the kidneys as well as due to increased creatinine production by muscular breakdown, eating cooked meat, protein supplements, etc.

· BUN/Creatinine Ratio:

BUN/Creatinine Ratio compares the levels of nitrogen as urea in the blood to the levels of creatinine in the blood. This ratio serves as a more accurate representation of kidney function. An increase in the ratio can be seen in case of dehydration while creatinine levels remain the same. Low BUN to creatinine ratio can be caused due to a low protein diet, liver cirrhosis, rhabdomyolysis (muscle disease), syndrome of inappropriate antidiuretic hormone secretion (SIADH) as well as during pregnancy.

Electrolytes: The serum electrolyte test measures the following electrolytes:

Sodium (Na+)
Potassium (K+)
Chloride (Cl-)

Electrolytes play an important role in a number of body functions like metabolism, neuromuscular functioning, maintaining hydration, and pH (acid-base balance). Electrolytes also help in the entry of nutrients into the cells and removal of waste products from the cells. Electrolytes carry an electrical charge which can be either negative or positive and exist as dissolved salts in blood and body tissues. The Serum Electrolyte test measures the following important electrolytes:

Sodium (Na+)

Sodium is an essential body electrolyte which, along with potassium, chloride, bicarbonate, etc.helps to maintain the normal fluid and pH balance of the body. It is also vital for cellular metabolism, and in the activity of nerves and muscles and transmission of impulses between them. Sodium is present in all the body fluids. The highest concentration of sodium is found in blood and extracellular fluid.

Sodium is supplied to the body principally through dietary salt (sodium chloride or NaCl), and a small portion of sodium is absorbed through other food items. The required portion is absorbed by the body and the remaining is excreted by the kidneys through urine. The body maintains a very narrow range of sodium concentration by three mechanisms:

· Secretion of hormones natriuretic peptides and aldosterone to control sodium elimination through urine

· Secretion of antidiuretic hormone (ADH), also called Vasopressin, to control the volume of water eliminated through urine

· Induction of thirst

Any disruption in the above-mentioned mechanisms gives rise to an imbalance in the concentration of sodium in the blood to produce Hyponatremia (low blood sodium concentration), or Hypernatremia (high blood sodium concentration). Both these conditions produce a number of symptoms and may even lead to death.

Potassium (K+)

Potassium is one of the essential body electrolytes along with sodium, chloride, bicarbonate, etc. As an electrolyte, potassium helps to regulate the amount of fluids present in the body and to maintain a correct pH balance. It performs a vital role in cellular metabolism and transport of nutrients and waste products in and out of cells. It is also essential in the transmission of nerve impulses to muscles and muscle activity.

Sufficient amount of potassium required by the body is absorbed from dietary sources, and the remaining unabsorbed potassium is excreted by the kidneys. The hormone called aldosterone maintains the body potassium level within a small normal range. Aldosterone acts on the nephrons present in the kidneys and activates a sodium-potassium pump which helps the body to reabsorb sodium and excrete potassium. This helps to maintain the potassium concentration in the blood within its normal range. Deviation of potassium concentration from its normal range gives rise to Hyperkalemia (high potassium level in blood), or Hypokalemia (low potassium level in blood). Both these conditions may produce a number of symptoms, and may even be fatal if not controlled.

Chloride (Cl-)

Chloride is an essential mineral which acts as an electrolyte similar to potassium, sodium, bicarbonate, etc. It helps to maintain the normal fluid and electrolyte balance in the body. It also acts as a buffer to help maintain the pH balance of the body. It also plays an essential role in metabolism by producing hydrochloric acid (HCl) in the stomach for digestion. The highest concentration of chloride is found in blood and extracellular fluid (fluid present outside the cells).

Most of the chloride is supplied to the body through dietary salt (sodium chloride or NaCl), and a small portion is absorbed through other food items. The required portion is absorbed by the body and the remaining is excreted by the kidneys through urine. The concentration of chloride in blood is maintained within a very narrow range by the body. Its increase or decrease is directly correlated with the sodium levels.

Know more about Kidney Function Test with Electrolytes

Creatinine

Creatinine is a waste product which is produced by the muscles due to the breakdown of a compound called Creatine. During the cycle of energy production which is required to contract muscles, creatine is produced. Kidneys remove creatinine from the body by filtering it from the blood and then releasing it into the urine. This test measures the amount of creatinine in the blood.

The body produces creatine and creatinine at a relatively same rate. Since kidneys filter most of the creatinine from the blood and release it into the urine, the blood levels can be used as an indicator to know how well the kidneys are functioning. The amount of creatinine produced depends upon the size of the person as well as their muscle mass. That is why levels of creatinine are higher in men as compared to women and children.

Potassium

The Potassium Test measures the concentration of potassium in the blood.

Potassium is one of the essential body electrolytes along with sodium, chloride, bicarbonate, etc. As an electrolyte, potassium helps to regulate the amount of fluids present in the body and to maintain a correct pH balance. It performs a vital role in cellular metabolism and transport of nutrients and waste products in and out of cells. It is also essential in the transmission of nerve impulses to muscles and muscle activity.

Sufficient amount of potassium required by the body is absorbed from dietary sources, and the remaining unabsorbed potassium is excreted by the kidneys. Body potassium is maintained within a small normal range principally by the hormone aldosterone. Aldosterone acts on the nephrons in the kidneys and activates a sodium-potassium pump which helps the body to reabsorb sodium and excrete potassium. This helps to maintain the potassium concentration in the blood within its normal range. Deviation of potassium concentration from its normal range gives rise to Hyperkalemia (high potassium level in blood), or Hypokalemia (low potassium level in blood). Both these conditions may produce a number of symptoms, and may even be fatal if not controlled.

Uric Acid

The Uric acid test measures the levels of uric acid in the blood. Uric acid is a nitrogenous compound produced by the metabolic breakdown of purine. Purines are nitrogenous bases in DNA forming parts of the structural framework of the cells. Breakdown of purines occurs when cells become old and die, forming uric acid. Uric acid is also formed from the metabolic breakdown of some types of food like red meat, seafood, beans, etc.

Most of the uric acid in the blood is filtered and eliminated by the kidneys and a small remaining amount in the stool. The concentration of uric acid in the blood can increase due to overproduction of uric acid or improper elimination of uric acid, and this condition is called Hyperuricemia. Hyperuricemia can also be caused due to cancer treatment by chemotherapy or radiotherapy. These treatment methods kill the cancer cells, which may leak the uric acid into the blood.

Excess uric acid can form crystals in the synovial fluid between the joints causing inflammation and pain. This condition is called gout and can severely damage the joints if left untreated. The Uric Acid Test can indicate the presence of gout, or risk of formation of gout. However, it is not a definitive test for gout. Confirmatory test for gout is performed by analysis of synovial fluid (joint fluid) for monosodium urate crystals. Chronic Hyperuricemia can cause the formation of tophi, which are hard lumpy deposits of uric acid crystals formed under the skin, in the joints, and at the top of the ears. Tophi cause severe damage to the joints and may compress nerves causing chronic pain and disfigurement. The excess uric acid may also deposit and crystallize in the kidneys causing kidney stones and acute renal failure.

Chloride

Chloride is an essential mineral which acts as an electrolyte along with potassium, sodium, bicarbonate, etc. It helps to maintain the normal fluid and electrolyte balance of the body. It also acts as a buffer to help maintain the pH balance of the body. It also plays essential roles in metabolism. Chloride is used by the stomach to produce hydrochloric acid (HCl) for digestion. Chloride is present in all body fluids and is found in highest concentration in the blood and extracellular fluid (fluid present outside the cells).

Most of the chloride intake is through dietary salt (sodium chloride or NaCl), and a small portion through other food items. The body absorbs the required amount and the kidneys excrete the remaining through urine. The concentration of chloride in blood is maintained within a very narrow range by the body and usually increases or decreases in direct correlation with sodium levels.

Sodium

The Sodium test measures the concentration of sodium in the blood.

Sodium is an essential body electrolyte which, along with potassium, chloride, bicarbonate, etc., helps to maintain the normal fluid and pH balance in the body. It is also vital for cellular metabolism, and in the activity of nerves and muscles and transmission of impulses between them. Sodium is present in all body fluids and is found in highest concentration in the blood and extracellular fluid.

Sodium is supplied to the body principally through dietary salts (sodium chloride or NaCl), and a small portion of sodium is absorbed through other food items. The required portion is absorbed by the body and the remaining is excreted by the kidneys through urine. The body maintains a very narrow range of sodium concentration by three mechanisms:

· Secretion of hormones natriuretic peptides and aldosterone to control sodium elimination through urine

· Secretion of antidiuretic hormone (ADH), also called Vasopressin, to control the volume of water eliminated through urine

· Induction of thirst

Any disruption in the abovementioned mechanisms gives rise to an imbalance in the concentration of sodium in the blood to produce Hyponatremia (low blood sodium concentration), or Hypernatremia (high blood sodium concentration). Both these conditions produce a number of symptoms and may even lead to death.

Blood Urea Nitrogen (BUN)

The Blood Urea Nitrogen test measures the amount of urea nitrogen in the blood. Urea is a waste product which is formed in the liver. It is formed when protein is metabolized into amino acids. This leads to the production of ammonia which is further converted into urea which is a less toxic waste product.

Both ammonia and urea have nitrogen as their component. The liver releases urea into the blood which is then carried out to the kidneys. Here, it is filtered out of the blood and then released into the urine. Since this is a continuous process, a small and stable amount of urea nitrogen always remains in the blood.

In case of kidney or liver diseases, there is a change in the amount of urea present in the blood. If the liver produces urea in increased amounts or if there is any problem in the functioning of the kidneys, there can be difficulty in filtering out wastes of the blood which will lead to rising in urea concentrations in the blood. If due to liver damage or disease there is less production of urea, the concentration of BUN will fall.

The BUN test is done along with creatinine test to evaluate kidney function to diagnose kidney disease and to monitor patients undergoing treatment of kidney disease.

Iron Studies, Comprehensive

Following tests are a part of the Comprehensive Iron deficiency profile:

Transferrin saturation test is ordered along with other iron tests when results from a routine complete blood count (CBC) show that a person's hemoglobin and hematocrit are low and their red blood cells are smaller and paler than normal. This test is ordered when a person develops signs and symptoms of anemia such as:
-Chronic fatigue/tiredness
-Dizziness
-Weakness
-Headaches
-Pale skin

Ferritin checks the levels of ferritin in the blood, which determines the levels of iron in the body and evaluates the body’s capacity to store iron. The Ferritin Test is widely performed to confirm iron deficiency anemia detected in routine check-ups. This test also determines iron overload in the body and the body’s capacity to store iron.

Total Iron binding capacity measures the level of iron available to bind with your blood cells. This test suggests iron deficiency anemia even though other clinical symptoms may not have developed yet. This test can also detect iron overload. Signs and symptoms of iron overload will vary from person to person and tend to worsen over time. They are due to iron accumulation in the blood and tissues. These may include:
-Joint pain
-Fatigue, weakness
-Weight loss
-Organ damage, such as in the heart and/or liver
-Lack of energy
-Abdominal pain
-Loss of sex drive

Unsaturated Iron binding capacity test is used in the diagnosis and treatment of anemias. Serum iron is carried by binding to the transport protein, Transferrin. the serum has considerable reserve iron-binding capacity. This is called the serum Unsaturated Iron Binding Capacity (UIBC).

Iron, serum can be ordered when results from a routine complete blood count (CBC) show that a person's hemoglobin is low or when their red blood cells are smaller and paler than normal (microcytic and hypochromic). This may indicate iron deficiency anemia even though other clinical symptoms may not have developed yet. Iron tests may also be ordered when symptoms of anemia such as fatigue, tiredness, dizziness, weakness, headaches, and pale skin are present.

Know more about Iron Studies, Comprehensive

Unsaturated Iron Binding Capacity

Iron Serum

Transferrin Saturation

Ferritin

A low ferritin level, indicates iron deficiency, while an excess build up of ferritin can be suggestive of a condition called hemochromatosis that can cause organ and tissue damage. Higher than the normal levels can also indicate other serious medical conditions such as liver disease and cancer.

Iron is an essential micronutrient that is required by the body in trace amounts. It plays an essential role in the formation and functioning of red blood cells or RBCs. RBCs transport oxygen from the lungs to other body tissues.

Ferritin is stored in the liver, spleen, bone marrow, and skeletal muscles. When iron levels in the blood drop, it is recovered from these stored iron reserves.

Iron deficiency may occur due to insufficient dietary consumption of iron, excessive loss of blood from injuries, bleeding during periods, during pregnancy, etc. Iron deficiency could also be because of diseases like Celiac disease which prevent absorption of nutrients from food.

Increased ferritin levels in the blood may occur due to excess iron consumption through diet or iron supplements, multiple blood transfusions within a short duration, liver damage, alcoholism, or due to conditions like hemochromatosis where the body absorbs excessive iron from food.

Ferritin Test is performed in combination with other iron measurement tests like Iron Test, Total Iron Binding Capacity (TIBC) Test, and Unsaturated Iron Binding Capacity (UIBC) Test. The results are interpreted accordingly.

Total Iron Binding Capacity

Iron is an essential micronutrient that is required by the body in trace amounts. Iron plays an essential role in a number of body activities. The most important role of iron is that it regulates the formation and functioning of red blood cells or RBCs. Iron is an integral part of a protein called hemoglobin present in the RBCs. RBCs transport oxygen from the lungs to other body tissues.

Iron is not produced by the body and its only source is diet. Only a minute quantity of iron is required by the body. Most of the iron obtained from the food is found in hemoglobin present inside the RBCs. Excess iron absorbed from food is stored as ferritin, and a small amount is present in myoglobin and enzymes. Ferritin is stored in the liver, spleen, bone marrow, and skeletal muscles. When the iron level in the blood drops, it is recovered from these stored iron reserves.

The protein transferrin is produced by the liver and transports iron to different parts of the body for utilization or storage. Low levels of transferrin can impair the transport of iron for utilization or storage and may give rise to symptoms of iron deficiency or overdose. Transferrin is a negative acute phase reactant which means that its level decreases in case of inflammation in the body. It is the primary iron-transporting protein in the body and most of the free iron remains bound to it.

The following tests are performed apart from the Total Iron Binding Capacity Test to measure the iron levels of the body and results are interpreted accordingly:

· Serum Iron Test measures the levels of iron present in the blood.

· Transferrin Test measures the levels of transferrin present in blood both bound and unbound with iron.

· Unsaturated Iron Binding Capacity (UIBC) Test measures the transferrin reserve of the body, or the amount of transferrin not saturated with iron.

· Transferrin Saturation Test is performed to determine the amount of transferrin that is saturated with iron. In normal conditions, approximately one-third of transferrin is bound to and saturated with iron.

· Ferritin Test measures the amount of the protein ferritin in blood. Ferritin is the primary iron storage protein of the body.

Advanced Cardiac Risk Markers

Following tests are a part of the Advanced cardiac risk markers package:

Apolipoprotein A-I (apo A-I) is a protein that plays an important role in the transportation and metabolism of lipids and is the main protein component in high-density lipoprotein. Apo A-I is ordered in someone who has a personal or family history of abnormal lipid levels and/or premature cardiovascular disease. It may be ordered when your doctor is trying to determine the cause of a person's high cholesterol.

The Homocysteine Test measures the levels of homocysteine in the blood. Homocysteine is an amino acid which at increased levels in the body can damage the inner lining of the blood vessels that increases the chances of blood clot formation. The Homocysteine Test measures the levels of homocysteine in the blood. The Homocysteine Test is performed to screen for heart attack and stroke, especially in people with no known risk factors but with a family history of cardiovascular diseases. This test also detects and diagnoses an inherited disease called homocystinuria in newborns and infants and even detects deficiency of Vitamin B6, B12, or Folic acid.

Apolipoprotein B/ A1 Ratio helps in evaluating your risk of developing cardiovascular disease (CVD); It is also used to monitor treatment for high cholesterol. This test is not widely used for a screening test but may be ordered if a person has a family history of heart disease and/or high cholesterol and triglycerides (hyperlipidemia).

High sensitive CRP: High sensitive C reactive protein is a test that measures the amount of C reactive protein in the blood. The level of this marker is elevated in cases of inflammation in the body. This test can evaluate your risk of heart diseases such as coronary artery disease.

Lipoprotein-A: This test measures the amount or activity of Lipoprotein in the blood. It helps in determining your risk of developing cardiovascular disease (CVD), including your risk of coronary heart disease (CHD) and ischemic stroke.

Apolipoprotein-B is ordered, when a healthcare practitioner is evaluating someone's risk of developing CVD and when a person has a personal or family history of heart disease and/or abnormal lipid levels, especially when the person has significantly elevated triglyceride levels.

Know more about Advanced Cardiac Risk Markers

Apolipoprotein - A1

Apolipoprotein B/A1 Ratio

Lipoprotein A

Apolipoprotein - B

High Sensitive CRP

High-sensitivity CRP (Hs-CRP) test measures lower levels of CRP in the blood to predict the risk of Cardiovascular diseases and stroke.

Hs-CRP can implicate low level of inflammation. A persistent low level of inflammation can result in a build-up of cholesterol and other lipids and can cause atherosclerosis and narrowing of blood vessels, which is often associated with Cardiovascular diseases (CVD). The hs-CRP test accurately measures low levels of C-reactive protein to identify low but persistent levels of inflammation and thus helps predict a person's risk of developing CVD. High-sensitivity CRP along with lipid profile can be a useful test for screening the risk of CVD, heart attacks, and strokes. Studies have suggested that this test is best suited for people who have a moderate risk of heart attack over the next 10 years.

Therefore, Hs-CRP is generally advised along with other tests such as lipid profile and lipoprotein-associated phospholipase A2 (Lp-PLA2) to provide added information about the risk of heart disease.

Homocysteine

The Homocysteine Test measures the levels of homocysteine in the blood.

Homocysteine is an amino acid which is an intermediate in the production of cysteine from methionine. Methionine is obtained from dietary sources, mainly fish, meat, and dairy products, and is converted to homocysteine, and then to cysteine in the body. This conversion from methionine to cysteine is regulated by various enzymes which require Vitamin B6, B12, and folic acid to work. Deficiency of these vitamins causes an increase in the levels of homocysteine in the body. Increased homocysteine levels in the blood can be due to a rare genetic disease called homocystinuria, where the enzymes needed for methionine metabolism are dysfunctional.

Increased levels of homocysteine in the blood are associated with an increased risk of cardiovascular diseases including atherosclerosis, thrombosis (formation of blood clots) in blood vessels, heart attack, and stroke. It has also been implicated in some studies with an increased risk of Alzheimer’s disease.

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Recommended for everyone

This package is designed with everyone’s overall health considerations in mind, offering assessments to address a wide range of wellness needs.

Package can be booked by :

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Package contains 92 tests

Calcium

Vitamin Profile (3)

Vitamin B 9

Vitamin D (25-OH)

Vitamin B12

Erythrocyte Sedimentation Rate

Microalbumin Creatinine Ratio, Urine

Diabetes Screening (2)

Glucose - Fasting

Glycosylated Hemoglobin

Complete Blood Count (22)

PDW

RDW CV

Absolute Lymphocyte Countx

Absolute Neutrophil Count

Differential leucocyte Count (5)

Red Blood Cell Count

Hemoglobin

Platelet Count

Total Leucocyte Count

Absolute Basophil Count

Absolute Monocyte Count

Absolute Eosinophil Count

Hematocrit

Mean Corpuscular Volume

Mean Corpuscular Hemoglobin

Mean Corpuscular Hemoglobin Concentration

Mean Platelet Volume

GT New Test 2 added organ and changed name sample 45

C- Reactive Protein Quantitative

HBsAg Screening (Rapid)

Lipid Profile (8)

Cholesterol - LDL

Triglycerides

Cholesterol - Total

Cholesterol - HDL

Very Low Density Lipoprotein

Total Cholesterol/HDL Cholesterol Ratio

LDL/HDL Ratio

Non HDL Cholesterol

Rheumatoid Factor - Quantitative

Total IgE

Peripheral Smear Examination

Lipase

Urine Routine & Microscopy (12)

Glucose - Fasting Urine

Urobilinogen

Ketone

Nitrite

Colour

Appearance

Specific Gravity

Epithelial Cell

Casts

Crystals

Protein Urine

Ph for Urine

Amylase

Liver Function Test (11)

Albumin

Bilirubin Indirect

Bilirubin Direct

Gamma Glutamyl Transferase

Protein Total

Bilirubin Total

Alanine Transaminase

Alkaline Phosphatase

Aspartate Aminotransferase

Globulin, Serum

Albumin/Globulin Ratio, Serum

Thyroid profile Total (3)

Thyroxine - Total

Triiodothyronine Total

Thyroid Stimulating Hormone, Ultrasensitive

Urinary Electrolytes (3)

Chloride Random Urine

Sodium Random Urine

Potassium Random Urine

Urinary Creatinine Screen

Kidney Function Test with Electrolytes (6)

Creatinine

Potassium

Uric Acid

Chloride

Sodium

Blood Urea Nitrogen (BUN)

Iron Studies, Comprehensive (5)

Unsaturated Iron Binding Capacity

Iron Serum

Transferrin Saturation

Ferritin

Total Iron Binding Capacity

Advanced Cardiac Risk Markers (6)

Apolipoprotein - A1

Apolipoprotein B/A1 Ratio

Lipoprotein A

Apolipoprotein - B

High Sensitive CRP

Homocysteine

Report delivery

Standard time

18 hrs

For slots after 11 AM, report will be delivered in 24 hours.

Samples required

Blood 2

Preparations

Overnight Fasting (8-12 hrs). Do not eat or drink anything except water before the test.Urine sample must preferably be the midstream urine (part of urine that comes after first and before the last stream). Collect the urine sample in a sealed and sterile container provided by our sample collection professional. Make sure that the container doesn't come in contact with your skin. Please be informed that urine sample is a part of this package; you are required to submit all the samples that are a part of the package during the sample collection itself. Women are advised not to give the sample during the menstrual period unless prescribed.

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Other than sample collection, our phlebos are also skilled in first aid, ECG & BP monitoring

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