Investigation Report
Investigation Report
Mr Sunder Pal
Male, 32 Yrs
A Comprehensive
Health Analysis Report
AI Based Personalized Report for You
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Smart Report 3.0
Mr Sunder Pal,
Your Health Score
Congratulations, We have successfully completed your health diagnosis. This is a big
step towards staying on top of your health and identify potential to improve!
Thyroid Function
Thyroid Stimulating Hormone Vitamin B12
(TSH)-Ultrasensitive : 1 µIU/ml Test not taken
Everything looks good
Vitamin D
16.07 ng/ml Iron studies
Concern Test not taken
HbA1c Complete
5.5 % Hemogram
Everything looks good Haemoglobin (HB) : 15.5 g/dL
Everything looks good
Smart Report 3.0
Mr. Sunder Pal, after reviewing your recent health test results, it appears that some of your test values are not within the normal range. Your Vitamin D
levels are lower than normal, while your cholesterol levels, including HDL, LDL, and triglycerides, are higher than they should be. Additionally, your mean
platelet volume is elevated, and your globulin levels are lower than ideal.
1.
Dietary Changes:
Consider incorporating more fruits, vegetables, whole grains, and lean proteins into your diet while limiting saturated fats and sugars.
2.
Physical Activity:
Regular exercise can help improve your cholesterol levels and overall health. Aim for at least 30 minutes of moderate exercise most days of the week.
3.
Sun Exposure:
Spending time outdoors and getting adequate sunlight can help boost your Vitamin D levels naturally. Remember to wear sunscreen to protect your skin.
4.
Consultation with a Healthcare Provider:
It may be beneficial to discuss these results with a healthcare provider to create a personalized plan for managing your health.
Remember, these changes can have a positive impact on your overall well-being. Take small steps towards a healthier lifestyle, and you will gradually see
improvements in your health.
Patient Name : Mr Sunder Pal Barcode : E0790285
Age/Gender : 32Y 0M 0D /Male Sample Collected On : 28/Feb/2024 07:43AM
Order Id : 10205001145 Sample Received On : 28/Feb/2024 05:06PM
Referred By : Self Report Generated On : 28/Feb/2024 06:16PM
Customer Since : 28/Feb/2024 Sample Temperature : Maintained
Sample Type : Whole Blood EDTA ReportStatus : Final Report
REMARKS
1. HbA1c is used for monitoring diabetic control. It reflects the mean plasma glucose over three months
2. HbA1c may be falsely low in diabetics with hemolytic disease. In these individuals a plasma fructosamine level may be used which evaluates diabetes over 15
days.
3. Inappropriately low HbA1c values may be reported due to hemolysis, recent blood transfusion, acute blood loss, hypertriglyceridemia, chronic liver disease. Drugs
like dapsone, ribavirin, antiretroviral drugs, trimethoprim, may also cause interference with estimation of HbA1c, causing falsely low values.
4. HbA1c may be increased in patients with polycythemia or post-splenectomy.
5. Inappropriately higher values of HbA1c may be caused due to iron deficiency, vitamin B12 deficiency, alcohol intake, uremia, hyperbilirubinemia and large doses of
aspirin.
6. Trends in HbA1c are a better indicator of diabetic control than a solitary test. 7. Any sample with >15% HbA1c should be suspected of having a hemoglobin
variant, especially in a non-diabetic patient. Similarly, below 4% should prompt additional studies to determine the possible presence of variant hemoglobin.
8. HbA1c target in pregnancy is to attain level <6 % .
9. HbA1c target in paediatric age group is to attain level < 7.5 %.
Method : Ion-exchange high-performance liquid chromatography (HPLC).
Reference : American Diabetes Associations. Standards of Medical Care in Diabetes 2023
Page 1 of 16
SIN No:E0790285
Patient Name : Mr Sunder Pal Barcode : E0790285
Age/Gender : 32Y 0M 0D /Male Sample Collected On : 28/Feb/2024 07:43AM
Order Id : 10205001145 Sample Received On : 28/Feb/2024 05:07PM
Referred By : Self Report Generated On : 28/Feb/2024 05:40PM
Customer Since : 28/Feb/2024 Sample Temperature : Maintained
Sample Type : Flouride Plasma ReportStatus : Final Report
DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval
Fasting Blood Sugar
Glucose, Fasting 89.5 mg/dl 70 - 100
Method: Hexokinase
Machine: BECKMAN COULTER AU 5800
American Diabetes Association Reference Range :
Page 2 of 16
SIN No:E0790285
Patient Name : Mr Sunder Pal Barcode : E0790285
Age/Gender : 32Y 0M 0D /Male Sample Collected On : 28/Feb/2024 07:43AM
Order Id : 10205001145 Sample Received On : 28/Feb/2024 04:31PM
Referred By : Self Report Generated On : 28/Feb/2024 05:14PM
Customer Since : 28/Feb/2024 Sample Temperature : Maintained
Sample Type : Serum ReportStatus : Final Report
DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval
Liver Function Test (LFT)
Serum Bilirubin, (Total) 0.40 mg/dl 0.3 - 1.2
Method: Vanadate oxidation
Machine: SIEMENS ADVIA 2400
Serum Bilirubin, (Direct) 0.10 mg/dl 0 - 0.3
Method: Vanadate oxidation
Machine: SIEMENS ADVIA 2400
Serum Bilirubin, (Indirect) 0.30 mg/dl 0.0 - 0.8
Method: Calculated
Aspartate Aminotransferase (AST/SGOT) 18.00 U/L 5 - 34
Method: Modified IFCC
Machine: SIEMENS ADVIA 2400
Alanine Aminotransferase (ALT/SGPT) 23 U/L 10 - 49
Method: Modified IFCC
Machine: SIEMENS ADVIA 2400
Alkaline Phosphatase (ALP) 88.00 U/L 38 - 126
Method: DEA BUFFER
Machine: SIEMENS ADVIA 2400
Gamma Glutamyl Transferase (GGT) 22.0 U/L 5 -73
Method: IFCC
Machine: SIEMENS ADVIA 2400
Serum Total Protein 6.90 g/dl 5.7-8.2
Method: Biuret
Machine: SIEMENS ADVIA 2400
Serum Albumin 4.50 g/dl 3.4 - 4.8
Method: Bromo Cresol Green(BCG)
Machine: SIEMENS ADVIA 2400
Serum Globulin 2.40 gm/dl 3.0 - 4.2
Method: Calculated
Albumin/Globulin Ratio 1.88 Ratio 1.2 - 2.5
Method: Calculated
SGOT/SGPT Ratio 0.78 Ratio 0.7 - 1.4
Method: Calculated
Bilirubin is a yellowish pigment found in bile and is a breakdown product of normal heme catabolism. Elevated levels are a result of increased
bilirubin production (e.g hemolysis and ineffective erythropoiesis), decreased bilirubin excretion (e.g.; obstruction and hepatitis) and abnormal
bilirubin metabolism (e.g; hereditary and neonatal jaundice) .
Conjugated (direct) bilirubin is elevated in conditions like- Hereditary disorders( Dubin Johnson syndrome, Rotor syndrome),Hepatocellular
damage(e.g –viral ,toxic ,alcohol ,drugs) ,biliary duct obstruction (extrahepatic or intrahepatic), Infiltrations ,space occupying lesions(e.g
Page 3 of 16
SIN No:E0790285
Patient Name : Mr Sunder Pal Barcode : E0790285
Age/Gender : 32Y 0M 0D /Male Sample Collected On : 28/Feb/2024 07:43AM
Order Id : 10205001145 Sample Received On : 28/Feb/2024 04:31PM
Referred By : Self Report Generated On : 28/Feb/2024 05:14PM
Customer Since : 28/Feb/2024 Sample Temperature : Maintained
Sample Type : Serum ReportStatus : Final Report
DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval
metastasis, abscess , granuloma , amyloidosis. Increased unconjugated (indirect) bilirubin may be a result of hemolytic or pernicious anemia,
transfusion reaction & a common metabolic condition termed Gilbert syndrome.
AST levels increase in viral hepatitis, blockage of the bile duct ,cirrhosis of the liver, liver cancer, kidney failure, hemolytic anemia, pancreatitis,
hemochromatosis. AST levels may also increase after a heart attack or strenuous activity.
ALT is a liver specific enzyme commonly measured as a part of a diagnostic evaluation of hepatocellular injury, to determine liver health.
Elevated ALP levels are seen in Biliary Obstruction, Osteoblastic Bone Tumors, Osteomalacia, Hepatitis, Hyperparathyroidism, Leukemia,
Lymphoma, Paget’s disease, Rickets, Sarcoidosis etc.
Elevated serum GGT activity can be found in diseases of the liver, Biliary system and pancreas. Obstructive liver disease, high alcohol
consumption and use of enzyme-inducing drugs lead to raised GGT levels .
Serum total protein measures the total amount of protein in serum. It is largely comprised of albumin and globulins. Increased levels may be
due to: Chronic inflammation or infection, including HIV and hepatitis B or C, multiple myeloma, Waldenstrom's disease. Decreased levels may
be due to: Agammaglobulinemia, Bleeding (hemorrhage), Burns, Glomerulonephritis, Liver disease, Malabsorption, Malnutrition, Nephrotic
Syndrome.
Albumin is the most abundant protein in the serum and is produced in the liver. Low serum albumin levels (hypoalbuminemia) can be caused by:
Liver diseases like liver cirrhosis, nephrotic syndrome, protein-losing enteropathy, burns, hemodilution, increased vascular permeability or
decreased lymphatic clearance, malnutrition and wasting .
Globulins are increased in most liver diseases , in chronic inflammatory diseases and neoplastic diseases
Page 4 of 16
SIN No:E0790285
Patient Name : Mr Sunder Pal Barcode : E0790285
Age/Gender : 32Y 0M 0D /Male Sample Collected On : 28/Feb/2024 07:43AM
Order Id : 10205001145 Sample Received On : 28/Feb/2024 04:31PM
Referred By : Self Report Generated On : 28/Feb/2024 10:52PM
Customer Since : 28/Feb/2024 Sample Temperature : Maintained
Sample Type : SERUM ReportStatus : Final Report
DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval
(KFT) Kidney Function Test
Serum Creatinine 0.83 mg/dl 0.6 - 1.6
Method: Jaffes Kinetic
Machine: SIEMENS ADVIA 2400
GFR, ESTIMATED 119.25 mL/min/1.73m2
Method: Calculated
Serum Uric Acid 5.1 mg/dl 3.5 - 7.2
Method: Uricase/Peroxidase
Machine: SIEMENS ADVIA 2400
Serum Calcium 9.6 mg/dl 8.8 - 10.6
Method: ARSENAZO III
Machine: BECKMAN COULTER AU 5800
Serum Sodium 139 mmol/L 132 - 146
Method: ISE (Indirect)
Machine: SIEMENS ADVIA 2400
Serum Chloride 103 mmol/L 99-109
Method: ISE (Indirect)
Machine: SIEMENS ADVIA 2400
Blood Urea 22 mg/dl 19.3-49.38
Method: Urease
Machine: SIEMENS ADVIA 2400
Blood Urea Nitrogen (BUN) 10.3 mg/dl 8-20
Method: Calculated
Bun/Creatinine Ratio 12.39 Ratio
Method: Calculated
Urea/Creatinine Ratio 26.51 Ratio
Method: Calculated
The kidneys play a vital role in the excretion of waste products and toxins such as urea, creatinine and uric acid, regulation of extracellular fluid
volume, serum osmolality and electrolyte concentrations, as well as the production of hormones like erythropoietin and 1,25 dihydroxy vitamin D
and renin. Assessment of renal function is important in the management of patients with kidney disease or pathologies affecting renal function.
Tests of renal function have utility in identifying the presence of renal disease, monitoring the response of kidneys to treatment, and determining
the progression of renal disease.
Urea is synthesized in the liver as the final product of protein and amino acid metabolism. Urea synthesis is therefore dependent on daily protein
intake and endogenous protein metabolism.
Creatinine is a metabolic product of creatine and phosphocreatine, which are both found almost exclusively in muscle.
Uric Acid is the major product of purine catabolism in humans. Uric acid levels are used to monitor the treatment of gout.
Page 5 of 16
SIN No:E0790285
Patient Name : Mr Sunder Pal Barcode : E0790285
Age/Gender : 32Y 0M 0D /Male Sample Collected On : 28/Feb/2024 07:43AM
Order Id : 10205001145 Sample Received On : 28/Feb/2024 04:31PM
Referred By : Self Report Generated On : 28/Feb/2024 10:52PM
Customer Since : 28/Feb/2024 Sample Temperature : Maintained
Sample Type : SERUM ReportStatus : Final Report
DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval
Measurement of calcium is used in the diagnosis and treatment of parathyroid disease, a variety of bone diseases, chronic renal disease,
urolithiasis and tetany. Phosphorus levels are increased in acute or chronic renal failure with decreased GFR .
Sodium is an electrolyte, and it helps regulate the amount of water in and around the cells & the balance of chemicals in the body called acids
and bases. Potassium is a primary intracellular ion, only 2 % is extracellular, high intracellular concentration is maintained by a Na- K ATPase
pump, which continuously transports potassium into the cell against a concentration gradient. Chloride is a negatively charged ion that works
with other electrolytes such as potassium, sodium, and bicarbonate, to help regulate the amount of fluid in the body and maintain the acid-base
balance.
Page 6 of 16
SIN No:E0790285
Patient Name : Mr Sunder Pal Barcode : E0790285
Age/Gender : 32Y 0M 0D /Male Sample Collected On : 28/Feb/2024 07:43AM
Order Id : 10205001145 Sample Received On : 28/Feb/2024 04:31PM
Referred By : Self Report Generated On : 28/Feb/2024 07:27PM
Customer Since : 28/Feb/2024 Sample Temperature : Maintained
Sample Type : SERUM ReportStatus : Final Report
DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval
Lipid Profile Basic
Total Cholesterol 213.0 mg/dl Desirable : <200
Method: ENZymatic Borderline: 200-239
Machine: SIEMENS ADVIA 2400
High : >/=240
Serum Triglycerides 158.0 mg/dl Desirable : <150
Method: GPO TRINDER Borderline high : 150-199
Machine: SIEMENS ADVIA 2400
High : 200-499
Very high : > 500
Serum HDL Cholesterol 37.7 mg/dl 40 - 60
Method: Elimination/catalase
Machine: SIEMENS ADVIA 2400
LDL Cholesterol Calculated 143.73 mg/dl Optimal : <100
Method: Calculated near /above Optimal:100 -
129
Borderline High: 130- 159
High : 160 - 189
Very High :>/=190
VLDL Cholesterol Calculated 31.6 mg/dl <30
Method: Calculated
Total CHOL / HDL Cholesterol Ratio 5.65 Ratio 3.30 - 4.40
Method: Calculated
LDL / HDL Cholesterol Ratio 3.81 Ratio Desirable/Low Risk: 0.5-3.0
Method: Calculated Line/Moderate Risk: 3.0-6.0
Elevated/High Risk: >6.0
HDL / LDL Cholesterol Ratio 0.26 Ratio Optimal->0.4
Method: Calculated Moderate-0.4 to 0.3
High-<0.3
Non-HDL Cholesterol 175.3 mg/dl 0.0 - 160.0
Method: Calculated
Dyslipidemia is a disorder of fat or lipoprotein metabolism in the body and includes lipoprotein overproduction or deficiency.
Dyslipidemias means increase in the level of one or more of the following: Total Cholesterol, low density lipoprotein (LDL) and/or triglyceride
concentrations.
Dyslipidemia also includes a decrease in the “good" cholesterol or high-density lipoprotein (HDL) concentration in the blood.
Cholesterol is a steroid carried in the bloodstream as lipoprotein, necessary for cell membrane functioning and as a precursor to bile acids,
progesterone ,vitamin D ,estrogens ,glucocorticoids and mineralocorticoids.
HDL is termed “good cholesterol” because its levels are inversely related to the risk of Coronary heart disease.
Page 7 of 16
SIN No:E0790285
Patient Name : Mr Sunder Pal Barcode : E0790285
Age/Gender : 32Y 0M 0D /Male Sample Collected On : 28/Feb/2024 07:43AM
Order Id : 10205001145 Sample Received On : 28/Feb/2024 04:31PM
Referred By : Self Report Generated On : 28/Feb/2024 07:27PM
Customer Since : 28/Feb/2024 Sample Temperature : Maintained
Sample Type : SERUM ReportStatus : Final Report
DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval
LDL cholesterol is termed the “bad cholesterol” and their increased levels are associated with increased risk of atherosclerosis and coronary
heart disease.
Lipid level assessments must be made following 9 to 12 hours of fasting, otherwise assay results might lead to erroneous interpretation.
Healthians labs report biological reference intervals (normal ranges) in accordance with the recommendations of The National Cholesterol
Education Program (NCEP) & Adult Treatment Panel IV (ATP IV) guidelines providing the most desirable targets of various circulating lipid
fractions in the blood. NCEP recommends that all adults above 20 years of age must be screened for abnormal lipid levels.
Page 8 of 16
SIN No:E0790285
Patient Name : Mr Sunder Pal Barcode : E0790285
Age/Gender : 32Y 0M 0D /Male Sample Collected On : 28/Feb/2024 07:43AM
Order Id : 10205001145 Sample Received On : 28/Feb/2024 04:39PM
Referred By : Self Report Generated On : 28/Feb/2024 05:29PM
Customer Since : 28/Feb/2024 Sample Temperature : Maintained
Sample Type : URINE ReportStatus : Final Report
Page 9 of 16
SIN No:E0790285
Patient Name : Mr Sunder Pal Barcode : E0790285
Age/Gender : 32Y 0M 0D /Male Sample Collected On : 28/Feb/2024 07:43AM
Order Id : 10205001145 Sample Received On : 28/Feb/2024 04:39PM
Referred By : Self Report Generated On : 28/Feb/2024 05:29PM
Customer Since : 28/Feb/2024 Sample Temperature : Maintained
Sample Type : URINE ReportStatus : Final Report
Page 10 of 16
SIN No:E0790285
Patient Name : Mr Sunder Pal Barcode : E0790285
Age/Gender : 32Y 0M 0D /Male Sample Collected On : 28/Feb/2024 07:43AM
Order Id : 10205001145 Sample Received On : 28/Feb/2024 04:39PM
Referred By : Self Report Generated On : 28/Feb/2024 05:29PM
Customer Since : 28/Feb/2024 Sample Temperature : Maintained
Sample Type : URINE ReportStatus : Final Report
Page 11 of 16
SIN No:E0790285
Patient Name : Mr Sunder Pal Barcode : E0790285
Age/Gender : 32Y 0M 0D /Male Sample Collected On : 28/Feb/2024 07:43AM
Order Id : 10205001145 Sample Received On : 28/Feb/2024 04:07PM
Referred By : Self Report Generated On : 28/Feb/2024 06:36PM
Customer Since : 28/Feb/2024 Sample Temperature : Maintained
Sample Type : Whole Blood EDTA ReportStatus : Final Report
DEPARTMENT OF HAEMATOLOGY
Test Name Value Unit Bio. Ref Interval
Complete Haemogram
Haemoglobin (HB) 15.5 g/dL 13.0-17.0
Method: Photometry
Machine: BECKMAN COULTER DxH800
Total Leucocyte Count (TLC) 5.3 10^3/uL 4.0-10.0
Method: Impedance
Machine: BECKMAN COULTER DxH800
Hematocrit (PCV) 46.8 % 40.0-50.0
Method: Calculated
Machine: BECKMAN COULTER DxH800
Red Blood Cell Count (RBC) 5.30 10^6/µl 4.50-5.50
Method: Impedance
Machine: BECKMAN COULTER DxH800
Mean Corp Volume (MCV) 89.0 fL 83.0-101.0
Method: Derived from RBC Histogram
Machine: BECKMAN COULTER DxH800
Mean Corp Hb (MCH) 29.6 pg 27.0-32.0
Method: Calculated
Machine: BECKMAN COULTER DxH800
Mean Corp Hb Conc (MCHC) 33.2 g/dL 31.5-34.5
Method: Calculated
Machine: BECKMAN COULTER DxH800
RDW - CV 13.2 % 11.6-14.0
Method: Derived from RBC Histogram
Machine: BECKMAN COULTER DxH800
RDW - SD 41.10 fL 39.0-46.0
Method: Derived from RBC Histogram
Machine: BECKMAN COULTER DxH800
Mentzer Index 16.79 Ratio
Method: Calculated
RDWI 221.66 Ratio
Method: Calculated
Green and king index 67 Ratio
Method: Calculated
Differential Leucocyte Count
Neutrophils 55.5 % 40 - 80
Method: VCS Technology
Machine: BECKMAN COULTER DxH800
Page 12 of 16
SIN No:E0790285
Patient Name : Mr Sunder Pal Barcode : E0790285
Age/Gender : 32Y 0M 0D /Male Sample Collected On : 28/Feb/2024 07:43AM
Order Id : 10205001145 Sample Received On : 28/Feb/2024 04:07PM
Referred By : Self Report Generated On : 28/Feb/2024 06:36PM
Customer Since : 28/Feb/2024 Sample Temperature : Maintained
Sample Type : Whole Blood EDTA ReportStatus : Final Report
DEPARTMENT OF HAEMATOLOGY
Test Name Value Unit Bio. Ref Interval
Lymphocytes 35.3 % 20-40
Method: VCS Technology
Machine: BECKMAN COULTER DxH800
Monocytes 5.8 % 02 - 10
Method: VCS Technology
Machine: BECKMAN COULTER DxH800
Eosinophils 2.7 % 01 - 06
Method: VCS Technology
Machine: BECKMAN COULTER DxH800
Basophils 0.7 % 00 - 02
Method: VCS Technology
Machine: BECKMAN COULTER DxH800
Absolute Leucocyte Count
Absolute Neutrophil Count (ANC) 2.94 10^3/uL 2.0-7.0
Method: Calculated
Machine: BECKMAN COULTER DxH800
Absolute Lymphocyte Count (ALC) 1.87 10^3/uL 1.0-3.0
Method: Calculated
Machine: BECKMAN COULTER DxH800
Absolute Monocyte Count 0.31 10^3/uL 0.2-1.0
Method: Calculated
Machine: BECKMAN COULTER DxH800
Absolute Eosinophil Count (AEC) 0.14 10^3/uL 0.02-0.5
Method: Calculated
Machine: BECKMAN COULTER DxH800
Absolute Basophil Count 0.04 10^3/uL 0.02 - 0.10
Method: Calculated
Machine: BECKMAN COULTER DxH800
Platelet Count(PLT) 213 10^3/µl 150-410
Method: Impedance
Machine: BECKMAN COULTER DxH800
MPV 10.5 fL 7-9
Method: Derived from PLT Histogram
Machine: BECKMAN COULTER DxH800
ESR 05 mm/1st hour 0-10
Method: Kinetic Red Cells Aggregation
Machine: ALIFAX TEST - 1
The International Council for Standardization in Haematology (ICSH) recommends reporting of absolute counts of various WBC subsets for clinical decision making.
This test has been performed on a fully automated 5 part differential cell counter which counts over 10,000 WBCs to derive differential counts. A complete blood
Page 13 of 16
SIN No:E0790285
Patient Name : Mr Sunder Pal Barcode : E0790285
Age/Gender : 32Y 0M 0D /Male Sample Collected On : 28/Feb/2024 07:43AM
Order Id : 10205001145 Sample Received On : 28/Feb/2024 04:07PM
Referred By : Self Report Generated On : 28/Feb/2024 06:36PM
Customer Since : 28/Feb/2024 Sample Temperature : Maintained
Sample Type : Whole Blood EDTA ReportStatus : Final Report
DEPARTMENT OF HAEMATOLOGY
Test Name Value Unit Bio. Ref Interval
count is a blood panel that gives information about the cells in a patient's blood, such as the cell count for each cell type and the concentrations of Hemoglobin and
platelets. The cells that circulate in the bloodstream are generally divided into three types: white blood cells (leukocytes), red blood cells (erythrocytes), and platelets
(thrombocytes). Abnormally high or low counts may be physiological or may indicate disease conditions, and hence need to be interpreted clinically.
The Mentzer index is used to differentiate iron deficiency anaemia beta thalassemia trait. If a CBC indicates microcytic anaemia, these are two of the most likely
causes, making It necessary to distinguish between them.
If the quotient of the mean corpuscular volume divided by the red blood cell count is then 13, thalassemia is more likely. If the result is greater than 13, then iron-
deficiency anaemia is more likely. Green and King Index used to differentiate IDA from thalassemia trait value >65 is likely to be Iron Deficiency Anemiaand value <65
Beta Thalassemia Trait. For RDWI Value >220 more likely to be Iron Deficiency Anemia and value <220 more likely to be Beta Thalassemia Trait .
ESR is a non-specific phenomenon, its measurement is clinically useful in disorders associated with an increased production of acute-phase proteins. it provides an
index of progress of the disease in rheumatoid arthritis or tuberculosis, and it is of considerable value in diagnosis of temporal arteritis and polymyalgia rheumatica. It
is often used if multiple myeloma is suspected, but when the myeloma is non-secretory or light chain, a normal ESR does not exclude this diagnosis.
An elevated ESR occurs as an early feature in myocardial infarction. Although a normal ESR cannot be taken to exclude the presence of organic disease, the vast
majority of acute or chronic infections and most neoplastic and degenerative diseases are associated with changes in the plasma proteins that increased ES values.
An increased ESR in subjects who are HIV seropositive seems to be an early predictive marker of progression toward acquired immune deficiency syndrome
(AIDS).
The ESR is influenced by age, stage of the menstrual cycle and medications taken (corticosteroids, contraceptive pills). It is especially low (0–1 mm) in
polycythaemia, hypofibrinogenaemia and congestive cardiac failure and when there are abnormalities of the red cells such as poikilocytosis, spherocytosis, or sickle
cells.
In cases of performance enhancing drug intake by athletes the ESR values are generally lower than the usual value for the individual and as a result of the
increase in haemoglobin (i.e. the effect of secondary polycythaemia).
Page 14 of 16
SIN No:E0790285
Patient Name : Mr Sunder Pal Barcode : E0790285
Age/Gender : 32Y 0M 0D /Male Sample Collected On : 28/Feb/2024 07:43AM
Order Id : 10205001145 Sample Received On : 28/Feb/2024 04:31PM
Referred By : Self Report Generated On : 28/Feb/2024 06:30PM
Customer Since : 28/Feb/2024 Sample Temperature : Maintained
Sample Type : SERUM ReportStatus : Final Report
DEPARTMENT OF IMMUNOLOGY
Test Name Value Unit Bio. Ref Interval
Thyroid Stimulating Hormone (TSH)
Thyroid Stimulating Hormone (TSH)-Ultrasensitive 1.0040 µIU/ml 0.55-4.78
Method: CLIA
Machine: SIEMENS CENTAUR XP
Interpretation:
Bio Ref Range for TSH in uIU/ml (As per American Thyroid
Pregnancy interval
Association)
First trimester 0.1 - 2.5
Second trimester 0.2 – 3.0
Third trimester 0.3 – 3.0
1. Thyroid hormones undergo circadian variation: Peak levels are seen at around midnight. Minimum levels seen between morning through noon.
This variation may be as much as 50% thus, influence of sampling time needs to be considered for clinical interpretation.
2. Circulating forms of T3 and T4 are mostly reversibly bound with Thyroxine binding globulins (TBG), and to a lesser extent with albumin and
Thyroid binding Pre-Albumin. Thus the conditions in which TBG and protein levels alter such as chronic liver disorders, pregnancy, excess of
estrogens, androgens, anabolic steroids and glucocorticoids may cause misleading total T3, total T4 and TSH interpretations.
3. TSH levels may be normal in central hypothyroidism, recent rapid correction of hypothyroidism or hyperthyroidism, pregnancy, phenytoin therapy
etc.
4. TSH values of <0.03 uIU/mL must be clinically correlated to evaluate the presence of a rare TSH variant in certain individuals which is
undetectable by conventional methods.
5. Presence of Autoimmune disorders may lead to spurious results of thyroid hormones.
6. Various drugs influence the levels of thyroid hormones such as L-Dopa, Lithium, Glucocorticoids, Phenytoin etc.
7. Serum TSH is evaluated in Neonates to diagnose Congenital Hypothyroidism.
8. Within hours of birth, plasma TSH, T4, and T3 concentrations rise rapidly. By 2 to 3 days, TSH concentrations fall. T4 falls to adult
concentrations by 1 to 2 months of age.
Page 15 of 16
SIN No:E0790285
Patient Name : Mr Sunder Pal Barcode : E0790285
Age/Gender : 32Y 0M 0D /Male Sample Collected On : 28/Feb/2024 07:43AM
Order Id : 10205001145 Sample Received On : 28/Feb/2024 04:31PM
Referred By : Self Report Generated On : 28/Feb/2024 08:36PM
Customer Since : 28/Feb/2024 Sample Temperature : Maintained
Sample Type : Serum ReportStatus : Final Report
DEPARTMENT OF IMMUNOLOGY
Test Name Value Unit Bio. Ref Interval
Vitamin D, 25-Hydroxy
VITAMIN D (25 - OH VITAMIN D) 16.07 ng/ml 30 - 100
Method: CLIA
Machine: SIEMENS CENTAUR XP
VITAMIN D STATUS VITAMIN D 25 HYDROXY (ng/mL), Adult VITAMIN D 25 HYDROXY (ng/mL), Pediatric
DEFICIENCY <20 <15
INSUFFICIENCY 20 - 30 15 - 20
SUFFICIENCY 30 – 100 20 - 100
Vitamin D is a steroid hormone known for its important role in regulating body levels of calcium and phosphorus and in the mineralization of bone
Uses :
Increased in
Vitamin D intoxication
Excessive exposure to sunlight
Decreased in
Malabsorption
Steatorrhoea
Dietary osteomalacia
Thyrotoxicosis
Coeliac disease
Inflammatory bowel disease
Rickets
Pancreatic insufficiency
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SIN No:E0790285
Smart Report 3.0
No Data
5' 4"(ft/in)
Weight
Sugar levels
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Medication Alcohol Family History
No Data
No Data Found
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SUGGESTED NUTRITION
Do's Dont's
Have a balanced diet that includes whole grains, Avoid flavoured and seasoned foods
pulses, dairy, fruits, vegetables, nuts and healthy fats Decrease intake of colas and sugary drinks
SUGGESTED Include fruits like apples, berries and melons in your Avoid saturated fats, transfats, oily and greasy foods
NUTRITION
diet like cakes, creamy or fried foods
Include calcium rich foods like milk, yoghurt, cheese
Limit sugar intake
and green, leafy vegetables
Reduce caffeine intake
Include Brazil nuts, sesame seeds, sunflower seeds
Include fresh garlic and fenugreek seeds in your diet Avoid high cholesterol and calorie dense foods
Include whole grains in your diet like whole wheat Avoid red meat and organ meats
bread and other products, brown rice or hand Limit the use of oil and avoid sauces and dressings
pounded rice, oats
SUGGESTED LIFESTYLE
Do's Dont's
Have regular exposure to sunlight Avoid overexertion without having food or drink
Sleep well at night and do relaxing activities Avoid strenuous exercises
SUGGESTED Maintain ideal weight Avoid smoking and alcohol
LIFESTYLE Lose weight gradually and stay active Don't ignore your body signals and don't skip your
regular health check-ups
Avoid late night heavy meals
Avoid overeating or calorie rich food
Avoid long periods of inactivity
PHYSICAL ACTIVITY
ACTIVITY
a day for 3-4 days a week.
If regular workout is difficult, then we can adapt changes such as
using stairs instead of lift/escalators and doing household work!
BALANCED DIET
STRESS MANAGEMENT
Your test report has indicated that you have certain deficiencies in your body which may hamper your health & wellbeing in the
longer run.
In order to fulfill the gaps in nutrition and promote a healthier body we suggest you the following supplements mentioned below:
Herbved Apple Cider Vinegar with Mother is 100% natural, raw, unfiltered and unpasteurized that has been
fermented from Himalayan apples. It contains a substance called mother that consists of antioxidants,
proteins, enzymes, and friendly bacteria that offers you a host of health benefits like losing weight,
controlling High BP, Sugar & Cholesterol and improving digestion. It can work wonders on your hair
making it soft and shiny, controlling dandruff & hairfall and can also prevent acne when applied as a
toner externally on your skin.
Helps in weight loss | Helps control cholesterol levels | Lowers blood pressure | Controls
hairfall and makes hair soft and shiny | Improves digestion
Make your muscles and bones stronger with VITAMIN D3. Sourced from natural substances, it helps in
regulating the absorption of calcium and phosphorus, which help keep your bones strong and enhancing
the normal immune system functioning. Vitamin D3 is an essential nutrient that’s critical for normal
growth and development of bones and teeth, as well as improved resistance against certain diseases.
• Rickets (in children) | • Brittle Bones | • Osteoporosis | • Weakened Bones (in adults)
Strengthens Bones & Protects Against Helps in Reducing Boosts Heart Health Aids in Kidney Disease
Muscles Pneumonia & Acute Depression Treatment
Respiratory Infections