Shana Sharma 8757100315
Shana Sharma 8757100315
Shana Sharma 8757100315
Shana Sharma
Female, 32 Yrs
2019
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HbA1c Complete
5.9 % Hemogram
Concern Haemoglobin (HB) : 12.9 g/dL
Everything looks good
Smart Report 3.0
Calcium Total, Serum Everything looks good Creatinine, Serum Everything looks good
• •
Your Latest result Your Latest result
10 0.7
0.6
9.5
0.5
9
0.4
8.5 0.3
Jul'19 Aug'21 Dec'21 Sep'22 Mar'23 Aug'23 Jul'19 Aug'21 Dec'21 Sep'22 Mar'23 Aug'23
Glycated Hemoglobin (HbA1c) Concern Vitamin B12 Cyanocobalamin Everything looks good
• •
Your Latest result Your Latest result
6 600
5.75
400
5.5
200
5.25
5 0
Jul'19 Aug'21 Dec'21 Sep'22 Mar'23 Aug'23 Jul'19 Aug'21 Dec'21 Sep'22 Mar'23 Aug'23
• •
Your Latest result Your Latest result
30 350
20 300
10 250
0 200
Jul'19 Aug'21 Dec'21 Sep'22 Mar'23 Aug'23 Jul'19 Aug'21 Dec'21 Sep'22 Mar'23 Aug'23
Hemoglobin Hb Everything looks good TSH Ultra - Sensitive Everything looks good
• •
Your Latest result Your Latest result
12
6
11
10 4
9
Jul'19 Aug'21 Dec'21 Sep'22 Mar'23 Aug'23
2
Jul'19 Aug'21 Dec'21 Sep'22 Mar'23 Aug'23
Smart Report 3.0
26 Aug 2021 27 Dec 2021 14 Sep 2022 06 Mar 2023 Latest Result
Test Name Risk Area Collection Time Collection Time Collection Time Collection Time
06:30 AM 09:30 AM 07:30 AM 07:30 AM 21 Aug 2023
Cholesterol-Total, Serum
0 - 200
232 207 302 255 224
mg/dl mg/dl mg/dl mg/dl mg/dl
Normal Range
High (Concern)
Triglycerides, Serum
0 - 150 153 139 339 214 246
mg/dl mg/dl mg/dl mg/dl mg/dl
Normal Range
High (Concern)
VLDL
06 - 30 30.6 27.8 67.8 42.8 49.2
mg/dl mg/dl mg/dl mg/dl mg/dl
Normal Range
High (Concern)
Proteins, Serum
6.9 7.1 6.46 7.24 7.13
6.6 - 8.3 --
gm/dl gm/dl gm/dl gm/dl gm/dl
Normal Range
Everything Looks Good
SGOT/AST
16.8 16 19 20 21
3 - 35 --
U/L U/L U/L U/L U/L
Normal Range
Everything Looks Good
SGPT/ALT
13.3 18 15 15 16
3 - 35 --
U/L U/L U/L U/L U/L
Normal Range
Everything Looks Good
Hemoglobin Hb
11.9 12.5 9.9 12.5 12.9
12.0 - 15.0 --
g/dL g/dL g/dL g/dL g/dL
Normal Range
Everything Looks Good
26 Aug 2021 27 Dec 2021 14 Sep 2022 06 Mar 2023 Latest Result
Test Name Risk Area Collection Time Collection Time Collection Time Collection Time
06:30 AM 09:30 AM 07:30 AM 07:30 AM 21 Aug 2023
Iron, Serum
56.7 74.9 34 74 61
60 - 180 -- ug/dl
ug/dl ug/dl ug/dl ug/dl
Normal Range
Everything Looks Good
Chlorides, Serum
104 102 99 103 106
101 - 109 -- mmol/L
mmol/L mmol/L mmol/L mmol/L
Normal Range
Everything Looks Good
Creatinine, Serum
0.58 0.62 0.41 0.56 0.61
0.3 - 1.0 --
mg/dl mg/dl mg/dl mg/dl mg/dl
Normal Range
Everything Looks Good
Phosphorus-Inorganic, Serum
4.3 3.8 3.1 3
2.5 - 4.5 -- -
mg/dl mg/dl mg/dl mg/dl
Normal Range
Everything Looks Good
Sodium, Serum
139 137 134 140 139
136 - 146 --
mmol/L mmol/L mmol/L mmol/L mmol/L
Normal Range
Everything Looks Good
Urea, Serum
17 23 9 16 19
17 - 43 --
mg/dl mg/dl mg/dl mg/dl mg/dl
Normal Range
Everything Looks Good
26 Aug 2021 27 Dec 2021 14 Sep 2022 06 Mar 2023 Latest Result
Test Name Risk Area Collection Time Collection Time Collection Time Collection Time
06:30 AM 09:30 AM 07:30 AM 07:30 AM 21 Aug 2023
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 14
SIN No:H9436626
Patient Name : Shana Sharma 8757100315 Barcode : H9436626
Age/Gender : 32Y 0M 0D /Female Sample Collected On : 21/Aug/2023 07:35AM
Order Id : 8757100315 Sample Received On : 21/Aug/2023 10:52AM
Referred By : Self Report Generated On : 21/Aug/2023 12:57PM
Customer Since : 21/Aug/2023 Sample Temperature : Maintained
Sample Type : Serum Report Status : Final Report
DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval
Conditions that can result in an elevated blood glucose level include: Acromegaly, Acute stress (response to trauma, heart attack, and stroke for instance), Chronic
kidney disease, Cushing syndrome, Excessive consumption of food, Hyperthyroidism, Pancreatitis
A low level of glucose may indicate hypoglycemia, a condition characterized by a drop in blood glucose to a level where first it causes nervous system symptoms
(sweating, palpitations, hunger, trembling, and anxiety), then begins to affect the brain (causing confusion, hallucinations, blurred vision, and sometimes even coma
and death). A low blood glucose level (hypoglycemia) may be seen with:Adrenal insufficiency, Drinking excessive alcohol, Severe liver disease, Hypopituitarism,
Hypothyroidism, Severe infections, Severe heart failure, Chronic kidney (renal) failure, Insulin overdose, Tumors that produce insulin (insulinomas), Starvation.
Increased levels are consistent with an acute inflammatory process. After onset of an acute phase response, the serum CRP concentration rises rapidly (within 6-
12 hours and peaks at 24-48 hours) and extensively.Concentrations above 100 mg/L are associated with severe stimuli such as major trauma and severe infection
(sepsis).
Page 2 of 14
SIN No:H9436626
Patient Name : Shana Sharma 8757100315 Barcode : H9436626
Age/Gender : 32Y 0M 0D /Female Sample Collected On : 21/Aug/2023 07:35AM
Order Id : 8757100315 Sample Received On : 21/Aug/2023 10:52AM
Referred By : Self Report Generated On : 21/Aug/2023 04:07PM
Customer Since : 21/Aug/2023 Sample Temperature : Maintained
Sample Type : SERUM Report Status : Final Report
DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval
Lipid Profile
Total Cholesterol 224 mg/dl Desirable : <200
Method: Enzymatic Borderline: 200-239
High : >/=240
Serum Triglycerides 246 mg/dl Desirable : <150
Method: Enzymatic Borderline high : 150-199
High : 200-499
Very high : > 500
Serum HDL Cholesterol 48.6 mg/dl 40 - 60
Method: Enzymatic immuno inhibition
Serum LDL Cholesterol 147 mg/dl Optimal : <100
Method: Enzymatic near /above Optimal:100 -
129
Borderline High:130 - 159
High : 160 - 189
Very High :>/=190
Serum VLDL Cholesterol 49.2 mg/dl 06 - 30
Method: Calculated
Total CHOL / HDL Cholesterol Ratio 4.61 Ratio 3.30 - 4.40
Method: Calculated
LDL / HDL Cholesterol Ratio 3.02 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 0.33 Ratio Desirable/Low Risk : 0.5 -
3.0
Border Line/Moderate Risk :
3.0 - 6.0
Elevated/High Risk: > 6.0
Non-HDL Cholesterol 175.4 mg/dl 0.0 - 160.0
Method: Calculated
NOTE:
LIPID PROFILE IS USEFUL IN PREDICTING THE OVERALL RISK OF DEVELOPING ADVERSE
CARDIOVASCULAR EVENT. IN VIEW OF ABNORMAL LIPID PROFILE,
ADVISED:
Page 3 of 14
SIN No:H9436626
Patient Name : Shana Sharma 8757100315 Barcode : H9436626
Age/Gender : 32Y 0M 0D /Female Sample Collected On : 21/Aug/2023 07:35AM
Order Id : 8757100315 Sample Received On : 21/Aug/2023 10:52AM
Referred By : Self Report Generated On : 21/Aug/2023 04:07PM
Customer Since : 21/Aug/2023 Sample Temperature : Maintained
Sample Type : SERUM Report Status : Final Report
DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval
1. CLINICAL CORRELATION AND FOLLOW UP.
2. REPEAT TEST AFTER 10 DAYS OF REGULAR DIET AND EXERCISE AND 12 HOUR FASTING PRIOR TO
SAMPLING.
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
The "bad" cholesterol or 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.
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 to 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.
*NCEP recommends the assessment of 3 different samples drawn at intervals of 1 week for harmonizing biological variables that might be encountered in single
assays. Hence a single result of Lipid Profile may not be adequate for clinical decision making. Healthians' counselling team will reach you shortly to explain
implications of your report. You may reach out to customer support helpline as well.
*NCEP recommends lowering of LDL Cholesterol as the primary therapeutic target with lipid lowering agents, however, if triglycerides remain >200 mg/dL after LDL
goal is reached, set secondary goal for non-HDL cholesterol (total minus HDL) 30 mg/dL higher than LDL goal.
*High Triglyceride and low HDL levels are independent risk factors for Coronary Heart disease and requires further clinical consultation.
*Healthians lab performs direct LDL measurement which is more appropriate and may vary from other lab reports which provide calculated LDL values.
Page 4 of 14
SIN No:H9436626
Patient Name : Shana Sharma 8757100315 Barcode : H9436626
Age/Gender : 32Y 0M 0D /Female Sample Collected On : 21/Aug/2023 07:35AM
Order Id : 8757100315 Sample Received On : 21/Aug/2023 10:52AM
Referred By : Self Report Generated On : 21/Aug/2023 12:57PM
Customer Since : 21/Aug/2023 Sample Temperature : Maintained
Sample Type : Serum Report Status : Final Report
DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval
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 attck or strenuous activity. ALT is 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, Hyperparathyriodism, Leukemia,
Lymphoma, paget`s disease, Rickets, Sarcoidosis etc.
Elevated serum GGT activity can be found in diseases of the liver, Biliary system and pancreas. Conditions that increase serum GGT are obstructive liver disease,
high alcohol consumption and use of enzyme-including drugs etc.
Page 5 of 14
SIN No:H9436626
Patient Name : Shana Sharma 8757100315 Barcode : H9436626
Age/Gender : 32Y 0M 0D /Female Sample Collected On : 21/Aug/2023 07:35AM
Order Id : 8757100315 Sample Received On : 21/Aug/2023 10:52AM
Referred By : Self Report Generated On : 21/Aug/2023 12:57PM
Customer Since : 21/Aug/2023 Sample Temperature : Maintained
Sample Type : Serum Report Status : Final Report
DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval
Serum total protein, also known as total protein, is a biochemical test for measuring the total amount of protein in serum..Protein in the plasma is made up of albumin
and globulin. Higher-than-normal levels may be due to: Chronic inflammation or infection, including HIV and hepatitis B or C, Multiple myeloma,Waldenstrom's disease.
Lower-than-normal levels may be due to: Agammaglobulinemia, Bleeding (hemorrhage), Burns, Glomerulonephritis, Liver disease, Malabsorption, Malnutrition,
Nephrotic - Human serum albumin is the most abundant protein in human blood plasma. It is produced in the liver.Albumin constitutes about half of the blood serum
protein. Low blood albumin levels (hypoalbuminemia) can be caused by: Liver disease like cirrhosis of the liver, nephrotic syndrome, protein-losing enteropathy,
Burns, hemodilution, increased vascular permeability or decreased lymphatic clearance, malnutrition and wasting etc.
Page 6 of 14
SIN No:H9436626
Patient Name : Shana Sharma 8757100315 Barcode : H9436626
Age/Gender : 32Y 0M 0D /Female Sample Collected On : 21/Aug/2023 07:35AM
Order Id : 8757100315 Sample Received On : 21/Aug/2023 10:52AM
Referred By : Self Report Generated On : 21/Aug/2023 04:07PM
Customer Since : 21/Aug/2023 Sample Temperature : Maintained
Sample Type : SERUM Report Status : Final Report
DEPARTMENT OF BIOCHEMISTRY
IRON STUDY
Test Name Value Unit Bio. Ref Interval
Iron study
Serum Iron 61.0 ug/dl 60 - 180
Method: TPTZ
UIBC 373.00 ug/dl 155 - 355
Method: Nitroso-PSAP
Serum Total Iron Binding Capicity (TIBC) 434 µg/dl 250 - 400
Method: FE+UIBC (saturation with iron)
Transferrin Saturation % 14.06 % 15 - 50
Method: Calculated
Iron participates in a variety of vital processes in the body varying from cellular oxidative mechanisms to the transport and delivery of oxygen to body cells. It is a
constituent of the oxygen-carrying chromoproteins, haemoglobin and myoglobin, as well as various enzymes, such as cytochrome oxidase and peroxidases.
Serum iron may be increased in hemolytic, megaloblastic and aplastic anemias, and in hemochromatosis acute leukemia, lead poisoning, pyridoxine
deficiency, thalassemia, excessive iron therapy, and after repeated transfusions. Drugs causing increased serum iron include chloramphenicol, cisplatin,
estrogens (including oral contraceptives), ethanol, iron dextran, and methotrexate. Iron can be decreased in iron-deficiency anemia, acute and chronic infections,
carcinoma, nephrotic syndrome hypothyroidism, in protein- calorie malnutrition and after surgery.Diurnal variation is seen in serum iron levels with normal
values obtained in the midmorning, low values in midafternoon and very low values near midnight.
TIBC measures the blood’s capacity to bind iron with transferrin (TRF). Estrogens and oral contraceptives increase TIBC levels. Asparaginase, chloramphenicol,
corticotropin, cortisone, and testosterone decrease the TIBC levels.
Transferrin is the primary plasma iron transport protein, which binds iron strongly at physiological pH. Transferrin is generally only 25% to 30% saturated with
iron. The additional amount of iron that can be bound is the unsaturated iron-binding capacity (UIBC). Transferrin saturation represents the number of iron-
binding sites that are occupied. It is a better index of iron stores than serum iron alone. Transferrin saturation is decreased in iron deficiency anemia (usually
<10% in established deficiency).
Page 7 of 14
SIN No:H9436626
Patient Name : Shana Sharma 8757100315 Barcode : H9436626
Age/Gender : 32Y 0M 0D /Female Sample Collected On : 21/Aug/2023 07:35AM
Order Id : 8757100315 Sample Received On : 21/Aug/2023 10:52AM
Referred By : Self Report Generated On : 21/Aug/2023 12:57PM
Customer Since : 21/Aug/2023 Sample Temperature : Maintained
Sample Type : SERUM Report Status : Final Report
DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval
Page 8 of 14
SIN No:H9436626
Patient Name : Shana Sharma 8757100315 Barcode : H9436626
Age/Gender : 32Y 0M 0D /Female Sample Collected On : 21/Aug/2023 07:35AM
Order Id : 8757100315 Sample Received On : 21/Aug/2023 11:23AM
Referred By : Self Report Generated On : 21/Aug/2023 04:43PM
Customer Since : 21/Aug/2023 Sample Temperature : Maintained
Sample Type : URINE Report Status : Final Report
Page 9 of 14
SIN No:H9436626
Patient Name : Shana Sharma 8757100315 Barcode : H9436626
Age/Gender : 32Y 0M 0D /Female Sample Collected On : 21/Aug/2023 07:35AM
Order Id : 8757100315 Sample Received On : 21/Aug/2023 11:23AM
Referred By : Self Report Generated On : 21/Aug/2023 04:43PM
Customer Since : 21/Aug/2023 Sample Temperature : Maintained
Sample Type : URINE Report Status : Final Report
Page 10 of 14
SIN No:H9436626
Patient Name : Shana Sharma 8757100315 Barcode : H9436626
Age/Gender : 32Y 0M 0D /Female Sample Collected On : 21/Aug/2023 07:35AM
Order Id : 8757100315 Sample Received On : 21/Aug/2023 10:47AM
Referred By : Self Report Generated On : 21/Aug/2023 03:38PM
Customer Since : 21/Aug/2023 Sample Temperature : Maintained
Sample Type : WHOLE BLOOD EDTA Report Status : Final Report
DEPARTMENT OF HAEMATOLOGY
Test Name Value Unit Bio. Ref Interval
Page 11 of 14
SIN No:H9436626
Patient Name : Shana Sharma 8757100315 Barcode : H9436626
Age/Gender : 32Y 0M 0D /Female Sample Collected On : 21/Aug/2023 07:35AM
Order Id : 8757100315 Sample Received On : 21/Aug/2023 10:47AM
Referred By : Self Report Generated On : 21/Aug/2023 03:38PM
Customer Since : 21/Aug/2023 Sample Temperature : Maintained
Sample Type : WHOLE BLOOD EDTA Report Status : Final Report
DEPARTMENT OF HAEMATOLOGY
Test Name Value Unit Bio. Ref Interval
Method: VCS Technology
Absolute Leucocyte Count
Absolute Neutrophil Count (ANC) 3.39 10^3/uL 2.0-7.0
Method: Calculated
Absolute Lymphocyte Count (ALC) 2.17 10^3/uL 1.0-3.0
Method: Calculated
Absolute Monocyte Count 0.53 10^3/uL 0.2-1.0
Method: Calculated
Absolute Eosinophil Count (AEC) 0.46 10^3/uL 0.02-0.5
Method: Calculated
Absolute Basophil Count 0.05 10^3/uL 0.02 - 0.10
Method: Calculated
Platelet Count(PLT) 201 10^3/µl 150-410
Method: Coulter Principle
PDW 17.3 % 9.6 - 15.2
MPV 9.9 fL 7-9
Method: Derived from PLT Histogram
PCT 0.20 % 0.19 - 0.39
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
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.
Page 12 of 14
SIN No:H9436626
Patient Name : Shana Sharma 8757100315 Barcode : H9436626
Age/Gender : 32Y 0M 0D /Female Sample Collected On : 21/Aug/2023 07:35AM
Order Id : 8757100315 Sample Received On : 21/Aug/2023 10:52AM
Referred By : Self Report Generated On : 21/Aug/2023 04:07PM
Customer Since : 21/Aug/2023 Sample Temperature : Maintained
Sample Type : Serum Report Status : Final Report
DEPARTMENT OF IMMUNOLOGY
Test Name Value Unit Bio. Ref Interval
Vitamin B12
VITAMIN B12 342 pg/ml 211 - 912
Method: CLIA
Vitamin B12 is a coenzyme that is involved in two very important metabolic functions vital to normal cell growth and DNA synthesis: 1) the synthesis of methionine, and
2) the conversion of methylmalonyl CoA to succinyl CoA. Deficiency of this vitamin can lead to megaloblastic anemia and ultimately to severe neurological problems.
Also causes macrocytic anemia, glossitis, peripheral neuropathy, weakness, hyperreflexia, ataxia, loss of proprioception, poor coordination, and affective behavioral
changes. A significant increase in RBC MCV may be an important indicator of vitamin B12 deficiency.
Patients taking vitamin B12 supplementation may have misleading results. A normal serum concentration of B12 does not rule out tissue deficiency of vitamin B12 . The
most sensitive test for B12 deficiency at the cellular level is the assay for MMA. If clinical symptoms suggest deficiency, measurement of MMA and homocysteine should
be considered, even if serum B12 concerations are normal.
Vitamin D, 25-Hydroxy
VITAMIN D (25 - OH VITAMIN D) 21.20 ng/ml 30 - 100
Method: CLIA
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 lipid-soluble steroid hormone that is produced in the skin through the action of sunlight or is obtained from dietary sources The role of vitamin D in
maintaining homeostasis of calcium and phosphorus is well established.
The assay measures both D2 (Ergocalciferol) and D3 (Cholecalciferol) metabolites of vitamin D. Vitamin D status is best determined by measurement of 25 hydroxy
vitamin D, as it is the major circulating form and has longer half life ( 2-3 weeks) than 1,25 Dihydroxy vitamin D ( 5-8 hrs)
The reference ranges discussed in the preceding are related to total 25-OHD; as long as the combined total is 30 ng/mL or more, the patient has sufficient vitamin D.
Levels needed to prevent rickets and osteomalacia (15 ng/mL) are lower than those that dramatically suppress parathyroid hormone levels (20–30 ng/mL). In turn,
those levels are lower than levels needed to optimize intestinal calcium absorption (34 ng/mL). Neuromuscular peak performance is associated with levels
approximately 38 ng/mL.
Page 13 of 14
SIN No:H9436626
Patient Name : Shana Sharma 8757100315 Barcode : H9436626
Age/Gender : 32Y 0M 0D /Female Sample Collected On : 21/Aug/2023 07:35AM
Order Id : 8757100315 Sample Received On : 21/Aug/2023 10:52AM
Referred By : Self Report Generated On : 21/Aug/2023 12:29PM
Customer Since : 21/Aug/2023 Sample Temperature : Maintained
Sample Type : Serum Report Status : Final Report
DEPARTMENT OF IMMUNOLOGY
Test Name Value Unit Bio. Ref Interval
Healthians recommends that the following potential sources of variation should be considered while interpreting thyroid hormone results:
1. Thyroid hormones undergo rhythmic variation within the body this is called circadian variation in TSH secretion: Peak levels are seen between 2-4 am. Minimum
levels seen between 6-10 am. 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. Total T3 and T4 levels are seen to have physiological rise during pregnancy and in patients on steroid treatment.
4. T4 may be normal the presence of hyperthyroidism under the following conditions : T3 thyrotoxicosis, Hypoproteinemia related reduced binding, during intake of
certain drugs (eg Phenytoin, Salicylates etc)
5. Neonates and infants have higher levels of T4 due to increased concentration of TBG
6. TSH levels may be normal in central hypothyroidism, recent rapid correction of hypothyroidism or hyperthyroidism, pregnancy, phenytoin therapy etc.
7. 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.
8. Presence of Autoimmune disorders may lead to spurious results of thyroid hormones
9. Various drugs can lead to interference in test results.
10. Healthians recommends evaluation of unbound fractions, that is free T3 (fT3) and free T4 (fT4) for clinic-pathologic correlation, as these are the metabolically
active forms.
Page 14 of 14
SIN No:H9436626
Smart Report 3.0
NUTRITION Recommendations
Do’s Dont’s
Have a balanced diet that includes whole grains, pulses, dairy, fruits, Limit your intake of processed foods which tend to be high in added sugars,
vegetables, nuts and healthy fats. salt, unhealthy fats while being low on nutrients.
Choose complex carbohydrates like whole grains, legumes, fruits Minimise your intake of foods and beverages that are high in added sugars,
such as sugary drinks, sweets, desserts, and processed snacks.
Consume lean proteins such as poultry, fish, beans, legumes, and dairy
products. Don’t skip meals as skipping meals can cause a drop in the blood sugar levels,
making you grumpy, tired and sleepy. And even lead to overeating later in the
Include calcium rich foods like milk, paneer, cheese, yoghurt, and green leafy
day.
vegetables.
Don’t rely completely on supplements and focus on a well-rounded diet along
Opt for healthy fats found in nuts, seeds, olive oil and fatty fish.
with supplements.
Include ample amount of fibre from whole grains, vegetables, legumes and
Although counting calories helps in ideal weight management, don’t obsess
nuts.
over it. Too much of calorie counting can prevent you from eating balanced
Ensure adequate intake of essential vitamins and minerals through a variety of meals.
fruits and vegetables.
Minimise your intake of food containing high amounts of saturated fat like
Stay adequately hydrated by drinking plenty of water throughout the day cakes, biscuits, processed meat, cheese, butter, ghee, coconut oil, palm oil and
(approx. 2-3 litres). red meat.
Establish a routine of eating regular, balanced meals throughout the day.
Lifestyle Recommendations
Do’s Dont’s
Eat a variety of nutrient-dense foods, including fruits, vegetables, whole grains, Limit consumption of processed foods, sugary snacks, sugary drinks, and
lean proteins, and healthy fats, to provide your body with essential vitamins, foods high in unhealthy fats, sodium, and additives.
minerals, and energy.
Avoid excessive sitting or inactivity. Make sure to incorporate movement and
Drink an adequate amount of water throughout the day to support bodily physical activity into your daily routine.
functions, maintain hydration, and promote overall health.
Avoid neglecting your own needs and well-being. Prioritize self-care activities
Incorporate regular exercise or physical activity into your routine to improve that rejuvenate and nurture your physical, mental, and emotional health.
cardiovascular health, build strength, manage weight, and enhance overall
Avoid smoking, excessive alcohol consumption, and recreational drug use, as
well-being.
they can have detrimental effects on your health and well-being.
Aim for 7-9 hours of quality sleep each night to support optimal physical and
Don’t neglect relaxation and downtime. Give yourself regular breaks and time
mental health.
for relaxation to recharge and reduce the negative effects of stress.
Practice stress management techniques such as meditation, deep breathing
Don’t neglect personal safety. Always ensure wearing seatbelts while driving,
exercises, yoga, or engaging in hobbies to reduce stress levels and promote
and helmets while riding. Follow safety guidelines, and taking necessary
emotional well-being.
precautions to prevent accidents or injuries in anything that you do.
Follow proper hygiene practices, including regular hand washing, proper oral
hygiene, and sanitation measures, to prevent the spread of infections and
maintain overall health.
Aim for being in the sun for a few minutes every day because that triggers
production of Vitamin D in the body helping maintain calcium and preventing
brittle, and weak bones.
Do’s Dont’s
Make self-care a priority by engaging in activities that promote relaxation like Don't neglect your own needs and well-being. Taking care of yourself
exercise, meditation, reading, spending time in nature, pursuing hobbies, or physically, mentally, and emotionally is crucial for managing stress effectively.
practicing mindfulness.
Don't strive for perfection in every aspect of your life. Focus on progress rather
Maintain a healthy work-life balance by setting boundaries, prioritising on me- than perfection. Accept that mistakes and setbacks are a part of life.
time, indulging in activities that bring you joy and fulfillment outside of work.
Don't compare yourself to others as it can lead to unnecessary stress and
Establish healthy boundaries by learning to say no when necessary and set feelings of inadequacy. Remember that everyone's journey is unique, and
healthy boundaries to protect your time, energy, and overall well-being. focus on your own growth and accomplishments.
Develop effective time management skills to prioritise tasks, set realistic goals, Don't neglect relaxation and make sure to allocate time for relaxation and
and avoid unnecessary stress due to procrastination or feeling overwhelmed. activities that bring you joy and help you unwind.
Cultivate meaningful connections with friends, family, and a supportive Avoid turning to unhealthy coping mechanisms, such as excessive alcohol
community. consumption, substance abuse, or unhealthy eating habits, as they can lead to
more stress and negatively impact your well-being.
Engage in regular exercise or physical activity to help release endorphins,
reducing stress, and promoting overall well-being. Don't bottle up your emotions and feelings, instead find healthy outlets for
emotional release, such as talking to a trusted friend, journaling, or seeking
Adopt healthy coping mechanisms to manage stress, such as deep breathing
professional help if needed.
exercises, journaling, practicing gratitude, or engaging in creative outlets.
Do’s
Thyroid Profile-Total (T3, T4 & TSH Ultra-sensitive) - Every 1 Month Abnormal Haemoglobin Studies (Hb Variants), Blood - Every 1 Month
Complete Hemogram - Every 1 Month
Iron Studies With Ferritin - Every 1 Month
Smart Report 3.0
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:
An all-natural supplement that helps in lowering your blood sugar levels, thus preventing the onset of
diabetes and managing it if you are already a diabetic. By reducing blood sugar levels, this naturally-
sourced diabetes supplement enables you to lead a productive life, while managing your diabetes in a
safe and natural way.
• Vision & Hearing Loss | • Nerve Damage | • Heart Attack | • Stroke | • Dementia
Infused with the ages-proven goodness of all-natural ingredients, DIABEAT-EASE is the perfect
supplement to help you control diabetes without having to worry about side-effects. Sourced from
nature’s own pharmacy of herbs, the ingredients in DIABEAT-EASE present the following benefits:
Lower your blood pressure and give your heart a healthy beat with HEART-UP, an all-natural supplement
developed especially to promote good heart health. Harnessing the remedial properties of garlic, peepal,
and cinnamon, this clinically proven natural supplement lowers your blood pressure, thus ensuring a
healthy heart, which in turn means a healthy you.
Infused with the ages-proven goodness of all-natural ingredients, HEART-UP is the perfect supplement to
help you control hypertension or high blood pressure without having to worry about side effects. Sourced
from nature’s own pharmacy of herbs, the ingredients in HEART-UP present the following benefits:
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