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PDF Document
PDF Document
JANAKI THARA
Female, 53 Yrs
2022
A Comprehensive
Health Analysis Report
AI Based Personalized Report for You
INDIA’S FIRST & ONLY CREDIBILITY CHECK FOR YOUR LAB REPORT
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Smart Report 3.0
JANAKI THARA,
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 : 4.07 Test not taken
µIU/ml
Everything looks good
HbA1c Complete
6.3 % Hemogram
Concern Haemoglobin (HB) : 12.3 g/dL
Everything looks good
Smart Report 3.0
After reviewing your recent health test results, it appears that some of your test values are not within the normal range. This may seem concerning, but it's
important to remember that these values can fluctuate for various reasons.
1.
Glycated Hemoglobin (HbA1c):
It's advisable to focus on a balanced diet and regular physical activity to help manage your blood sugar levels.
2.
LDL Cholesterol:
Incorporating heart-healthy foods and maintaining an active lifestyle can support your cholesterol levels.
3.
Complete Blood Count (MCH, MCV, RDW-CV):
Ensuring a nutrient-rich diet and staying hydrated can contribute to improving these blood parameters.
4.
Liver Function Test (SGPT/ALT, Globulin, SGOT/SGPT Ratio):
Limiting alcohol intake and consuming a well-rounded diet can aid in maintaining liver health.
Remember, these suggestions are general guidelines and may vary based on individual health conditions. It's always beneficial to consult with a healthcare
provider for personalized advice.
Warm regards,
Your Virtual Family Physician
Smart Report 3.0
1 Year Ago
Cholesterol-Total, Serum
187.6
0 - 200 -- -
mg/dl
Normal Range
Everything Looks Good
Triglycerides, Serum
121.2
0 - 150 -- -
mg/dl
Normal Range
Everything Looks Good
Proteins, Serum
6.4
6.6 - 8.3 -
g/dL
Normal Range
Low (Concern)
SGOT/AST
19.6
3 - 35 -- -
U/L
Normal Range
Everything Looks Good
SGPT/ALT
41.8
3 - 35 -
U/L
Normal Range
High (Concern)
Hemoglobin Hb
12.3
12.0 - 15.0 -- -
g/dL
Normal Range
Everything Looks Good
1 Year Ago
Chlorides, Serum
107
101 - 109 -- -
mmol/L
Normal Range
Everything Looks Good
Creatinine, Serum
0.5
0.6 - 1.3 -
mg/dl
Normal Range
Low (Concern)
Phosphorus-Inorganic, Serum
4.5
2.5 - 4.5 -- -
mg/dl
Normal Range
Borderline
Sodium, Serum
141
136 - 146 -- -
mmol/L
Normal Range
Everything Looks Good
Urea, Serum
26
17 - 43 -- -
mg/dl
Normal Range
Everything Looks Good
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
10.
Page 1 of 13
SIN No:E0396568
Patient Name : JANAKI THARA Barcode : E0396568
Age/Gender : 53Y 0M 0D /Female Sample Collected On : 29/Mar/2024 09:15AM
Order Id : 10423943404 Sample Received On : 29/Mar/2024 11:50AM
Referred By : Self Report Generated On : 29/Mar/2024 02:35PM
Customer Since : 29/Mar/2024 Sample Temperature : Maintained
Sample Type : Flouride Plasma Report Status : Final Report
DEPARTMENT OF BIOCHEMISTRY
Basic Arthritis Care
Test Name Value Unit Bio. Ref Interval
Fasting Blood Sugar
Glucose, Fasting 90.62 mg/dl 70 - 100
Method: Hexokinase
American Diabetes Association Reference Range :
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.
Page 2 of 13
SIN No:E0396568
Patient Name : JANAKI THARA Barcode : E0396568
Age/Gender : 53Y 0M 0D /Female Sample Collected On : 29/Mar/2024 09:15AM
Order Id : 10423943404 Sample Received On : 29/Mar/2024 11:54AM
Referred By : Self Report Generated On : 29/Mar/2024 02:38PM
Customer Since : 29/Mar/2024 Sample Temperature : Maintained
Sample Type : Serum Report Status : Final Report
DEPARTMENT OF BIOCHEMISTRY
Basic Arthritis Care
Test Name Value Unit Bio. Ref Interval
Rheumatoid Factor (RA) - Quantitative - Serum
RHEUMATOID FACTOR <10 IU/mL <14
Method: Immunoturbidimetry
The rheumatoid factor (RF) test is primarily used to help diagnose rheumatoid arthritis (RA) and to help distinguish RA from other forms of arthritis or other conditions
that cause similar symptoms. A cyclic citrullinated peptide (CCP) antibody test can help diagnose RA in someone who has joint inflammation with symptoms that
suggest but do not yet meet the criteria of RA and may be ordered along with RF or if the RF result is negative. The RF test must be interpreted in conjunction with a
person's symptoms and clinical history. A negative RF test does not rule out RA.
About 20% of people with RA will have very low levels of or no detectable RF. In these cases, a CCP antibody test may be positive and used to confirm RA. Positive
RF test results may also be seen in 1-5% of healthy people and in some people with conditions such as: Sjogren syndrome, sclerderma, systemic lupus
erythematosus (lupus), sarcoidosis, endocarditis, tuberculosis, syphilis, HIV/AIDS, hepatitis, infectious mononucleosis, cancers such as leukemia and multiple
myeloma, parasitic infection, or disease of the liver, lung or kidney.
Page 3 of 13
SIN No:E0396568
Patient Name : JANAKI THARA Barcode : E0396568
Age/Gender : 53Y 0M 0D /Female Sample Collected On : 29/Mar/2024 09:15AM
Order Id : 10423943404 Sample Received On : 29/Mar/2024 11:54AM
Referred By : Self Report Generated On : 29/Mar/2024 02:28PM
Customer Since : 29/Mar/2024 Sample Temperature : Maintained
Sample Type : Serum Report Status : Final Report
DEPARTMENT OF BIOCHEMISTRY
Basic Arthritis Care
Test Name Value Unit Bio. Ref Interval
Liver Function Test (LFT)
Serum Bilirubin, (Total) 0.30 mg/dl 0.3 - 1.2
Method: Diazo
Serum Bilirubin, (Direct) 0.06 mg/dl 0 - 0.2
Method: Diazo
Serum Bilirubin, (Indirect) 0.24 mg/dl 0.0 - 0.8
Method: Calculated
Aspartate Aminotransferase (AST/SGOT) 19.60 U/L 3 - 35
Method: IFCC
Alanine Aminotransferase (ALT/SGPT) 41.8 U/L 3 - 35
Method: IFCC
Alkaline Phosphatase (ALP) 90.60 U/L 33-98
Method: IFCC AMP Buffer
Gamma Glutamyl Transferase (GGT) 24.1 U/L 5- 38
Method: IFCC
Serum Total Protein 6.40 g/dL 6.6 - 8.3
Method: Biuret
Serum Albumin 3.80 g/dl 3.5 - 5.2
Method: Bromo Cresol Green(BCG)
Serum Globulin 2.60 gm/dl 3.0 - 4.2
Method: Calculated
Albumin/Globulin Ratio 1.46 Ratio 1.2 - 2.5
Method: Calculated
SGOT/SGPT Ratio 0.47 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 results from increased bilirubin production (eg
hemolysis and ineffective erythropoiesis); decreased bilirubin excretion (eg; obstruction and hepatitis); and abnormal bilirubin metabolism (eg; hereditary and neonatal
jaundice). Conjugated (direct) bilirubin is elevated more than unconjugated (indirect) bilirubin in viral hepatitis; drug reactions, alcoholic liver disease conjugated (direct)
bilirubin is also elevated more than unconjugated (indirect) bilirubin when there is some kind of blockage of the bile ducts like in Gallstones getting into the bile ducts tumors
& Scarring of the bile ducts. 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 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
Page 4 of 13
SIN No:E0396568
Patient Name : JANAKI THARA Barcode : E0396568
Age/Gender : 53Y 0M 0D /Female Sample Collected On : 29/Mar/2024 09:15AM
Order Id : 10423943404 Sample Received On : 29/Mar/2024 11:54AM
Referred By : Self Report Generated On : 29/Mar/2024 02:28PM
Customer Since : 29/Mar/2024 Sample Temperature : Maintained
Sample Type : Serum Report Status : Final Report
DEPARTMENT OF BIOCHEMISTRY
Basic Arthritis Care
Test Name Value Unit Bio. Ref Interval
alcohol consumption and use of enzyme-including drugs etc.
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 5 of 13
SIN No:E0396568
Patient Name : JANAKI THARA Barcode : E0396568
Age/Gender : 53Y 0M 0D /Female Sample Collected On : 29/Mar/2024 09:15AM
Order Id : 10423943404 Sample Received On : 29/Mar/2024 11:54AM
Referred By : Self Report Generated On : 29/Mar/2024 02:33PM
Customer Since : 29/Mar/2024 Sample Temperature : Maintained
Sample Type : SERUM Report Status : Final Report
DEPARTMENT OF BIOCHEMISTRY
Basic Arthritis Care
Test Name Value Unit Bio. Ref Interval
Page 6 of 13
SIN No:E0396568
Patient Name : JANAKI THARA Barcode : E0396568
Age/Gender : 53Y 0M 0D /Female Sample Collected On : 29/Mar/2024 09:15AM
Order Id : 10423943404 Sample Received On : 29/Mar/2024 11:54AM
Referred By : Self Report Generated On : 29/Mar/2024 02:33PM
Customer Since : 29/Mar/2024 Sample Temperature : Maintained
Sample Type : SERUM Report Status : Final Report
DEPARTMENT OF BIOCHEMISTRY
Basic Arthritis Care
Test Name Value Unit Bio. Ref Interval
Kidney Function Test1 (KFT1)
Serum Creatinine 0.50 mg/dl 0.6 - 1.3
Method: Jaffes Kinetic
GFR, ESTIMATED 112.08 mL/min/1.73m2
Method: Calculated
Serum Uric Acid 3.2 mg/dl 2.6-6.0
Method: Uricase
Serum Calcium 9.5 mg/dl 8.8 - 10.6
Method: Arsenazo
Serum Phosphorus 4.5 mg/dl 2.5 - 4.5
Method: Phosphomolybdate complex
Serum Sodium 141 mmol/L 136 - 146
Method: ISE (Indirect)
Serum Chloride 107 mmol/L 101 - 109
Method: ISE (Indirect)
Blood Urea 26 mg/dl 17 - 43
Method: Urease
Blood Urea Nitrogen (BUN) 12.2 mg/dl 8-20
Method: Calculated
Bun/Creatinine Ratio 24.48 Ratio
Method: Calculated
Urea/Creatinine Ratio 52.40
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.
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.
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.
Note: Kindly note change in reference range with effect from 17/08/2023.
Page 7 of 13
SIN No:E0396568
Patient Name : JANAKI THARA Barcode : E0396568
Age/Gender : 53Y 0M 0D /Female Sample Collected On : 29/Mar/2024 09:15AM
Order Id : 10423943404 Sample Received On : 29/Mar/2024 11:54AM
Referred By : Self Report Generated On : 29/Mar/2024 02:33PM
Customer Since : 29/Mar/2024 Sample Temperature : Maintained
Sample Type : SERUM Report Status : Final Report
DEPARTMENT OF BIOCHEMISTRY
Basic Arthritis Care
Test Name Value Unit Bio. Ref Interval
Page 8 of 13
SIN No:E0396568
Patient Name : JANAKI THARA Barcode : E0396568
Age/Gender : 53Y 0M 0D /Female Sample Collected On : 29/Mar/2024 09:15AM
Order Id : 10423943404 Sample Received On : 29/Mar/2024 11:54AM
Referred By : Self Report Generated On : 29/Mar/2024 02:25PM
Customer Since : 29/Mar/2024 Sample Temperature : Maintained
Sample Type : SERUM Report Status : Final Report
DEPARTMENT OF BIOCHEMISTRY
Basic Arthritis Care
Test Name Value Unit Bio. Ref Interval
Lipid Profile Basic
Total Cholesterol 187.6 mg/dl Desirable : <200
Method: Enzymatic Borderline: 200-239
High : >/=240
Serum Triglycerides 121.2 mg/dl Desirable : <150
Method: Enzymatic Borderline high : 150-199
High : 200-499
Very high : >= 500
Serum HDL Cholesterol 43.9 mg/dl 40 - 60
Method: Enzymatic immuno inhibition
LDL Cholesterol Calculated 119.46 mg/dl Optimal : <100
Method: Calculated near /above Optimal:100 -
129
Borderline High: 130- 159
High : 160 - 189
Very High :>/=190
VLDL Cholesterol Calculated 24.24 mg/dl <30
Method: Calculated
Total CHOL / HDL Cholesterol Ratio 4.27 Ratio 3.30 - 4.40
Method: Calculated
LDL / HDL Cholesterol Ratio 2.72 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 0.37 Ratio Optimal->0.4
Method: Calculated Moderate-0.4 to 0.3
High-<0.3
Non-HDL Cholesterol 143.7 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.
LDL cholesterol is termed the “bad cholesterol” and their increased levels are associated with increased risk of atherosclerosis and coronary
Page 9 of 13
SIN No:E0396568
Patient Name : JANAKI THARA Barcode : E0396568
Age/Gender : 53Y 0M 0D /Female Sample Collected On : 29/Mar/2024 09:15AM
Order Id : 10423943404 Sample Received On : 29/Mar/2024 11:54AM
Referred By : Self Report Generated On : 29/Mar/2024 02:25PM
Customer Since : 29/Mar/2024 Sample Temperature : Maintained
Sample Type : SERUM Report Status : Final Report
DEPARTMENT OF BIOCHEMISTRY
Basic Arthritis Care
Test Name Value Unit Bio. Ref Interval
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 10 of 13
SIN No:E0396568
Patient Name : JANAKI THARA Barcode : E0396568
Age/Gender : 53Y 0M 0D /Female Sample Collected On : 29/Mar/2024 09:15AM
Order Id : 10423943404 Sample Received On : 29/Mar/2024 11:38AM
Referred By : Self Report Generated On : 29/Mar/2024 03:09PM
Customer Since : 29/Mar/2024 Sample Temperature : Maintained
Sample Type : WHOLE BLOOD EDTA Report Status : Final Report
DEPARTMENT OF HAEMATOLOGY
Basic Arthritis Care
Test Name Value Unit Bio. Ref Interval
Complete Blood Count
Haemoglobin (HB) 12.3 g/dL 12.0-15.0
Method: Photometric Measurement
Total Leucocyte Count (TLC) 8.2 10^3/uL 4.0-10.0
Method: Coulter Principle
Hematocrit (PCV) 38.2 % 36.0-46.0
Method: Calculated
Red Blood Cell Count (RBC) 4.80 10^6/µl 3.80-4.80
Method: Coulter Principle
Mean Corp Volume (MCV) 78.8 fL 83.0-101.0
Method: Derived from RBC Histogram
Mean Corp Hb (MCH) 25.4 pg 27.0-32.0
Method: Calculated
Mean Corp Hb Conc (MCHC) 32.2 g/dL 31.5-34.5
Method: Calculated
RDW - CV 15.0 % 11.6-14.0
Method: Derived from RBC Histogram
RDW - SD 42.00 fL 39.0-46.0
Method: Derived from RBC Histogram
Mentzer Index 16.42 Ratio
Method: Calculated
RDWI 246.25 Ratio
Method: Calculated
Green and king index 76 Ratio
Method: Calculated
Differential Leucocyte Count
Neutrophils 63.4 % 40 - 80
Method: VCSn Technology
Lymphocytes 26.3 % 20-40
Method: VCS Technology
Monocytes 7.5 % 02 - 10
Method: VCS Technology
Eosinophils 2.5 % 01 - 06
Method: VCS Technology
Page 11 of 13
SIN No:E0396568
Patient Name : JANAKI THARA Barcode : E0396568
Age/Gender : 53Y 0M 0D /Female Sample Collected On : 29/Mar/2024 09:15AM
Order Id : 10423943404 Sample Received On : 29/Mar/2024 11:38AM
Referred By : Self Report Generated On : 29/Mar/2024 03:09PM
Customer Since : 29/Mar/2024 Sample Temperature : Maintained
Sample Type : WHOLE BLOOD EDTA Report Status : Final Report
DEPARTMENT OF HAEMATOLOGY
Basic Arthritis Care
Test Name Value Unit Bio. Ref Interval
Basophils 0.3 % 00 - 02
Method: VCS Technology
Absolute Leucocyte Count
Absolute Neutrophil Count (ANC) 5.20 10^3/uL 2.0-7.0
Method: Calculated
Absolute Lymphocyte Count (ALC) 2.16 10^3/uL 1.0-3.0
Method: Calculated
Absolute Monocyte Count 0.61 10^3/uL 0.2-1.0
Method: Calculated
Absolute Eosinophil Count (AEC) 0.21 10^3/uL 0.02-0.5
Method: Calculated
Absolute Basophil Count 0.02 10^3/uL 0.02 - 0.10
Method: Calculated
Platelet Count(PLT) 348 10^3/µl 150-410
Method: Coulter Principle
MPV 8.3 fL 7-9
Method: Derived from PLT Histogram
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 13
SIN No:E0396568
Patient Name : JANAKI THARA Barcode : E0396568
Age/Gender : 53Y 0M 0D /Female Sample Collected On : 29/Mar/2024 09:15AM
Order Id : 10423943404 Sample Received On : 29/Mar/2024 11:54AM
Referred By : Self Report Generated On : 29/Mar/2024 12:33PM
Customer Since : 29/Mar/2024 Sample Temperature : Maintained
Sample Type : Serum Report Status : Final Report
DEPARTMENT OF IMMUNOLOGY
Basic Arthritis Care
Test Name Value Unit Bio. Ref Interval
Thyroid Profile (Total T3,T4, TSH)
Tri-Iodothyronine (T3, Total) 1.54 ng/ml 0.60-1.81
Method: CLIA
Thyroxine (T4, Total) 9.70 ug/dl 3.2-12.6
Method: CLIA
Thyroid Stimulating Hormone (TSH)-Ultrasensitive 4.0710 µIU/ml 0.55-4.78
Method: CLIA
Test Interpretation:-
The reference ranges for TSH are different during pregnancy and are as follows.
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
Serum TSH is evaluated in Neonates to diagnose Congenital Hypothyroidism. Within hours of birth, plasma TSH, T4, and T3 concentrations rise rapidly. By 2 to 3
days, TSH conc. fall, while T4 falls to adult conc. by 1 to 2 months of age.
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 13 of 13
SIN No:E0396568
Smart Report 3.0
No Data
5' 4"(ft/in)
Weight
Sugar levels
·
Medication Alcohol Family History
No Data
No Data Found
No Data No Data No Data
SUGGESTED NUTRITION
Do's Dont's
Include seeds like flaxseeds, chia seeds, sunflower Limit sugar intake
seeds Limit tea and coffee
SUGGESTED Include fruits like apples, berries and melons in your Decrease intake of colas and sugary drinks
NUTRITION
diet
Avoid flavoured and seasoned foods
Choose low carb veggies like onions, tomatoes, beans,
sprouts and green leafy vegetables Avoid saturated fats, transfats, oily and greasy foods
like cakes, creamy or fried foods
Have a balanced diet that includes whole grains,
pulses, dairy, fruits, vegetables, nuts and healthy fats
SUGGESTED LIFESTYLE
Do's Dont's
Lose weight gradually and stay active Avoid late night heavy meals
Avoid overworking or being stressed for long time
SUGGESTED Avoid smoking and alcohol
TESTS
Smart Report 3.0
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:
SGPT/ALT LIV-UP
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:
LIV-UP is a scientifically formulated and clinically proven all-natural supplement that takes care of your
liver and its functions. This ayurvedic supplement keeps your liver cool, and optimally functioning, thus
promoting healthy digestion. Take the all-natural road to robust liver health with LIV-UP.
Untreated or unmanaged liver issues can cause grave and even lethal complications, which include:
• Liver Infections | • Liver Cancer | • Liver Failure | • Elevated Blood Toxin Levels | •
Liver Cirrhosis
Infused with the ages-proven goodness of all-natural ingredients, LIV-UP is the perfect supplement to
promote and maintain good liver health, without having to worry about side effects. Sourced from nature’s
own pharmacy of herbs, the ingredients in LIV-UP present the following benefits: