Name
MR.ARYAMAN GARG
Accession No
KOL215740
Basic Info
M | 15
Date of Test
May 07, 2023, 10:43 AM
Your Health Summary
Blood Counts
+ 2 tests Please Watchout
Test Name
MCHC
34.6
RDW-CV
14.9
Lymphocytes
Thyroid Profile
Result
All parameters within normal limit
46
Lipid Profile
Please Watchout
Test Name
Diabetes Monitoring
Result
Cholesterol - Total
193
Cholesterol - LDL
132
All parameters within normal limit
Kidney Profile
Liver Profile
All parameters within normal limit
All parameters within normal limit
Electrolyte Profile
Iron Studies
All parameters within normal limit
All parameters within normal limit
Vitamin Profile
All parameters within normal limit
Profile Summary
NORMAL
Diabetes Monitoring, Inflammation, Electrolyte
Profile, Cardiac Profile, Iron Studies, Liver
Profile, Kidney Profile, Allergy Panel, Fertility
Profile, Thyroid Profile, Vitamin Profile,
Urinalysis
BORDERLINE
Blood Counts, Lipid Profile
ABNORMAL
Good job, no critical profile detected
Page 1 of 13
Name
Accession No
Basic Info
Date of Test
KOL215740
M | 15
May 07, 2023, 10:43 AM
MR.ARYAMAN GARG
FITNESS ADVANCED PACKAGE FOR MEN WITH SMART REPORT
Inflammation
Inflammation is the body’s immune system's response to an injury, surgery, or irritation. This natural defense process acts by removing
injurious stimuli and initiating the healing process.Inflammation can be chronic (such as arthritis) or acute (like in case of trauma).
Normal (N)
Test Name
Result
Erythrocyte Sedimentation Rate
Modified westergren
2
mm/hr
Low (L)
Borderline (BL)
High (H)
Range
10
NORMAL
HIGH
You
Fertility Profile
In general, fertility is the ability to produce children. However, the hormones involved in fertility are responsible for various other
functions of the body as well. It is important to have healthy levels for overall wellbeing.
Normal (N)
Test Name
Result
Testosterone, total
CLIA
528.59
Low (L)
Borderline (BL)
High (H)
Range
LOW
23.28
ng/dl
NORMAL
948.56
HIGH
You
Factors Affecting Fertility
Physical activity has a great effect on fertility and plays an
important role in it
Risk factors like tobacco, alcohol, and high BMI have their
influence in causing infertility.
Allergy Panel
Allergy is an exaggerated response of the body's immune system to natural substances (Dust, Food, Pet dander, Mold) in the
environment that does not bother most other people.That can result in a lot of symptoms such as sneezing, runny nose, itching,
asthma, rashes, or swelling.
Normal (N)
Test Name
Immunoglobulin E (IgE) Total
CLIA
Result
23.6
IU/mL
Low (L)
Borderline (BL)
High (H)
Range
LOW
1.9
NORMAL
170
HIGH
You
Page 2 of 13
Iron Studies
Anemia is the condition where your body has less Red Blood Cells (RBCs) or RBCs do not have enough hemoglobin. Hemoglobin is
an oxygen binding protein inside RBC. RBCs carry oxygen to different parts of your body. Anemia, if left untreated for a prolonged
period of time, can lead to cardiovascular diseases and multiorgan failure.
Normal (N)
Test Name
Result
Iron Serum
107
Ferrozine
µg/dL
Ferritin
31.8
Borderline (BL)
High (H)
Range
LOW
31
NORMAL
168
HIGH
322
HIGH
You
LOW
ng/mL
CLIA
Low (L)
22
NORMAL
You
Tips
Eating plenty of iron rich food like green-leafy vegetables,
lentils and beans prevents anemia
Avoid drinking tea or coffee with your meals, as they can
affect iron absorption
Vitamin Profile
Vitamins perform many essential roles in your body and maintain your overall
health.
Normal (N)
Test Name
Vitamin D (25-OH)
Result
76.76
CLIA
ng/ml
Vitamin B12
433
CLIA
pg/ml
Low (L)
Borderline (BL)
High (H)
Range
VERY LOW
20 BORDERLINE 30 NORMAL 100
HIGH
You
LOW
211
NORMAL
911
HIGH
You
Tips
A balanced diet can take care of all the vitamins needed by
your body
Consult your doctor before taking any vitamin supplements
Page 3 of 13
Diabetes Monitoring
Diabetes is a condition where your blood glucose or sugar is too high. Untreated diabetes (high blood sugar) can silently (without any
observable symptoms) damage your blood vessels, heart, kidney, eyes etc. These tests help diagnose diabetes and give some
estimation of your future risk of developing diabetes.
Normal (N)
Test Name
Result
Glycosylated Hemoglobin (HbA1c)
5.6
HPLC
%
Glucose - Fasting
76
Hexokinase
Estimated average glucose (eAG)
Calculated
Low (L)
Borderline (BL)
High (H)
Range
LOW
4
5.6
NORMAL
HIGH
You
LOW
70
mg/dL
99
NORMAL
HIGH
You
114.02
mg/dL
Diabetes Facts
Carbohydrates affect blood glucose level, eat healthier
carbs like whole grains and fruits
Staying active with walking, jogging or yoga, helps keep
diabetes under control
Thyroid Profile
Thyroid profile consist of thyroid hormone & TSH. Thyroid is released from thyroid gland and TSH is released from hypothalamus.
Thyroid gland regulates your body's temperature, muscle weight, body weight, energy levels and even your mood. Abnormal thyroid
function may even affect your cardiac health and sleep cycle.
Normal (N)
Test Name
Result
Thyroid Stimulating Hormone - Ultra
Sensitive
3.521
Free T4
1.33
Low (L)
Borderline (BL)
Range
LOW
0.48
NORMAL
uIU/ml
ng/dL
Free T3
3.25
CLIA
pg/mL
4.17
HIGH
You
CLIA
CLIA
High (H)
LOW
0.83
NORMAL
1.43
HIGH
You
LOW
3
NORMAL
4.7
HIGH
You
Risk Factors
If your family has thyroid disease, you are also at risk
Women are more prone to thyroid diseases as compared to
men
Page 4 of 13
Electrolyte Profile
Electrolytes are electrically charged minerals in your blood, body fluids and urine. Electrolytes are important because they help:
1. Regulate the amount of water in your body.
2. Regulate the pH of your blood.
3. Move nutrients into your cells.
4. Move wastes out of your cells.
5. Make sure that your nerves, muscles, the heart, and the brain work the way they should.
Your body needs a balanced level of these electrolytes. Both too high and too low levels of these electrolytes may indicate a medical
problem.
Normal (N)
Test Name
Calcium
Result
9.8
Arsenazo III
mg/dL
Sodium
139.4
Indirect ISE
mEq/L
Potassium
4.6
Indirect ISE
mEq/L
Chloride
103
Indirect ISE
mEq/L
Low (L)
Borderline (BL)
High (H)
Range
LOW
9.2
NORMAL
10.4
HIGH
146
HIGH
5.5
HIGH
109
HIGH
You
LOW
132
NORMAL
You
LOW
3.5
NORMAL
You
LOW
99
NORMAL
You
Tips
Electrolyte imbalance can cause nausea, dizziness and
fatigue
Sea salt and coconut water are good natural electrolyte
boosters
Page 5 of 13
Kidney Profile
This panel checks the health status of your kidneys. Kidneys filter waste from your blood and produce urine. Healthy kidneys also
maintain proper dilution of your blood and maintain electrolyte balance of your body.
Normal (N)
Test Name
Result
BUN/Creatinine Ratio
24.68
Calculated
Blood Urea Nitrogen
Borderline (BL)
High (H)
Range
Ratio
19
Urease with GLDH
mg/dL
Urea
40.66
Calculated
mg/dL
Creatinine
0.77
Alkaline picrate-kinetic
mg/dL
Uric Acid
7.4
Uricase/Peroxidase
Low (L)
mg/dL
LOW
8
NORMAL
20
HIGH
You
LOW
17.12
NORMAL
42.8
HIGH
You
LOW
0.65
NORMAL
1.04
HIGH
9.2
HIGH
You
LOW
3.7
NORMAL
You
Tips
High BP can cause kidney damage. Keep active and fit to
prevent most diseases
Drinking 1.5-2 liters a day helps clear sodium and toxins
from the kidneys
Page 6 of 13
Cardiac Profile
Most people believe they are safe from heart diseases, but in reality, heart diseases are the leading cause of death in the world. There
are many different forms of heart disease. Narrowing or blockage of the coronary arteries is the most common cause of heart disease,
which are the vessels that supply blood to the heart. This is called coronary artery disease and it occurs slowly over time. It is the
main cause of heart attacks.
Normal (N)
Test Name
High sensitivity CRP
Result
0.6
Latex enhanced immunoturbidimetric
mg/L
Lipoprotein(a)
10.45
Latex microparticle-enhanced immunoturbidimetry
mg/dL
Apolipoprotein - A1
108
PEG immunturbidimetric
mg/dL
Apolipoprotein - B
89
PEG immunturbidimetric
mg/dL
Apolipoprotein B/A1 Ratio
0.82
Low (L)
Borderline (BL)
High (H)
Range
NORMAL
3
HIGH
29
HIGH
You
NORMAL
You
LOW
100
NORMAL
180
HIGH
NORMAL
174
HIGH
0.98
HIGH
You
LOW
46
You
LOW
Calculated
0.35
NORMAL
You
Diet and Lifestyle Tips
Be physically active daily, as
research proves that at least 150
mins of moderate activity every
week can help lower BP &
cholesterol, and keep you at a
healthy weight
Choose nutrient-rich foods — which
have vitamins, minerals, fiber and
other nutrients but are lower in
calories — over nutrient-poor foods.
Choose a diet that emphasizes intake
of vegetables, fruits, and whole
grains
Avoid food high in saturated fat,
trans fat and cholesterol -- red meat,
butter and full fat dairy products
Page 7 of 13
Lipid Profile
This profile helps detect imbalance of lipids such as cholesterol, Triglycerides etc. If left untreated, it increases the risk of cardiovascular
diseases.
Normal (N)
Test Name
Cholesterol - Total
Result
193
Enzymatic
mg/dL
Triglycerides
55
GPO, Trinder without serum blank
mg/dL
Cholesterol - HDL
50
Elimination/catalase
mg/dL
Cholesterol - LDL
132
Elimination/catalase/Calculated
mg/dL
Cholesterol- VLDL
11
Calculated
3.86
Calculated
Ratio
LDL : HDL Cholesterol
2.64
Calculated
Ratio
Non HDL Cholesterol
143
Calculated
Borderline (BL)
High (H)
Range
169
NORMAL
HIGH
You
LOW
35
NORMAL
150
HIGH
NORMAL
79.5
HIGH
110
HIGH
You
LOW
40
You
LOW
60
NORMAL
You
LOW
mg/dL
Cholesterol : HDL Cholesterol
Low (L)
10
NORMAL
30
HIGH
You
mg/dl
Risk Factors
The elderly are susceptible to heart
disease
Heart disease can be genetic
High BP over time leads to heart
disease
Page 8 of 13
Urinalysis
The urinalysis, as it's sometimes called, is a set of tests conducted on your urine - these tests measure specific properties of urine and
also find out if there are any unwanted chemicals in your urine. If your results in these tests are abnormal, your doctor can correlate
them clinically. Sometimes, abnormal urine results are because of kidney disease, liver disease or diabetes.
Normal (N)
Test Name
Result
Colour
PALE YELLOW
Appearance
CLEAR
Specific gravity
1.010
Low (L)
Borderline (BL)
High (H)
Range
Manual
Manual
LOW
1.005
pKa change
pH
NORMAL
1.03
HIGH
NORMAL
8.5
HIGH
You
6.0
Double Indicator
LOW
5
You
Glucose
NEGATIVE
Protein
NEGATIVE
Ketones
NEGATIVE
Blood
NEGATIVE
Bilirubin
NEGATIVE
GOD-POD
Protein Error Principle
Nitroprusside
Peroxidase
Diazonium
Urobilinogen
NORMAL
Ehrlich
Leucocyte Esterase
NEGATIVE
Nitrite
NEGATIVE
Pus cells
2-3
Microscopy
/hpf
Red Blood Cells
NIL
Microscopy
/hpf
Epithelial cells
1-2
Pyrrole
Sulbhanilamide Diazo
Microscopy
/hpf
Page 9 of 13
Casts
NIL
Crystals
NIL
Yeast
NIL
Bacteria
NIL
Microscopy
Microscopy
Microscopy
Microscopy
Tips
Drinking water removes waste products from your system
and keeps your urinary pattern stable
Waiting too long to use the restroom pressurizes your
urinary bladder and can lead to infection
Page 10 of 13
Liver Profile
Liver performs a variety of functions including detoxification of various metabolites and production of digestive enzymes.
Common liver enzymes are Alkaline phosphatase (ALP), Alanine transaminase (ALT), Aspartate transaminase (AST), Gamma-glutamyl
transferase (GGT). Liver disease, medical condition,medication & infection can cause elevated liver enzymes which could be temporary
or because of liver disease.
Normal (N)
Test Name
Protein, Total
Result
7.6
Biuret
g/dL
Albumin
4.66
BCG Dye Binding
g/dL
Globulin
2.94
Calculated
g/dl
Aspartate Transaminase (SGOT)
25
Modified IFCC
U/L
Alanine Transaminase (SGPT)
19
Modified IFCC
U/L
A/G Ratio
1.59
Calculated
Ratio
Bilirubin-Indirect
0.5
Calculated
mg/dL
Bilirubin-Direct
0.2
Vanadate oxidation
mg/dL
Bilirubin-Total
0.7
Vanadate oxidation
mg/dL
Gamma Glutamyltransferase (GGT)
16
Modified IFCC
U/L
Alkaline Phosphatase
210
IFCC Standardization
SGOT/SGPT
Calculated
Low (L)
Borderline (BL)
High (H)
Range
LOW
6.8
NORMAL
8.2
HIGH
5.1
HIGH
3.6
HIGH
35
HIGH
You
LOW
4.1
NORMAL
You
LOW
1.8
NORMAL
You
LOW
14
NORMAL
You
22
NORMAL
HIGH
You
LOW
0.8
NORMAL
2.1
HIGH
0.8
HIGH
0.42
HIGH
1.2
HIGH
33
HIGH
438
HIGH
You
LOW
0.2
NORMAL
You
LOW
0.11
NORMAL
You
LOW
0.3
NORMAL
You
LOW
10
NORMAL
You
LOW
U/L
113
NORMAL
You
1.32
Ratio
Tips
A healthy weight is the key to liver
health
Excess alcohol damages and scars
liver tissue
Active lifestyle and balanced diet
prevenets diseases
Page 11 of 13
Blood Counts
Blood is the body fluid that delivers sugars, oxygen, hormones etc. throughout your body and also carries away carbon dioxide and
other waste products from your body cells. Blood count checks the number and types of cells in your blood. This helps doctors
check your overall health and helps diagnose conditions such as anemia, infections, clotting problems, blood cancers, and immune
system disorders.
WBCs: White Blood Cells
RBCs: Red Blood Cells
Normal (N)
Test Name
RBC
Result
5.05
Impedance variation Measure
10^6/cu.mm
HCT
45
Derived from - Impedance
%
MCV
89.2
Derived from - Impedance
fl
MCH
30.8
Derived from - Impedance
pg
MCHC
34.6
Derived from - Impedance
g/dL
RDW-CV
14.9
Derived from - Impedance
%
Total Leucocyte Count
5.4
Impedance and Absorbency/Microscopy
10^3/µL
Neutrophils
42
Impedance and Absorbency/Microscopy
%
Lymphocytes
46
Impedance and Absorbency/Microscopy
%
Monocytes
05
Impedance and Absorbency/Microscopy
%
Eosinophils
07
Impedance and Absorbency/Microscopy
%
Basophils
00
Impedance and Absorbency/Microscopy
%
Absolute Neutrophil Count
2.27
Impedance and Absorbency/Calculated
10^3/µL
Low (L)
Borderline (BL)
High (H)
Range
LOW
4.5
NORMAL
5.5
HIGH
50
HIGH
101
HIGH
32
HIGH
34.5
HIGH
You
LOW
40
NORMAL
You
LOW
83
NORMAL
You
LOW
27
NORMAL
You
LOW
31.5
NORMAL
You
LOW
11.6
NORMAL
14
HIGH
You
LOW
4
10
HIGH
NORMAL
80
HIGH
NORMAL
40
HIGH
NORMAL
You
LOW
40
You
LOW
20
You
LOW
2
NORMAL
10
HIGH
6
HIGH
You
LOW
1
NORMAL
You
2
NORMAL
HIGH
You
LOW
2
NORMAL
7
HIGH
You
Page 12 of 13
Absolute Lymphocyte Count
2.48
Impedance and Absorbency/Calculated
10^3/µL
Absolute Monocyte Count
0.27
Impedance and Absorbency/Calculated
10^3/µL
Absolute Eosinophil Count
0.38
Impedance and Absorbency/Calculated
10^3/µL
Absolute Basophil Count
0.01
Impedance/Calculated
10^3/µL
Platelet Count
372
Impedance/Microscopy
10^3/µL
MPV
7
Derived from Impedance
fl
PDW
10.4
3
HIGH
NORMAL
1
HIGH
NORMAL
0.5
HIGH
NORMAL
You
0.2
LOW
You
0.02
LOW
You
LOW
0.02
NORMAL
0.1
HIGH
150
NORMAL
410
HIGH
You
LOW
You
LOW
6.5
NORMAL
12
HIGH
NORMAL
17
HIGH
NORMAL
17
HIGH
You
Derived from Impedance
fl
Hemoglobin
15.6
Cyanide-free SLS-Hemoglobin
1
LOW
LOW
9
You
LOW
13
g/dL
You
Tips
An iron rich diet increases red blood cell production. This
includes spinach, egg yolks and beans
A lower or higher white blood cell count indicates a disease
or infection. Perform excellent daily personal hygiene
All Other Tests
Find your remaining tests
below
Normal (N)
Test Name
Creatine kinase
Modified IFCC
Result
173
U/L
Low (L)
Borderline (BL)
High (H)
Range
46 - 171
Page 13 of 13
PO No :PO3382657649-278
Name
Age/Gender
Patient ID
Barcode ID/Order ID
Referred By
Sample Type
: Mr.ARYAMAN GARG
: 15/Male DOB:
: KOL215740
: D3089825 / 7202958
: Dr.
: WHOLE BLOOD-EDTA
Client Name
Registration Date
Collection Date
Sample Receive Date
Report Status
Report Date
: TATA 1MG KOLKATA
: 07-May-23 02:16 PM
: 07/May/2023 10:43AM
: 07/May/2023 02:31PM
: Final Report
: 07/May/2023 05:10PM
HAEMATOLOGY
FITNESS ADVANCED PACKAGE FOR MEN WITH SMART REPORT
Test Name
Result
Unit
Glycosylated Hemoglobin (HbA1c)
Estimated average glucose (eAG)
5.6
114.02
%
mg/dL
Bio. Ref. Interval
4-5.6
Method
HPLC
Calculated
Comment:
Interpretation: HbA1c%
≤5.6
Normal
5.7-6.4
At Risk For Diabetes
≥6.5
Diabetes
Adapted from American Diabetes Association.
Comments:
A 3 to 6 monthly monitoring is recommended in diabetics. People with diabetes should get the test done more often if their blood
sugar stays too high or if their healthcare provider makes any change in the treatment plan. HbA1c concentration represent the
integrated values for blood glucose over the preceding 8-12 weeks and is not affected by daily glucose fluctuation, exercise &
recent food intake.
Please note, Glycemic goal should be individualized based on duration of diabetes, age/life expectancy, comorbid conditions,
known CVD or advanced microvascular complications, hypoglycemia unawareness, and individual patient considerations.
Factors that interfere with HbA1c Measurement: Hemoglobin variants, elevated fetal hemoglobin (HbF) and chemically modified
derivatives of hemoglobin (e.g. carbamylated Hb in patients with renal failure) can affect the accuracy of HbA1c measurements.
Factors that affect interpretation of HbA1c Measurement: Any condition that shortens erythrocyte survival or decrease mean
erythrocyte age (e. g., recovery from acute blood loss, hemolytic anemia, HbSS, HbCC, and HbSC) will falsely lower HbA1c test
results regardless of the assay method used. Iron deficiency anemia is associated with higher HbA1c.
Note: Presence of Hemoglobin variants and/or conditions that affect red cell turnover must be considered, particularly when the
HbA1c result does not correlate with the patient's blood glucose levels.
• HPLC - High performance liquid chromatography
Page 1 of 31
PO No :PO3382657649-278
Name
Age/Gender
Patient ID
Barcode ID/Order ID
Referred By
Sample Type
: Mr.ARYAMAN GARG
: 15/Male DOB:
: KOL215740
: D3089825 / 7202958
: Dr.
: WHOLE BLOOD-EDTA
Client Name
Registration Date
Collection Date
Sample Receive Date
Report Status
Report Date
: TATA 1MG KOLKATA
: 07-May-23 02:16 PM
: 07/May/2023 10:43AM
: 07/May/2023 02:31PM
: Final Report
: 07/May/2023 05:10PM
HAEMATOLOGY
FITNESS ADVANCED PACKAGE FOR MEN WITH SMART REPORT
Test Name
Result
Unit
Bio. Ref. Interval
Method
Page 2 of 31
PO No :PO3382657649-278
Name
Age/Gender
Patient ID
Barcode ID/Order ID
Referred By
Sample Type
: Mr.ARYAMAN GARG
: 15/Male DOB:
: KOL215740
: D3089825 / 7202958
: Dr.
: Whole Blood-EDTA
Client Name
Registration Date
Collection Date
Sample Receive Date
Report Status
Report Date
: TATA 1MG KOLKATA
: 07-May-23 02:16 PM
: 07/May/2023 10:43AM
: 07/May/2023 02:31PM
: Final Report
: 07/May/2023 05:10PM
HAEMATOLOGY
FITNESS ADVANCED PACKAGE FOR MEN WITH SMART REPORT
Test Name
Result
Unit
Bio. Ref. Interval
Hemoglobin
15.6
g/dL
RBC
5.05
10^6/cu.mm 4.5 - 5.5
HCT
MCV
MCH
MCHC
RDW-CV
Total Leucocyte Count
45.0
89.2
30.8
34.6
14.9
5.40
%
fl
pg
g/dL
%
10^3/µL
40 - 50
83 - 101
27 - 32
31.5 - 34.5
11.6-14
4 - 10
Neutrophils
42.0
%
40-80
Lymphocytes
46.0
%
20-40
Monocytes
5.0
%
2-10
Eosinophils
7.0
%
1-6
Basophils
0.0
%
0-2
Absolute Neutrophil Count
2.27
10^3/µL
2-7
Absolute Lymphocyte Count
2.48
10^3/µL
1-3
Absolute Monocyte Count
0.27
10^3/µL
0.2-1
Absolute Eosinophil Count
0.38
10^3/µL
0.02-0.5
Method
Complete hemogram
13.0-17.0
Cyanide-free SLSHemoglobin
Impedance variation
Measure
Derived from - Impedance
Derived from - Impedance
Derived from - Impedance
Derived from - Impedance
Derived from - Impedance
Impedance and
Absorbency/Microscopy
Differential Leucocyte Count
Impedance and
Absorbency/Microscopy
Impedance and
Absorbency/Microscopy
Impedance and
Absorbency/Microscopy
Impedance and
Absorbency/Microscopy
Impedance and
Absorbency/Microscopy
Absolute Leucocyte Count
Impedance and
Absorbency/Calculated
Impedance and
Absorbency/Calculated
Impedance and
Absorbency/Calculated
Impedance and
Page 3 of 31
PO No :PO3382657649-278
Name
Age/Gender
Patient ID
Barcode ID/Order ID
Referred By
Sample Type
: Mr.ARYAMAN GARG
: 15/Male DOB:
: KOL215740
: D3089825 / 7202958
: Dr.
: Whole Blood-EDTA
Client Name
Registration Date
Collection Date
Sample Receive Date
Report Status
Report Date
: TATA 1MG KOLKATA
: 07-May-23 02:16 PM
: 07/May/2023 10:43AM
: 07/May/2023 02:31PM
: Final Report
: 07/May/2023 05:10PM
HAEMATOLOGY
FITNESS ADVANCED PACKAGE FOR MEN WITH SMART REPORT
Test Name
Result
Unit
Absolute Basophil Count
Platelet Count
MPV
PDW
Erythrocyte Sedimentation Rate
0.01
372
7
10
2
10^3/µL
10^3/µL
fl
fl
mm/hr
Bio. Ref. Interval
0.02-0.1
150 - 410
6.5 - 12
9-17
<=10
<=10
Method
Absorbency/Calculated
Impedance/Calculated
Impedance/Microscopy
Derived from Impedance
Derived from Impedance
Modified westergren
Comment:
ESR provides an index of progress of the disease and is widely used as an indicator of inflammation, infection, trauma, or
malignant diseases. Changes are more significant than a single abnormal test.
It is specifically indicated to monitor the course or response to the treatment of diseases like rheumatoid arthritis,
tuberculosis bacterial endocarditis ,acute rheumatic fever ,Hodgkins disease,temporal arthritis , and systemic lupus
erythematosis; and to diagnose and monitor giant cell arteritis and polymyalgia rheumatica.
An elevated ESR may also be associated with many other conditions, including autoimmune disease, anemia,
infection,malignancy,pregnancy, multiple myeloma, menstruation, and hypothyroidism.
Although a normal ESR cannot be taken to exclude the presence of organic disease, its rate is dependent on various
physiologic and pathologic factors
The most important component influencing ESR is the composition of plasma. High level of C-Reactive Protein, fibrinogen,
haptoglobin, alpha-1antitrypsin, ceruloplasmin and immunoglobulins causes the elevation of Erythrocyte Sedimentation
Rate.
Drugs that may cause increase ESR levels include: dextran, methyldopa, oral contraceptives, penicillamine, procainamide,
theophylline, and Vitamin A. Drugs that may cause decrease levels include: aspirin, cortisone, and quinine.
As per the recommendation of International council for Standardization in Hematology, the differential leucocyte counts
are additionally being reported as absolute numbers of each cell in per unit volume of blood.
Test conducted on EDTA whole blood.
Page 4 of 31
PO No :PO3382657649-278
Name
: Mr.ARYAMAN GARG
Client Name
: TATA 1MG KOLKATA
Age/Gender
Patient ID
Barcode ID/Order ID
Referred By
Sample Type
: 15/Male DOB:
: KOL215740
: D3089827 / 7202958
: Dr.
: Serum
Registration Date
Collection Date
Sample Receive Date
Report Status
Report Date
: 07-May-23 02:16 PM
: 07/May/2023 10:43AM
: 07/May/2023 02:31PM
: Final Report
: 07/May/2023 04:56PM
BIOCHEMISTRY
Test Name
Result
Unit
Bio. Ref. Interval
C-Reactive Protein (Quantitative)
< 4.0
mg/L
0-10
Value obtained is below reportable range, hence exact value could not be reported.
Method
Turbidimetric
Comment:
•C-Reactive Protein [CRP] is an acute phase reactant ,hepatic secretion of which is stimulated in response to inflammatory
cytokines.
•CRP is a very sensitive but nonspecific marker of inflammation and infection.
•The CRP test is useful in patient with Inflammatory bowel disease, arthritis, Autoimmune diseases, Pelvic inflammatory disease
(PID), tissue injury or necrosis and infections.
•CRP levels can be elevated in the later stages of pregnancy as well as with use of birth control pills or hormone replacement
therapy i.e. estrogen. Higher levels of CRP have also been observed in the obese.
•As compared to ESR, CRP shows an earlier rise in inflammatory disorders which begins in 4-6 hrs, he intensity of the rise being
higher than ESR and the recovery being earlier than ESR. Unlike ESR, CRP levels are not influenced by hematologic conditions
like Anemia, Polycythemia.
Page 5 of 31
PO No :PO3382657649-278
Name
Age/Gender
Patient ID
Barcode ID/Order ID
Referred By
Sample Type
: Mr.ARYAMAN GARG
: 15/Male DOB:
: KOL215740
: D3089824 / 7202958
: Dr.
: Serum
Client Name
Registration Date
Collection Date
Sample Receive Date
Report Status
Report Date
: TATA 1MG KOLKATA
: 07-May-23 02:16 PM
: 07/May/2023 10:43AM
: 07/May/2023 02:31PM
: Final Report
: 07/May/2023 04:56PM
BIOCHEMISTRY
FITNESS ADVANCED PACKAGE FOR MEN WITH SMART REPORT
Test Name
Result
Unit
Calcium
9.8
mg/dL
Bio. Ref. Interval
9.2–10.4
Method
Arsenazo III
Comment:
Increased in: Hyperparathyroidism primary and secondary, Acute and chronic renal failure, Following renal transplantation,
Osteomalacia with malabsorption, Acute osteoprosis, Malignant tumours (specially of breast, lung and kidney), Drugs: Vit. D and
A intoxication, Diuretics, estrogen, androgen, tamoxifen, lithium
Decreased in: Hypoparathyroidism, Surgical and Idiopathic, Pseudohypoparathyroidism, Chronic renal disease with uremia and
phophate retention, Malabsorption of Calcium and Vit.D, obstructive jaundice, Bone Disease ( Osteomalacia and rickets), Drugs:
Cancer chemotherapy drugs, calcitonin, loop-actives diuretics, Hypomagnesemia,Hypoalbuminemia
Page 6 of 31
PO No :PO3382657649-278
Name
Age/Gender
Patient ID
Barcode ID/Order ID
Referred By
Sample Type
: Mr.ARYAMAN GARG
: 15/Male DOB:
: KOL215740
: D3089824 / 7202958
: Dr.
: Serum
Client Name
Registration Date
Collection Date
Sample Receive Date
Report Status
Report Date
: TATA 1MG KOLKATA
: 07-May-23 02:16 PM
: 07/May/2023 10:43AM
: 08/May/2023 08:27AM
: Final Report
: 08/May/2023 03:17PM
BIOCHEMISTRY
FITNESS ADVANCED PACKAGE FOR MEN WITH SMART REPORT
Test Name
Result
Unit
Creatine kinase
173.00
U/L
Bio. Ref. Interval
46-171
Method
Modified IFCC
Comment:
Skeletal muscle, myocardium, and brain are rich in the enzyme and it is released by tissue damage.
Clinical utility :-For diagnosis and treatment of disease associated with skeletal muscle, heart, central nervous system and
thyroid. It can be used for monitoring of myopathies, myocardial infarction and cerebral vascular disease.
Increased in- Myocardial infarction (MI), myocarditis, muscle trauma, rhabdomyolysis, muscular dystrophy, polymyositis, severe
muscular exertion, malignant hyperthermia, hypothyroidism, cerebral infarction, surgery, Reye syndrome, tetanus, generalized
convulsions, alcoholism, IM injections, DC counter shock, Drugs:clofibrate, HMG-CoA reductase inhibitors.
During an MI, serum CK level rises rapidly (within 3–5 hours); reaches a maximum after 12 – 14 hrs and returns to normal
range after 3-4 days post-MI.
Total CK is not specific enough for use in diagnosis of MI, but a normal total CK has a high negative predictive value.
A more specific test is needed for diagnosis of MI or acute coronary syndrome (eg, CK-MB, Troponin-T and Troponin-I)
This test has Been Performed at TATA 1MG OKHLA
Page 7 of 31
PO No :PO3382657649-278
Name
Age/Gender
Patient ID
Barcode ID/Order ID
Referred By
Sample Type
: Mr.ARYAMAN GARG
: 15/Male DOB:
: KOL215740
: D3089826 / 7202958
: Dr.
: Fluoride Plasma F
Client Name
Registration Date
Collection Date
Sample Receive Date
Report Status
Report Date
: TATA 1MG KOLKATA
: 07-May-23 02:16 PM
: 07/May/2023 10:43AM
: 07/May/2023 02:31PM
: Final Report
: 07/May/2023 03:56PM
BIOCHEMISTRY
FITNESS ADVANCED PACKAGE FOR MEN WITH SMART REPORT
Test Name
Result
Unit
76
mg/dL
Bio. Ref. Interval
Method
Glucose - Fasting
Glucose - Fasting
70.0-99.0
Fasting Plasma Glucose (mg/dL)
2 hr plasma Glucose (mg/dL)
Diagnosis
99 or below
139 or below
Normal
100 to 125
140 to 199
Pre-Diabetes (IGT)
126 or above
200 or above
Diabetes
Hexokinase
Reference : American Diabetes Association
Comment:
Impaired glucose tolerance (IGT) fasting, means a person has an increased risk of developing type 2 diabetes but does not
have it yet. A level of 126 mg/dL or above, confirmed by repeating the test on another day, means a person has diabetes.
IGT (2 hrs Post meal ), means a person has an increased risk of developing type 2 diabetes but does not have it yet. A 2-hour
glucose level of 200 mg/dL or above, confirmed by repeating the test on another day, means a person has diabetes
Plasma Glucose Goals
Before meal
For people with Diabetes
70-130 mg/dL
2 Hours after meal
Less than 180 mg/dL
Less than 7%
HbA1c
Page 8 of 31
PO No :PO3382657649-278
Name
Age/Gender
Patient ID
Barcode ID/Order ID
Referred By
Sample Type
: Mr.ARYAMAN GARG
: 15/Male DOB:
: KOL215740
: D3089824 / 7202958
: Dr.
: Serum
Client Name
Registration Date
Collection Date
Sample Receive Date
Report Status
Report Date
: TATA 1MG KOLKATA
: 07-May-23 02:16 PM
: 07/May/2023 10:43AM
: 07/May/2023 02:31PM
: Final Report
: 07/May/2023 04:56PM
BIOCHEMISTRY
FITNESS ADVANCED PACKAGE FOR MEN WITH SMART REPORT
Test Name
Result
Unit
High sensitivity CRP
0.60
mg/L
Bio. Ref. Interval
Method
Healthy Individuals: = 3 Latex enhanced
mg/L
immunoturbidimetric
Low Risk: < 1 mg/L
Average Risk: > 1 mg/L
and < 3 mg/L
High Risk: > 3 mg/L
Comment:
High Sensitivity C- Reactive protein (hs-CRP)is used as a marker for determining and performing risk assessment of
cardiovascular disease (good marker for inflammation), often along with tests for Lipid profile.
The American Heart Association and US Centers for Disease Control and Prevention have defined risk groups as follows:
<1.0 Low Risk
1.0 - 3.0 - Average Risk
>3.0 High Risk
These values are only a part of the total evaluation process for cardiovascular diseases.
To assess vascular risk ,it is recommended to test hsCRP levels 2 or more weeks apart and calculate the average
Additional risk factors to be considered are elevated levels of lipids & glucose, smoking, high blood pressure (hypertension).
Anti inflammatory drugs (like aspirin, ibuprofen, and naproxen) or statins may reduce CRP levels in blood. It is important that any
person undergoing this test must be in a healthy state in order for the results to be of diagnostic value in predicting the risk of
coronary artery disease or heart attack. Any recent illness, tissue injury, infection, or other general inflammation will raise the
amount of hsCRP and give a falsely elevated estimate of risk.
Women on hormone replacement therapy have been shown to have elevated hs-CRP levels.
Note:
Since the hs-CRP and CRP tests measure the same molecule, people with chronic inflammation, such as those with arthritis,
should not have hs-CRP levels measured. Their CRP levels will be very high due to the arthritis/often too high to be measured or
meaningful using the hs-CRP test.
Page 9 of 31
PO No :PO3382657649-278
Name
Age/Gender
Patient ID
Barcode ID/Order ID
Referred By
Sample Type
: Mr.ARYAMAN GARG
: 15/Male DOB:
: KOL215740
: D3089824 / 7202958
: Dr.
: Serum
Client Name
Registration Date
Collection Date
Sample Receive Date
Report Status
Report Date
: TATA 1MG KOLKATA
: 07-May-23 02:16 PM
: 07/May/2023 10:43AM
: 07/May/2023 02:31PM
: Final Report
: 07/May/2023 04:56PM
BIOCHEMISTRY
FITNESS ADVANCED PACKAGE FOR MEN WITH SMART REPORT
Test Name
Result
Unit
Iron Serum
107
µg/dL
Bio. Ref. Interval
31–168
Method
Ferrozine
Comment:
Iron is an essential trace mineral element which forms an important component of hemoglobin, metallocompounds and Vitamin
A. Deficiency of iron is seen in iron deficiency and anaemia of chronic disorders.
Increased iron concentration are seen in hemolytic anaemias, hemochromatosis and acute liver disease. Serum Iron alone is
unreliable due to considerable physiologic diurnal variation in the results with highest values in the morning and lowest values in
the evening as well as variation in response to iron therapy
Page 10 of 31
PO No :PO3382657649-278
Name
Age/Gender
Patient ID
Barcode ID/Order ID
Referred By
Sample Type
: Mr.ARYAMAN GARG
: 15/Male DOB:
: KOL215740
: D3089824 / 7202958
: Dr.
: Serum
Client Name
Registration Date
Collection Date
Sample Receive Date
Report Status
Report Date
: TATA 1MG KOLKATA
: 07-May-23 02:16 PM
: 07/May/2023 10:43AM
: 07/May/2023 02:31PM
: Final Report
: 07/May/2023 04:56PM
BIOCHEMISTRY
FITNESS ADVANCED PACKAGE FOR MEN WITH SMART REPORT
Test Name
Result
Unit
Bio. Ref. Interval
Method
Lipid Profile
Cholesterol - Total
193
mg/dL
Triglycerides
55
mg/dL
Cholesterol - HDL
50
mg/dL
Cholesterol - LDL
132
mg/dL
Cholesterol- VLDL
Cholesterol : HDL Cholesterol
LDL : HDL Cholesterol
11
3.9
2.64
mg/dL
Ratio
Ratio
Non HDL Cholesterol
143
mg/dl
Acceptable: <170
Borderline High: 170199
High: >=200
Normal: < 150,
Borderline: 150 - 199,
High:200 - 499, Very
High >=500
Low HDL: <40 mg/dL
Borderline Low: 40-45
mg/dL
Acceptable: >45 mg/dL
Acceptable: <110 mg/dL
Borderline High: 110129 mg/dL
High: > or =130 mg/dL
10-30
Desirable : 3.5-4.5
Desirable : 2.5-3.0
High risk : >3.5
Desirable:< 130,
Above Desirable:130 159,
Borderline High:160 189,
High:190 - 219,
Very High: >= 220
Enzymatic
GPO, Trinder without serum
blank
Elimination/catalase
Elimination/catalase/Calculated
Calculated
Calculated
Calculated
Calculated
Comment:
Indians are at a high risk of developing atherosclerotic cardiovascular disease (ASCVD); at a much earlier age; more
severe in nature and have high mortality.
Page 11 of 31
PO No :PO3382657649-278
Name
Age/Gender
Patient ID
Barcode ID/Order ID
Referred By
Sample Type
: Mr.ARYAMAN GARG
: 15/Male DOB:
: KOL215740
: D3089824 / 7202958
: Dr.
: Serum
Client Name
Registration Date
Collection Date
Sample Receive Date
Report Status
Report Date
: TATA 1MG KOLKATA
: 07-May-23 02:16 PM
: 07/May/2023 10:43AM
: 07/May/2023 02:31PM
: Final Report
: 07/May/2023 04:56PM
BIOCHEMISTRY
FITNESS ADVANCED PACKAGE FOR MEN WITH SMART REPORT
Test Name
Result
Unit
Bio. Ref. Interval
Method
Major risk factors have been found to be dyslipidemia (abnormal lipid profile), smoking, sedentary lifestyle, obesity,
hypertension and diabetes. Dyslipidemia is most important and found to be very high in Indians (79%); hence control of
dyslipidemia is the key healthcare target.
LDL-Cholesterol (LDL-C) contributes most significantly to atherosclerosis and is the primary target of treatment.
Triglyceride (TG) rich lipoprotein remnants also play a major role in CVD. Indians have higher triglyceride levels and lower
HDL-C (good cholesterol) combined with increased proportion of small dense LDL-C; this pattern is called atherogenic
dyslipidemia and is associated with diabetes, metabolic syndrome and insulin resistance.
Non-HDL-Cholesterol (Non-HDLC) measures all atherogenic lipoproteins (LDL-C, VLDL, Lp(a), Apo-B). Monitoring of NonHDLC is the co-primary target and is especially important in patients with elevated TG (e.g. diabetics, obese persons,
metabolic syndrome) and those on statin therapy.
Lipid Association of India (LAI) recommendations (2020) Screening of all Indians above the age of 20 years for CVD risk factors esp. lipid profile.
Risk factors known to promote atherosclerosis include: Age- male ≥45 years, female ≥55 years; Family h/o
premature CAD (male <55 years, female <65 years), Smoking/tobacco use, Systemic hypertension, Low HDL (males
<40 mg/dl and females <50 mg/dl.
Fasting lipid profile is not mandatory. Both fasting and non-fasting lipid profiles are important for managing Indian
patients with dyslipidemia. Non-HDLC should be calculated in every subject.
Newer treatment goals have been laid down based on different risk categories (According to LAI algorithm). LAI
recommends LCD-C as primary target and Non-HDL as co-primary treatment target.
Lifestyle modifications are integral for management and prevention of dyslipidemia.
In low risk patients, consider therapy after an initial non-pharmacological intervention for at least 3 months.
Additional testing for Apolipoprotein B, hsCRP, Lp(a ) should be considered among patients with moderate risk for
ASCVD for risk refinement
Note: Reference Interval as per National Cholesterol Education Program (NCEP) ATP-III Report.
Page 12 of 31
PO No :PO3382657649-278
Name
Age/Gender
Patient ID
Barcode ID/Order ID
Referred By
Sample Type
: Mr.ARYAMAN GARG
: 15/Male DOB:
: KOL215740
: D3089824 / 7202958
: Dr.
: Serum
Client Name
Registration Date
Collection Date
Sample Receive Date
Report Status
Report Date
: TATA 1MG KOLKATA
: 07-May-23 02:16 PM
: 07/May/2023 10:43AM
: 07/May/2023 02:31PM
: Final Report
: 07/May/2023 04:56PM
BIOCHEMISTRY
FITNESS ADVANCED PACKAGE FOR MEN WITH SMART REPORT
Test Name
Result
Unit
0.70
0.20
0.50
7.60
4.66
2.9
1.59
25
19
1.32
210
16
mg/dL
mg/dL
mg/dL
g/dL
g/dL
g/dl
Ratio
U/L
U/L
Ratio
U/L
U/L
Bio. Ref. Interval
Method
Liver Function Test
Bilirubin-Total
Bilirubin-Direct
Bilirubin-Indirect
Protein, Total
Albumin
Globulin
A/G Ratio
Aspartate Transaminase (SGOT)
Alanine Transaminase (SGPT)
SGOT/SGPT
Alkaline Phosphatase
Gamma Glutamyltransferase (GGT)
0.3 – 1.2
0.11–0.42
0.2-0.8
6.8–8.2
4.1-5.1
1.8-3.6
0.8 - 2.1
14–35
8-22
113-438
10-33
Vanadate oxidation
Vanadate oxidation
Calculated
Biuret
BCG Dye Binding
Calculated
Calculated
Modified IFCC
Modified IFCC
Calculated
IFCC Standardization
Modified IFCC
Comment:
•LFTS are based upon measurements of substances released from damaged hepatic cells into the blood that gives idea of the
Existence, Extent and Type of Liver damage. - Acute Hepatocellular damage: ALT & AST levels are sensitive index of
hepatocellular damage - Obstruction to the biliary tract,Cholestasis and blockage of bile flow:1) Serum Total Bilirubin
concentration 2) Serum Alkaline Phosphatase (ALP) activity 3) Gamma Glutamyl Transpeptidase (GGTP) 4) 5`-Nucleotidase Chronic liver disease: Serum Albumin concentration
•Bilirubin results from the enzymatic breakdown of heme. Jaundice is a yellowish discoloration of the skin and mucous
membranes caused by hyperbilirubinemia.
•Pre-hepatic or hemolytic jaundice - Abnormal red cells, antibodies,drugs and toxins,Hemoglobinopathies, Gilbert’s syndrome,
Crigler-Najjar syndrome
•Hepatic or Hepatocellular jaundice-Viral hepatitis,toxic hepatitis, intrahepatic cholestasis
•Post-hepatic jaundice -Extrahepatic cholestasis, gallstones, tumors of the bile duct, carcinoma of pancreas
•In viral hepatitis and other forms of liver disease associated with acute hepatic necrosis, serum AST and ALT concentrations are
elevated even before the clinical signs and symptoms of disease appear.
•ALT is the more liver-specific enzyme and elevations of ALT activity persist longer than AST activity.
•Peak values of aminotransferase activity occur between the seventh and twelfth days. Activities then gradually decrease,
reaching normal activities by the third to fifth week. Peak activities bear no relationship to prognosis and may fall with worsening
of the patient's condition.
•Aminotransferase activities observed in cirrhosis vary with the status of the cirrhotic process and range from the upper
reference limit to four to five times higher, with an AST/ALT ratio greater than 1. The ratio's elevation can reflect the grade of
fibrosis in these patients. Slight or moderate elevations of both AST and ALT activities have been observed after administration
of various medications and chronic hepatic injury such as (1) hemochromatosis, (2) Wilson disease, (3) autoimmune hepatitis, (4)
primary biliary cirrhosis, (5) sclerosing cholangitis, and (6) a1-antitrypsin deficiency.
•AST activity also is increased in acute myocardial infarction, progressive muscular dystrophy and dermatomyositis, reaching
concentrations up to eight times the upper reference limit.Slight to moderate AST elevations are noted in hemolytic disease.
Page 13 of 31
PO No :PO3382657649-278
Name
Age/Gender
Patient ID
Barcode ID/Order ID
Referred By
Sample Type
: Mr.ARYAMAN GARG
: 15/Male DOB:
: KOL215740
: D3089824 / 7202958
: Dr.
: Serum
Client Name
Registration Date
Collection Date
Sample Receive Date
Report Status
Report Date
: TATA 1MG KOLKATA
: 07-May-23 02:16 PM
: 07/May/2023 10:43AM
: 07/May/2023 02:31PM
: Final Report
: 07/May/2023 04:56PM
BIOCHEMISTRY
FITNESS ADVANCED PACKAGE FOR MEN WITH SMART REPORT
Test Name
Result
Unit
Bio. Ref. Interval
Method
•GGT is a sensitive indicator of the presence of hepatobiliary disease, being elevated in most subjects with liver disease
regardless of cause. Increased concentrations of the enzyme are also found in serum of subjects receiving anticonvulsant drugs,
such as phenytoin and phenobarbital.
Page 14 of 31
PO No :PO3382657649-278
Name
Age/Gender
Patient ID
Barcode ID/Order ID
Referred By
Sample Type
: Mr.ARYAMAN GARG
: 15/Male DOB:
: KOL215740
: D3089824 / 7202958
: Dr.
: Serum
Client Name
Registration Date
Collection Date
Sample Receive Date
Report Status
Report Date
: TATA 1MG KOLKATA
: 07-May-23 02:16 PM
: 07/May/2023 10:43AM
: 07/May/2023 02:31PM
: Final Report
: 07/May/2023 04:56PM
BIOCHEMISTRY
FITNESS ADVANCED PACKAGE FOR MEN WITH SMART REPORT
Test Name
Result
Unit
19
40.66
0.77
7.4
139
4.60
103.0
24.7
mg/dL
mg/dL
mg/dL
mg/dL
mEq/L
mEq/L
mEq/L
Ratio
Bio. Ref. Interval
Method
Kidney Function Test.
Blood Urea Nitrogen
Urea
Creatinine
Uric Acid
Sodium
Potassium
Chloride
BUN/Creatinine Ratio
8.0-20.0
17.12-42.8
0.65-1.04
3.7-9.2
132.0-146.0
3.5-5.5
99-109
12:1 - 20:1
Urease with GLDH
Calculated
Alkaline picrate-kinetic
Uricase/Peroxidase
Indirect ISE
Indirect ISE
Indirect ISE
Calculated
Comment:
BUN is directly related to protein intake and nitrogen metabolism and inversely related to the rate of excretion of urea.Blood
urea nitrogen (BUN) levels reflect the balance between the production and excretion of urea. Increased levels are seen in renal
failure (acute or chronic), urinary tract obstruction, dehydration, shock, burns, CHF, GI bleeding, nephrotoxic drugs. Decreased
levels are seen in hepatic failure, nephrotic syndrome, cachexia (low-protein and high-carbohydrate diets).
Urea is a non-proteinous nitrogen compound formed in the liver from ammonia as an end product of protein metabolism. Urea
diffuses freely into extracellular and intracellular fluid and is ultimately excreted by the kidneys. Increased levels are found in
acute renal failure, chronic glomerulonephritis, congestive heart failure, decreased renal perfusion, diabetes, excessive protein
ingestion, gastrointestinal (GI) bleeding, hyperalimentation, hypovolemia, ketoacidosis, muscle wasting from starvation,
neoplasms, pyelonephritis, shock, urinary tract obstruction, nephrotoxic drugs. Decreased levels are seen in inadequate dietary
protein, low-protein/high-carbohydrate diet, malabsorption syndromes, pregnancy, severe liver disease, certain drugs.
Creatinine is catabolic product of creatinine phosphate, which is excreted by filtration through the glomerulus and by tubular
secretion. Creatinine clearance is an acceptable clinical measure of glomerular filtration rate (GFR). Increased levels are seen in
acute/chronic renal failure, urinary tract obstruction, hypothyroidism, nephrotoxic drugs, shock, dehydration, congestive heart
failure, diabetes. Decreased levels are found in muscular dystrophy.
BUN/Creatinine ratio (normally 12:1–20:1) is decreased in acute tubular necrosis, advanced liver disease, low protein intake,
and following hemodialysis. BUN/Creatinine ratio is increased in dehydration, GI bleeding, and increased catabolism.
Uric acid levels show diurnal variation. The level is usually higher in the morning and lower in the evening. Increased levels are
seen in starvation, strenuous exercise, malnutrition, or lead poisoning, gout, renal disorders, increased breakdown of body cells
in some cancers (including leukemia, lymphoma, and multiple myeloma) or cancer treatments, hemolytic anemia, sickle cell
anemia, or heart failure, pre-eclampsia, liver disease (cirrhosis), obesity, psoriasis, hypothyroidism, low blood levels of
parathyroid hormone (PTH), certain drugs, foods that are very high in purines - such as organ meats, red meats, some seafood
and beer. Decreased levels are seen in liver disease, Wilson's disease, Syndrome of inappropriate antidiuretic hormone (SIADH),
certain drugs.
Page 15 of 31
PO No :PO3382657649-278
Name
Age/Gender
Patient ID
Barcode ID/Order ID
Referred By
Sample Type
: Mr.ARYAMAN GARG
: 15/Male DOB:
: KOL215740
: D3089824 / 7202958
: Dr.
: Serum
Client Name
Registration Date
Collection Date
Sample Receive Date
Report Status
Report Date
: TATA 1MG KOLKATA
: 07-May-23 02:16 PM
: 07/May/2023 10:43AM
: 07/May/2023 02:31PM
: Final Report
: 07/May/2023 04:56PM
BIOCHEMISTRY
FITNESS ADVANCED PACKAGE FOR MEN WITH SMART REPORT
Test Name
Result
Unit
Lipoprotein(a)
10.45
mg/dL
Bio. Ref. Interval
<30
Method
Latex microparticleenhanced
immunoturbidimetry
Comment:
Note: Lipoprotein(a)[ Lp(a)] is considered an important risk factor for Coronary Heart Disease (CHD).
* Lipoprotein (a) consists of an LDL particle that is covalently bound to an additional protein, apolipoprotein (a). Apo(a) has
high-sequence homology with the coagulation factor plasminogen and, like LDL, Lp(a) contains apolipoprotein B100 . Thus, Lp(a)
is both proatherogenic and prothrombotic. Lp(a) is an independent risk factor for CHD, Ischemic Stroke, and Aortic Valve
Stenosis.
* Lp(a) is highly heterogeneous molecule; the degree of atherogenicity of the Lp(a) particle may depend on the molecular size of
the Lp(a)-specific protein.
* Serum concentrations of Lp(a) are related to genetic factors, and are largely unaffected by diet, exercise and lipid -lowering
pharmaceuticals. However, in a patient with additional modifiable CHD risk factors, more aggressive therapy to normalize these
factors may be indicated if the Lp(a) value is also increased.
Usage:
Evaluation of increased risk for cardiovascular disease and events:
* In individuals at intermediate risk for cardiovascular disease
* In patients with early atherosclerosis
* In patients with strong family history of early CHD
Page 16 of 31
PO No :PO3382657649-278
Name
: Mr.ARYAMAN GARG
Client Name
: TATA 1MG KOLKATA
Age/Gender
Patient ID
Barcode ID/Order ID
Referred By
Sample Type
: 15/Male DOB:
: KOL215740
: D3089827 / 7202958
: Dr.
: Serum
Registration Date
Collection Date
Sample Receive Date
Report Status
Report Date
: 07-May-23 02:16 PM
: 07/May/2023 10:43AM
: 08/May/2023 08:26AM
: Final Report
: 08/May/2023 03:51PM
BIOCHEMISTRY
Test Name
Result
Unit
Magnesium
2.3
mg/dL
Bio. Ref. Interval
1.3-2.7
Method
Xylidyl blue
Comment:
Magnesium (Mg) is an important cation essential for the function of more than 300 cellular enzymes.Total body Mg depends on
GI absorption and renal excretion.50 - 60% of body magnesium content is stored in the bones.
Increased levels (Hypermagnesemia) : Acute &amp; chronic renal failure, Addison's disease, Diuretics, antacids &amp; laxative
use, Hypothyroidism, Elderly diabetics.
Decreased levels (Hypomagnesemia) : Chronic nephritis, Acute pancreatitis, Alcoholic cirrhosis.
Page 17 of 31
This test has Been Performed at TATA 1MG OKHLA
PO No :PO3382657649-278
Name
Age/Gender
Patient ID
Barcode ID/Order ID
Referred By
Sample Type
: Mr.ARYAMAN GARG
: 15/Male DOB:
: KOL215740
: D3089824 / 7202958
: Dr.
: Serum
Client Name
Registration Date
Collection Date
Sample Receive Date
Report Status
Report Date
: TATA 1MG KOLKATA
: 07-May-23 02:16 PM
: 07/May/2023 10:43AM
: 07/May/2023 02:31PM
: Final Report
: 07/May/2023 04:56PM
BIOCHEMISTRY
FITNESS ADVANCED PACKAGE FOR MEN WITH SMART REPORT
Test Name
Result
Unit
108.00
89.00
0.82
mg/dL
mg/dL
Bio. Ref. Interval
Method
Apolipoprotein B & A1 Serum
Apolipoprotein - A1
Apolipoprotein - B
Apolipoprotein B/A1 Ratio
100-180
46- 174
0.35 - 0.98
PEG immunturbidimetric
PEG immunturbidimetric
Calculated
Comment:
Apolipoprotein A1
Apolipoproteins A1 (Apo A1) is the major apolipoprotein attached to HDL and is found in greater proportion than Apo A2
(3:1).
It is inversely related to the risk of coronary artery disease (CAD).
It may be a better predictor of atherogenic risk than HDL.
Apo A1 may be increased with
Apo A1 may be decreased with
Drugs (carbamazepine, estrogens, ethanol,
statins,niacin, oral contraceptives, phenobarbital)
Chronic renal failure
Familial hyper alpha-lipoproteinemia
Coronary artery disease and
peripheral vascular disease
Physical excercise
Drugs (androgens, beta
blockers, diuretics and
progestins)
Pregnancy
Familial hypo alphalipoproteinemia
Weight reduction
Smoking & Uncontrolled diabetes
2
Apolipoprotein B
Apolipoprotein B (Apo B) is a major protein component of low density lipoprotien (LDL), Comprising >90% of the LDL. It is a
more powerful independent predictor of coronary artery disease (CAD) than LDL cholesterol. It is useful in assessing the
risk of CAD and to classify Hyperlipidemias.
Apolipoprotein studies help in monitoring coronary bypass surgery patients with regard to risk and severity of
restenosis.They are also useful in assessing risk of re-infarction in patients with Myocardial infarction .
In patients with hyperapobetalipoproteinemia (HALB), a disorder associated with increased risk of developing CHD and
with an estimated prevalence of 30% in patients with premature CAD, Apo B is increased disproportionately in LDL
Page 18 of 31
PO No :PO3382657649-278
Name
Age/Gender
Patient ID
Barcode ID/Order ID
Referred By
Sample Type
: Mr.ARYAMAN GARG
: 15/Male DOB:
: KOL215740
: D3089824 / 7202958
: Dr.
: Serum
Client Name
Registration Date
Collection Date
Sample Receive Date
Report Status
Report Date
: TATA 1MG KOLKATA
: 07-May-23 02:16 PM
: 07/May/2023 10:43AM
: 07/May/2023 02:31PM
: Final Report
: 07/May/2023 04:56PM
BIOCHEMISTRY
FITNESS ADVANCED PACKAGE FOR MEN WITH SMART REPORT
Test Name
Result
Unit
Bio. Ref. Interval
Method
cholesterol. Apo B quantitation is used in distinguishing HALB from another common lipoprotein abnormality, Familial
combined hyperlipidemia.
Apolipoprotein B:A1 Ratio
Elevated ApoB/ApoA1 ratio confers increased risk of atherosclerotic cardiovascular disease independently of LDL and HDL
cholesterol concentrations.
Apo B to A1 ratio
Ratio
Remarks
0.35- 0.98 Desirable
>0.98
Increased CAD risk
Page 19 of 31
PO No :PO3382657649-278
Name
: Mr.ARYAMAN GARG
Client Name
: TATA 1MG KOLKATA
Age/Gender
Patient ID
Barcode ID/Order ID
Referred By
Sample Type
: 15/Male DOB:
: KOL215740
: D3089824 / 7202958
: Dr.
: Serum
Registration Date
Collection Date
Sample Receive Date
Report Status
Report Date
: 07-May-23 02:16 PM
: 07/May/2023 10:43AM
: 08/May/2023 08:27AM
: Final Report
: 08/May/2023 05:11PM
Immunology
Test Name
Result
Unit
Bio. Ref. Interval
Method
CORTISOL, SERUM (MORNING SAMPLE)
Cortisol (morning sample)
9.1
µg/dL
7:00-9:00 am - 5.2722.45
3:00-5:00 pm - 3.4416.76
CLIA
Comment:
Cortisol is the major glucocorticoid hormone secreted by the adrenal cortex. Its physiological functions include regulation
of carbohydrate metabolism and electrolyte & water distribution. Cortisol also has immunosuppressive and antiinflammatory activity.
Cortisol levels are regulated by adrenocorticotropic hormone (ACTH), which is synthesized by the pituitary in response to
corticotrophin-releasing hormone (CRH). CRH is released in a cyclic fashion by the hypothalamus, resulting in diurnal peaks
(6 a.m.-8 a.m.) and nadirs (11 p.m.) in plasma ACTH and cortisol levels.
Plasma Cortisol levels are highest in the morning, and concentrations decrease towards evening. Cortisol is best
measured in the morning when evaluating for possible Adrenal Insufficiency and best measured in the afternoon or
evening to differentiate normal and Cushing’s Syndrome subjects. Diurnal rhythmicity of cortisol is increased by systemic
disease and stress.
Increased levels are associated with Cushing syndrome, Adrenal and Pituitary adenoma/carcinoma, ectopic ACTH
production, glucocorticoid therapy, stress, depression, hypoglycemia and hyperthyroidism.
Decreased levels seen in Addison's disease, generalized adrenal hypofunction or a defect in the metabolic pathway for
cortisol biosynthesis.
In Newborns, a transient rise in cortisol occurs immediately after delivery and become stable by about 1 week of age.
Page 20 of 31
This test has Been Performed at TATA 1MG OKHLA
PO No :PO3382657649-278
Name
Age/Gender
Patient ID
Barcode ID/Order ID
Referred By
Sample Type
: Mr.ARYAMAN GARG
: 15/Male DOB:
: KOL215740
: D3089824 / 7202958
: Dr.
: Serum
Client Name
Registration Date
Collection Date
Sample Receive Date
Report Status
Report Date
: TATA 1MG KOLKATA
: 07-May-23 02:16 PM
: 07/May/2023 10:43AM
: 07/May/2023 02:31PM
: Final Report
: 07/May/2023 04:09PM
Immunology
FITNESS ADVANCED PACKAGE FOR MEN WITH SMART REPORT
Test Name
Result
Unit
Ferritin
31.80
ng/mL
Bio. Ref. Interval
Method
22 - 322
CLIA
Comment:
Ferritin is the major iron storage compound and a readily available source & reserve of iron for metabolic requirements.
In patients with some hepatocellular disease ,malignancies, and inflammatory diseases,serum ferritin is a disproportionately high
estimate of storage iron because serum ferritin is an acute phase reactant .In such cases iron deficiency anaemia may exist with
a normal serum ferritin concentration .In the presence of inflammation ,persons with low serum ferritin are likely to respond to
iron therapy.
Clinical utility:Ferritin estimation is useful in the diagnosis of iron deficiency anemia and iron overload.
Increased levels seen in Iron overload -Hemachromatosis,Thalessemia,Sideroblastic anaemia
Malignant conditions -Acute myeloblastic & lymphoblastic leukemia, Hodgkin’s disease & Breast carcinoma
Inflammatory disease -pulmonary infections,Osteomyelitis,chronic UTI,rheumatoid arthritis ,SLE,burns.
Frequent blood transfusions with packed RBCs
Acute and chronic hepatocellular disease
Decreased levels seen in heavy menstrual bleeding, poor absorption of iron, iron deficiency anaemia and long term GI bleed.
• Please note test values may vary depending on the assay method used.
Page 21 of 31
PO No :PO3382657649-278
Name
Age/Gender
Patient ID
Barcode ID/Order ID
Referred By
Sample Type
: Mr.ARYAMAN GARG
: 15/Male DOB:
: KOL215740
: D3089824 / 7202958
: Dr.
: Serum
Client Name
Registration Date
Collection Date
Sample Receive Date
Report Status
Report Date
: TATA 1MG KOLKATA
: 07-May-23 02:16 PM
: 07/May/2023 10:43AM
: 07/May/2023 02:31PM
: Final Report
: 07/May/2023 04:09PM
Immunology
FITNESS ADVANCED PACKAGE FOR MEN WITH SMART REPORT
Test Name
Result
Unit
Immunoglobulin E (IgE) Total
24
IU/mL
Bio. Ref. Interval
1.9 - 170
Method
CLIA
Comment:
Immunoglobulin E (IgE) is the most important trigger molecule for allergic information.
As IgE is a mediator of allergic response, quantitative measurement can provide useful information for differential
diagnosis of atopic and non-atopic disease.
The level of IgE is low during the first year of life, gradually increases with age and reaches adult level after 10 years.
Uses
For Allergy testing.
Evaluation of children and adults suspected of having allergic respiratory disease
To confirm clinical expression of sensitivity to foods in patients with Anaphylactic sensitivity or with Asthma, Angioedema or
Cutaneous disease.
To confirm the presence of IgE antibodies to certain occupational allergens
Increased Levels:
Atopic/Non-atopic allergy, Hyper IgE syndrome, Parasitic infections, IgE Myeloma, Bronchopulmonary Aspergillosis,
Immunodeficiency states & Autoimmune diseases, Hodgkin’s disease,etc.
Decreased Levels:
Hereditary deficiencies, Acquired immunodeficiency, Ataxia Telangiectasia, Non IgE Myeloma
Note:
Normal levels of IgE does not eliminate the possibility of allergic diseases
No close correlation has been demonstrated between severity of allergic reaction and IgE levels.
Page 22 of 31
PO No :PO3382657649-278
Name
: Mr.ARYAMAN GARG
Client Name
: TATA 1MG KOLKATA
Age/Gender
Patient ID
Barcode ID/Order ID
Referred By
Sample Type
: 15/Male DOB:
: KOL215740
: D3089824 / 7202958
: Dr.
: Serum
Registration Date
Collection Date
Sample Receive Date
Report Status
Report Date
: 07-May-23 02:16 PM
: 07/May/2023 10:43AM
: 07/May/2023 02:31PM
: Final Report
: 07/May/2023 04:09PM
Immunology
Test Name
Result
Unit
18.30
µU/mL
Bio. Ref. Interval
Method
Insulin - Fasting
Insulin-Fasting
Not established
CMIA
Comment:
Insulin is peptide hormone secreted from Beta cells of pancreas and the secretion is regulated by primarily by the blood glucose levels.
The levels should be measured with the concomitant blood glucose.
Insulin levels are most frequently ordered following an abnormal glucose test and/or when a patient has acute or chronic symptoms of
hypoglycemia, such as sweating, palpitations, hunger, confusion, blurred vision, dizziness, fainting, and seizures (although these can be
caused by other conditions along with low blood glucose)
Uses of Serum Insulin levels:
1.
2.
3.
4.
5.
6.
Evaluation of PCOD
Diagnosis of Insulinoma
Classification of Diabetes mellitus
Diagnosis of fasting hypoglycemia.
Insulin autoimmune syndrome.
To monitor the success of islet cell transplant.
Elevated levels of Insulin may be seen in:
1.
2.
3.
4.
5.
6.
7.
8.
9.
Insulinoma,
Some Type II diabetic patients
Infantile hypoglycemia
Hyperinsulinism
Obesity
Cushing’s syndrome
Oral contraceptives
Acromegaly
Hyperthyroidism
Decreased levels may be seen in :
1. Untreated Type I Diabetes mellitus
Page 23 of 31
PO No :PO3382657649-278
Name
: Mr.ARYAMAN GARG
Client Name
: TATA 1MG KOLKATA
Age/Gender
Patient ID
Barcode ID/Order ID
Referred By
Sample Type
: 15/Male DOB:
: KOL215740
: D3089824 / 7202958
: Dr.
: Serum
Registration Date
Collection Date
Sample Receive Date
Report Status
Report Date
: 07-May-23 02:16 PM
: 07/May/2023 10:43AM
: 07/May/2023 02:31PM
: Final Report
: 07/May/2023 04:09PM
Immunology
Test Name
Result
Unit
Bio. Ref. Interval
Method
2. Hypopituitarism.
Note:
1. A single random blood sample for insulin may provide insufficient information due to wide variation in the time responses of
insulin levels and blood glucose.
2. Stimulation of insulin secretion may be caused by many factors like hyperglycemia, glucagon, amino acids, growth hormone and
catecholamines
3. Interference in insulin assay is seen due to insulin antibodies which develop in patients treated with bovine or porcine insulin
Page 24 of 31
PO No :PO3382657649-278
Name
Age/Gender
Patient ID
Barcode ID/Order ID
Referred By
Sample Type
: Mr.ARYAMAN GARG
: 15/Male DOB:
: KOL215740
: D3089824 / 7202958
: Dr.
: Serum
Client Name
Registration Date
Collection Date
Sample Receive Date
Report Status
Report Date
: TATA 1MG KOLKATA
: 07-May-23 02:16 PM
: 07/May/2023 10:43AM
: 07/May/2023 02:31PM
: Final Report
: 07/May/2023 04:09PM
Immunology
FITNESS ADVANCED PACKAGE FOR MEN WITH SMART REPORT
Test Name
Result
Unit
528.59
ng/dl
Bio. Ref. Interval
Method
Testosterone Total
Testosterone, total
23.28- 948.56
CLIA
Comment:
Stage
Tanner
Tanner
Tanner
Tanner
Tanner
Stage
Stage
Stage
Stage
Stage
I
II
III
IV
V
Male
<7.0 - 13.06 ng/dL
<7.0 - 79.13 ng/dL
<7.0 - 499.18 ng/dL
79.10 - 747.17 ng/dL
224.83 - 669.65 ng/dL
Female
<7.0 - 10.06 ng/dL
<7.0 - 30.11 ng/dL
<7.0 - 30.49 ng/dL
<7.0 - 35.19 ng/dL
1.88 - 39.30 ng/dL
Testosterone is the major androgen in males produced by the Leydig cells of the testes.In females, it is secreted by
adrenal cortex and ovaries.
In serum, testosterone is largely bound to a specific steroid hormone-binding globulin (SHBG) (60%and to albumin (38%),
but it is the free
hormone (2%) that is physiologically active.
The total testosterone level measures both bound and free testosterone in the serum.
Increased in: Idiopathic sexual precocity, adrenal hyperplasia (boys), adrenocortical tumors, trophoblastic disease during
pregnancy, idiopathic hirsutism, virilizing ovarian tumors, PCOD, arrhenoblastoma, virilizing luteoma, testicular feminization
(normal or moderately elevated), hyperthyroidism, Cushing’s Disease, drugs (anticonvulsants, barbiturates, estrogens, oral
contraceptives).
Decreased in: Hypogonadism (primary and secondary), orchidectomy, Klinefelter syndrome, uremia, hemodialysis, hepatic
insufficiency, ethanol, drugs (digoxin, spironolactone, acarbose), excessive exercise.
Note
Free testosterone should be measured in symptomatic patients with normal total testosterone levels.
In men, there is a diurnal variation in serum testosterone with a 20% elevation in levels in the evenings.
Physiological episodic secretion of testosterone may lead to variation in serum levels.
Time of day, age, sex, puberty, pre & post menopause have an influence on testosterone concentration.
Please note test values may very depending on the assay method used.
Page 25 of 31
PO No :PO3382657649-278
Name
Age/Gender
Patient ID
Barcode ID/Order ID
Referred By
Sample Type
: Mr.ARYAMAN GARG
: 15/Male DOB:
: KOL215740
: D3089824 / 7202958
: Dr.
: Serum
Client Name
Registration Date
Collection Date
Sample Receive Date
Report Status
Report Date
: TATA 1MG KOLKATA
: 07-May-23 02:16 PM
: 07/May/2023 10:43AM
: 07/May/2023 02:31PM
: Final Report
: 07/May/2023 04:09PM
Immunology
FITNESS ADVANCED PACKAGE FOR MEN WITH SMART REPORT
Test Name
Result
Unit
Bio. Ref. Interval
Method
Page 26 of 31
PO No :PO3382657649-278
Name
Age/Gender
Patient ID
Barcode ID/Order ID
Referred By
Sample Type
: Mr.ARYAMAN GARG
: 15/Male DOB:
: KOL215740
: D3089824 / 7202958
: Dr.
: Serum
Client Name
Registration Date
Collection Date
Sample Receive Date
Report Status
Report Date
: TATA 1MG KOLKATA
: 07-May-23 02:16 PM
: 07/May/2023 10:43AM
: 07/May/2023 02:31PM
: Final Report
: 07/May/2023 04:09PM
Immunology
FITNESS ADVANCED PACKAGE FOR MEN WITH SMART REPORT
Test Name
Result
Unit
Bio. Ref. Interval
3.25
1.33
3.521
pg/mL
ng/dL
uIU/ml
Method
Thyroid Profile Free
Free T3
Free T4
Thyroid Stimulating Hormone - Ultra
Sensitive
3.0-4.7
0.83-1.43
0.48 - 4.17
CLIA
CLIA
CLIA
Comment:
Below mentioned are the guidelines for pregnancy related reference ranges for TSH, free T3 & free T4.
1st trimester
2nd trimester
3rd trimester
Pregnancy
TSH (μIU/mL) (As per
American Thyroid
FT3 (pg/mL)
Association)
0.1-2.5
2.0 - 3.8
0.2-3.0
2.0 - 3.8
0.3-3.0
2.0 - 3.8
FT4(ng/dL)
0.7- 2.0
0.5-1.6
0.5-1.6
TSH levels are subject to circadian variation, reaching peak levels between 2 - 4.a.m. and at a minimum between 6-10 pm
.
The variation is of the order of 50%, hence time of the day has influence on the measured serum TSH concentrations.
TSH is secreted in a dual fashion: Intermittent pulses constitute 60-70% of total amount, background continuous secretion
is 30-40%.These pulses occur regularly every 1-3 hrs.
Serum TSH level changes significantly in response to even minor changes in thyroid hormones.
The determination of free T3 & free T4 has the advantage of being independent of changes in the concentrations and
binding properties of the binding proteins.
For diagnostic purposes, results should be used in conjunction with other data; e.g., symptoms, results of other thyroid
tests, clinical impressions, etc.
TSH
T3 /FT3
T4/FT4
Interpretation
High
Normal
Normal
Subclinical Hypothyroidism
Low
Normal
Normal
Subclinical Hyperthyroidism
High
High
High
Secondary Hyperthyroidism
Page 27 of 31
PO No :PO3382657649-278
Name
Age/Gender
Patient ID
Barcode ID/Order ID
Referred By
Sample Type
: Mr.ARYAMAN GARG
: 15/Male DOB:
: KOL215740
: D3089824 / 7202958
: Dr.
: Serum
Client Name
Registration Date
Collection Date
Sample Receive Date
Report Status
Report Date
: TATA 1MG KOLKATA
: 07-May-23 02:16 PM
: 07/May/2023 10:43AM
: 07/May/2023 02:31PM
: Final Report
: 07/May/2023 04:09PM
Immunology
FITNESS ADVANCED PACKAGE FOR MEN WITH SMART REPORT
Test Name
Result
Unit
Low
High/Normal
High/Normal
Hyperthyroidism
Low
Low
Low
Non thyroidal illness / Secondary
Hypothyroidism
Bio. Ref. Interval
Method
Page 28 of 31
PO No :PO3382657649-278
Name
Age/Gender
Patient ID
Barcode ID/Order ID
Referred By
Sample Type
: Mr.ARYAMAN GARG
: 15/Male DOB:
: KOL215740
: D3089824 / 7202958
: Dr.
: Serum
Client Name
Registration Date
Collection Date
Sample Receive Date
Report Status
Report Date
: TATA 1MG KOLKATA
: 07-May-23 02:16 PM
: 07/May/2023 10:43AM
: 07/May/2023 02:31PM
: Final Report
: 07/May/2023 04:09PM
Immunology
FITNESS ADVANCED PACKAGE FOR MEN WITH SMART REPORT
Test Name
Result
Unit
Vitamin D (25-OH)
76.8
ng/ml
Bio. Ref. Interval
Deficiency:< 20,
Insufficiency:20-29,
Sufficiency:30 - 100,
Toxicity possible:> 100
Method
CLIA
Comment:
Vitamin D is a fat-soluble steroid prohormone involved in the intestinal absorption of calcium and the regulation of calcium
homeostasis.
Two forms of vitamin D are biologically relevant - vitamin D3 (Cholecalciferol) and vitamin D2 (Ergocalciferol).
Both vitamins D3 and D2 can be absorbed from food but only an estimated 10-20perc. of vitamin D is supplied through
nutritional intake.
Vitamin D is converted to the active hormone 1,25-(OH)2-vitamin D (Calcitriol) through two hydroxylation reactions. The
first hydroxylation converts vitamin D into 25-OH vitamin D and occurs in the liver. The second hydroxylation converts 25OH vitamin D into the biologically active 1,25-(OH)2-vitamin D and occurs in the kidneys as well as in many other cells of
the body.
Most cells express the vitamin D receptor and about 3perc. of the human genome is directly or indirectly regulated by the
vitamin D endocrine system.
The major storage form of vitamin D is 25-OH vitamin D and is present in the blood at up to 1,000 fold higher
concentration compared to the active 1,25-(OH)2-vitamin D. 25-OH vitamin D has a half-life of 2-3 weeks vs. 4 hours for
1,25-(OH)2-vitamin D. Therefore, 25-OH vitamin D is the analyte of choice for determination of the vitamin D status.
Risk factors for vitamin D deficiency include low sun exposure, inadequate intake, decreased absorption, abnormal
metabolism, vitamin D resistance and and liver or kidney diseases.
Vitamin D deficiency is a cause of secondary hyperparathyroidism and diseases resulting in impaired bone metabolism (like
rickets, osteomalacia).
Recently, many chronic diseases such as cancer, high blood pressure, osteoporosis and several autoimmune diseases
have been linked to vitamin D deficiency.
The assay measures both D2 (Ergocalciferol) and D3 (Cholecalciferol) metabolites of vitamin D
Utility Quantitative determination of 25-hydroxyvitamin D (25-OH vitamin D).
Page 29 of 31
PO No :PO3382657649-278
Name
Age/Gender
Patient ID
Barcode ID/Order ID
Referred By
Sample Type
: Mr.ARYAMAN GARG
: 15/Male DOB:
: KOL215740
: D3089824 / 7202958
: Dr.
: Serum
Client Name
Registration Date
Collection Date
Sample Receive Date
Report Status
Report Date
: TATA 1MG KOLKATA
: 07-May-23 02:16 PM
: 07/May/2023 10:43AM
: 07/May/2023 02:31PM
: Final Report
: 07/May/2023 04:09PM
Immunology
FITNESS ADVANCED PACKAGE FOR MEN WITH SMART REPORT
Test Name
Result
Unit
Vitamin B12
433.0
pg/ml
Bio. Ref. Interval
211 - 911
Method
CLIA
Comment:
Vitamin B12 along with folate is essential for DNA synthesis and myelin formation.
Decreased levels a r e s e e n i n a n a e m i a , t e r m p r e g n a n c y , v e g e t a r i a n d i e t , i n t r i n s i c f a c t o r d e f i c i e n c y , p a r t i a l
gastrectomy/ileal damage, celiac disease, oral contraceptive use, parasitic infestation, pancreatic deficiency, treated
epilepsy, smoking, hemodialysis and advanced age.
Increased levels are seen in renal failure, hepatocelluar disorders, myeloproliferative disorders and at times with excess
supplementation of vitamins pills.
Page 30 of 31
PO No :PO3382657649-278
Name
Age/Gender
Patient ID
Barcode ID/Order ID
Referred By
Sample Type
: Mr.ARYAMAN GARG
: 15/Male DOB:
: KOL215740
: D3089828 / 7202958
: Dr.
: Urine
Client Name
Registration Date
Collection Date
Sample Receive Date
Report Status
Report Date
: TATA 1MG KOLKATA
: 07-May-23 02:16 PM
: 07/May/2023 10:43AM
: 07/May/2023 02:34PM
: Final Report
: 07/May/2023 04:53PM
CLINICAL PATHOLOGY
FITNESS ADVANCED PACKAGE FOR MEN WITH SMART REPORT
Test Name
Result
Unit
Bio. Ref. Interval
Method
Urine Routine & Microscopy
Colour
Appearance
Specific gravity
pH
Glucose
Protein
Ketones
Blood
Bilirubin
Urobilinogen
Leucocyte Esterase
Nitrite
Pus cells
Red Blood Cells
Epithelial cells
Casts
Crystals
Yeast
Bacteria
PALE YELLOW
CLEAR
1.010
6.0
NEGATIVE
NEGATIVE
NEGATIVE
NEGATIVE
NEGATIVE
NORMAL
NEGATIVE
NEGATIVE
2-3
NIL
1-2
NIL
NIL
NIL
NIL
/hpf
/hpf
/hpf
Pale Yellow
Clear
1.005 - 1.030
5.0 - 8.5
Negative
Negative
Negative
Negative
Negative
Normal
Negative
Negative
0-5
few
Few
Nil
Nil
Nil
Nil
Manual
Manual
pKa change
Double Indicator
GOD-POD
Protein Error Principle
Nitroprusside
Peroxidase
Diazonium
Ehrlich
Pyrrole
Sulbhanilamide Diazo
Microscopy
Microscopy
Microscopy
Microscopy
Microscopy
Microscopy
Microscopy
Comment:
•Note: Pre-test condition to be observed while submitting the sample-first void, mid stream urine, collected in a clean, dry, sterile
container is recommended for routine urine analysis, avoid contamination with any discharge from vaginal, urethra, perineum,
Avoid prolonged transit time & undue exposure to sunlight.
•During interpretation, points to be considered are Negative nitrite test does not exclude the urinary tract infections. Trace
proteinuria can be seen with many physiological conditions like prolonged recumbency, exercise, high protein diet. False positive
reactions for bile pigments, proteins, glucose and nitrites can be caused by peroxidase like activity by disinfectants, therapeutic
dyes, ascorbic acid and certain drugs.• Urine microscopy is done in centrifuged urine specimens
*** End Of Report ***
Page 31 of 31
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Conditions of Laboratory Testing & Reporting:
Test results released pertain to the sample, as received. laboratory investigations are only a tool to facilitate in arriving at a diagnosis and should be
clinically correlated by the interpreting clinician. Result delays may happen because of unforeseen or uncontrollable circumstances. Test report may vary
depending on the assay method used. Test results may show inter-laboratory variations. Test results are not valid for medico-legal purposes. Please mail
your queries related to test results to Customer Care mall ID cs.labs@lmg.com
Disclaimer: Results re/ate only to the sample received. Test results marked "BOLD" indicate abnormal results i.e. higher or lower than normal. All lab test
results are subject to clinical interpretation by a qualified medico/ professional. This report cannot be used for any medico-legal purposes. Partial
reproduction of the test results is not permitted. Also, TA TA 1mg Lobs is not responsible for any misinterpretation or misuse of the information. The test
reports alone may not be conclusive of the disease/condition, hence clinical correlation is necessary. Reports should be vetted by o qualified doctor only.