Health Checkup Report
Health Checkup Report
Test Report
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Test Report
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Test Report
       Note
          1.  Measurements in the same patient can show physiological & analytical variations. Three serial
              samples 1 week apart are recommended for Total Cholesterol, Triglycerides, HDL& LDL Cholesterol.
           2. Additional testing for Apolipoprotein B, hsCRP, Lp(a ) & LP-PLA2 should be considered
              among patients with moderate risk for ASCVD for risk refinement.
                                                     *456068234*                                                      Page 3 of 12
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Test Report
       Interpretation
         --------------------------------------------------------------------------------------------
       | LEVEL          | REFERENCE RANGE IN nmol/L| COMMENTS                                         |
       |---------------|--------------------------|-------------------------------------------------|
       | Deficient      |          < 50            | High risk for developing bone disease            |
       |---------------|--------------------------|-------------------------------------------------|
       | Insufficient |            50-74           | Vitamin D concentration which normalizes         |
       |                |                          | Parathyroid hormone concentration                |
       |---------------|--------------------------|-------------------------------------------------|
       | Sufficient     |          75-250          | Optimal concentration for maximal health benefit|
       |---------------|--------------------------|-------------------------------------------------|
       | Potential      |          >250            | High risk for toxic effects                      |
       | intoxication |                            |                                                  |
         --------------------------------------------------------------------------------------------
       Note
           ·     The assay measures both D2 (Ergocalciferol) and D3 (Cholecalciferol) metabolites of vitamin D.
           ·     25 (OH)D is influenced by sunlight, latitude, skin pigmentation, sunscreen use and hepatic function.
           ·     Optimal calcium absorption requires vitamin D 25 (OH) levels exceeding 75 nmol/L.
           ·     It shows seasonal variation, with values being 40-50% lower in winter than in summer.
           ·     Levels vary with age and are increased in pregnancy.
           ·     A new test Vitamin D, Ultrasensitive by LC-MS/MS is also available
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Test Report
       Note
                 1. 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.
                 2. Alteration in concentration of Thyroid hormone binding protein can profoundly affect Total T3 and/or
                    Total T4 levels especially in pregnancy and in patients on steroid therapy.
                 3. Unbound fraction ( Free,T4 /Free,T3) of thyroid hormone is biologically active form and correlate
                    more closely with clinical status of the patient than total T4/T3 concentration
                 4. Values <0.03 uIU/mL need to be clinically correlated due to presence of a rare TSH variant in
                    some individuals
       AMYLASE, SERUM
       (IFCC)
                                                      *456068234*                                                         Page 5 of 12
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Test Report
       Notes
           1. Interpretation of the result should be considered in relation to clinical circumstances.
           2. It is recommended to consider supplementary testing with plasma Methylmalonic acid (MMA) or
              plasma homocysteine levels to determine biochemical cobalamin deficiency in presence of clinical
              suspicion of deficiency but indeterminate levels. Homocysteine levels are more sensitive but MMA is
              more specific
           3. False increase in Vitamin B12 levels may be observed in patients with intrinsic factor blocking
              antibodies, MMA measurement should be considered in such patients
           4. The concentration of Vitamin B12 obtained with different assay methods cannot be used
              interchangeably due to differences in assay methods and reagent specificity
                                                     *456068234*                                                     Page 6 of 12
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Test Report
      Interpretation
      HbA1c result is suggestive of at risk for Diabetes (Prediabetes)/ well controlled Diabetes in a known Diabetic
       Interpretation as per American Diabetes Association (ADA) Guidelines
         ------------------------------------------------------------------------------------------
       | Reference Group | Non diabetic       | At risk       | Diagnosing | Therapeutic goals      |
       |                  | adults >=18 years | (Prediabetes) | Diabetes    | for glycemic control |
       | ----------------|-------------------|---------------|-------------|----------------------|
       | HbA1c in %       | 4.0-5.6           | 5.7-6.4       | >= 6.5      | <7.0                  |
         ------------------------------------------------------------------------------------------
       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.
         ---------------------------------------------------------------------------------
       | FACTORS THAT INTERFERE WITH HbA1C     | FACTORS THAT AFFECT INTERPRETATION        |
       | MEASUREMENT                           | OF HBA1C RESULTS                          |
       |--------------------------------------|------------------------------------------|
       | Hemoglobin variants,elevated fetal    | Any condition that shortens erythrocyte |
       | hemoglobin (HbF) and chemically       | survival or decreases mean erythrocyte    |
       | modified derivatives of hemoglobin    | age (e.g.,recovery from acute blood loss,|
       | (e.g. carbamylated Hb in patients     | hemolytic anemia, HbSS, HbCC, and HbSC) |
       | with renal failure) can affect the    | will falsely lower HbA1c test results     |
       | accuracy of HbA1c measurements        | regardless of the assay method used.Iron |
       |                                       | deficiency anemia is associated with      |
       |                                       | higher HbA1c                              |
         ---------------------------------------------------------------------------------
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Test Report
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       Apolipoprotein B
        -----------------------------------------------------------------------------
       | RESULT IN mg/dL          |               REMARKS                            |
       |--------------------------|-------------------------------------------------|
       | <23                      |Abetalipoproteinemia/Hypobetalipoproteinemia      |
       |--------------------------|-------------------------------------------------|
       | 23-45                    |Hypobetalipoproteinemia                           |
       |--------------------------|-------------------------------------------------|
       | 46-135                   |Normal                                            |
       | -------------------------|-------------------------------------------------|
       | >135                     |Hyperapobetalipoproteinemia/Increased CAD risk    |
        --------------------------|-------------------------------------------------
       Apo B to A1 Ratio
        -------------------------------
       | RATIO      | REMARKS          |
       |------------|------------------|
       | 0.35-0.98 | Desirable         |
       |------------|------------------|
       | >0.98      |Increased CAD risk|
        -------------------------------
                                                     *456068234*                                                  Page 9 of 12
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Test Report
Physical
pH 5 5.0 - 8.0
Chemical
Microscopy
      Result Rechecked,
      Please Correlate Clinically.
    Result Rechecked,
    Please Correlate Clinically.
                                                      *456068234*
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Test Report
       HEMOGRAM
       (DC Detection, Flow Cytometry, SLS, & Capillary photometry)
       Hemoglobin                                                    8.90                           g/dL                   12.00 - 15.00
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Test Report
                                                                                    IMPORTANT INSTRUCTIONS
       ŸTest results released pertain to the specimen submitted .ŸAll test                          results are dependent on the quality of the sample received by the Laboratory .
       ŸLaboratory investigations are only a tool to facilitate in arriving at                      a diagnosis and should be clinically correlated by the Referring Physician .ŸReport
       delivery may be delayed due to unforeseen circumstances. Inconvenience is regretted .ŸCertain tests may require further testing at additional cost
       for   derivation    of     exact   value.   Kindly     submit   request    within          72 hours                     post                reporting.ŸTest       results   may    show   interlaboratory   variations .ŸThe
       Courts/Forum at Delhi shall have exclusive jurisdiction in all disputes /claims concerning the test(s) & or results of test(s).ŸTest results are not valid
       for    medico      legal    purposes.ŸThis      is     computer     generated         medical                    diagnostic                    report   that       has      been   validated   by     Authorized   Medical
       Practitioner/Doctor. ŸThe report does not need physical signature.
       (#) Sample drawn from outside source.
       If Test results are alarming or unexpected, client is advised to contact the Customer Care immediately for possible remedial action.
       Tel: +91-11-49885050,Fax: - +91-11-2788-2134, E-mail: lalpathlabs@lalpathlabs.com
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