Asha - 220116000010714
Asha - 220116000010714
Asha - 220116000010714
TruHealth Advance
BUN-Blood Urea Nitrogen 31.1 mg/dL 8-23
(Serum,Urease) Note: Change in method and
reference range
Remark: In blood, Urea is usually reported as BUN and expressed in mg/dl. BUN mass units can be converted to urea mass units
by multiplying by 2.14.
Lipid Profile-2
(Serum)
Cholesterol-Total 150 mg/dL Desirable: < 200
(Enzymatic) Borderline High: 200-240
High: >= 240
Triglycerides level 154 mg/dL Normal: < 150
(Enzymatic) Borderline High: 150-199
High: 200-499
Very High: >= 500
HDL Cholesterol 31 mg/dL Major risk factor for heart
(Homogeneous enzymatic colorimetric assay) disease: < 40
Negative risk factor for heart
disease: >= 60
Non HDL Cholesterol 119.0 mg/dL Optimal: < 130
(Enzymatic) Desirable: 130-159
Borderline high: 159-189
High: 189-220
Very High: >= 220
LDL Cholesterol 88.2 mg/dL Optimal: < 100
(Enzymatic) Near Optimal: 100-129
Borderline high: 130-159
High: 160-189
Very High: >= 190
VLDL Cholesterol 30.8 mg/dL 6-38
(Enzymatic)
LDL/HDL RATIO 2.85 2.5-3.5
(Enzymatic)
CHOL/HDL RATIO 4.84 3.5-5
(Enzymatic)
Note: Reference Interval as per National Cholesterol Education Program (NCEP) Adult Treatment Panel III Report.
Interpretation :
1. Vit B12 levels are decreased in megaloblastic anemia, partial/total gastrectomy, pernicious anemia, peripheral neuropathies,
chronic alcoholism, senile dementia, and treated epilepsy.
2. An associated increase in homocysteine levels is an independent risk marker for cardiovascular disease and deep vein
thrombosis.
3. Holo Transcobalamin II levels are a more accurate marker of active VitB12 component.
Caution:
• Patients on Biotin supplement may have interference in some immunoassays. With individuals taking high dose Biotin (more
than 5 mg per day) supplements, at least 8-hour wait time before blood draw is recommended.
Disclaimer:
• High levels of Vitamin B12 may be due to exogenous supplementation. Kindly correlate clinically.
Associated Tests
• Active Vitamin B12 (V0012), Homocysteine reflex Vitamin B12-folate serum (H0310), Homocysteine Serum (H0254),RBC
Folate R0007.
Reference:
1. Package insert
2. Arch Pathol Lab Med—Vol 141, November 2017
Interpretation :
• Increased TSH is seen with intake of Iodine, Lithium, Amiodarone drugs and also indicates considerable physiologic &
seasonal variation.
• Decreased TSH values require correlation with patient age & clinical symptoms and seen with intake of few drugs e.g. L-
dopa, glucocorticoids.
• Transient alteration in TSH is seen in non-thyroidal illness like severe infections, liver disease, renal and heart failure, severe
burns, trauma and surgery etc.
Clinical Utility: Levels of TSH are used for monitoring of thyroid related disorders.
Caution: Patients on Biotin supplement may have interference in some immunoassays. For sample collection, at least 8-hours wait
time is recommended for individuals taking high dose of Biotin (more than 5 mg per day) supplements.
Note: TSH levels may fluctuate based on few factors such as pregnancy, illness and age. Also, time of sample collection,
technologies used to analyze the test, usage of certain drugs, diet may have impact on TSH levels. TSH may show around 50%
variation even when done at different times of day due to its association with circadian rhythm.
Associated Tests: T3 (T0029), T4 (T0031) free T3 (T0028), free T4 (T0030), reverse T3 (R1004), Thyroid Antibodies (T0061),
Thyroid Comprehensive Profile-1 (T0062)
Reference:
• Clinical Chemistry 50:12, 2338-2344 (2004) and Ind J Clin Biochem (Apr-June 2014) 29(2):189–195.
• Ref: Arch Pathol Lab Med—Vol 141, November 2017.
• Fisher DA. Physiological variations in thyroid hormones: physiological and pathophysiological considerations. Clin Chem.
1996 Jan;42(1):135-9. PMID: 8565215
Interpretation :
Total T3 & T4 values may also be altered in other conditions due to changes in serum proteins or binding sites Pregnancy, Drugs
(Androgens,Estrogens, O C Pills ,Phenytoin), Nephrosis etc. In such cases Free T3 and Free T4 give corrected values.
Interpretation :
Total T3 & T4 values may also be altered in other conditions due to changes in serum proteins or binding sites Pregnancy, Drugs
(Androgens,Estrogens, O C Pills ,Phenytoin), Nephrosis etc. In such cases Free T3 and Free T4 give corrected values.
TruHealth Advance
Routine Examination Urine
Investigation Observed Value Unit Biological Reference Interval
General Examination
Colour Pale Yellow Pale Yellow
Transparency (Appearance) Slightly Turbid Clear
Reaction (pH) 5 4.5-8
Specific gravity 1.010 1.010-1.030
Chemical Examination
Urine Protein (Albumin) Present Trace Absent
(Protein error of indicator)
Urine Ketones (Acetone) Absent Absent
(Legals test)
Urine Glucose Absent Absent
(GOD POD reflectometric analysis)
Bile pigments Absent Absent
(Diazonium salt)
Urobilinogen Normal Normal
(Diazonium salt)
Nitrite Negative Negative
(Griess test)
Bilirubin Negative Negative
Microscopic Examination
Red blood cells Absent /hpf 0-2
Pus cells (WBCs) 20-25 /hpf 0-5
Epithelial cells 4-6 /hpf 0-5
Crystals Absent Absent
Cast Absent Absent
Bacteria Present Absent
Yeast cells Absent Absent
All urine samples are checked for adequacy and suitability before examination
-- End of Report --