Fico Home Collection Package for Male - Report
Fico Home Collection Package for Male - Report
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. HbA1C may be increased in patients with polycythemia or post-splenectomy.
4. Trends in HbA1c are a better indicator of diabetic control than a solitary test.
5. Any sample with >15% HbA1C should be suspected of having a hemoglobin variant, especially in a non-diabetic patients
6. HbA1c target in pregnancy is to attain level <6 % .
7. HbA1c target in pediatric age group is to attain level < 7.5 %.
Method : ion-exchange high-performance liquid chromatography (HPLC).
Reference : American Diabetes Associations. Standards of Medical Care in Diabetes 2023
Page 1 of 19
SIN No:E2464898
Patient Name : Aryaman Sharma Barcode : E2464898
Age/Gender : 22Y 0M 0D /Male Sample Collected On : 27/Feb/2025 07:05AM
Order Id : 12893051460 Sample Received On : 27/Feb/2025 01:00PM
Referred By : Self Report Generated On : 27/Feb/2025 02:00PM
Customer Since : 27/Feb/2025 Sample Temperature : Maintained
Sample Type : Flouride Plasma Report Status : Final Report
DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval
Conditions that can result in an elevated blood glucose level include: Acromegaly, Acute stress (response to trauma, heart attack, and stroke for
instance), Chronic kidney disease, Cushing syndrome, Excessive consumption of food, Hyperthyroidism, Pancreatitis
A low level of glucose may indicate hypoglycemia, a condition characterized by a drop in blood glucose to a level where first it causes nervous
system symptoms (sweating, palpitations, hunger, trembling, and anxiety), then begins to affect the brain (causing confusion, hallucinations,
blurred vision, and sometimes even coma and death). A low blood glucose level (hypoglycemia) may be seen with:Adrenal insufficiency, Drinking
excessive alcohol, Severe liver disease, Hypopituitarism, Hypothyroidism, Severe infections, Severe heart failure, Chronic kidney (renal) failure,
Insulin overdose, Tumors that produce insulin (insulinomas), Starvation.
Page 2 of 19
SIN No:E2464898
Patient Name : Aryaman Sharma Barcode : E2464898
Age/Gender : 22Y 0M 0D /Male Sample Collected On : 27/Feb/2025 07:05AM
Order Id : 12893051460 Sample Received On : 27/Feb/2025 12:54PM
Referred By : Self Report Generated On : 27/Feb/2025 02:11PM
Customer Since : 27/Feb/2025 Sample Temperature : Maintained
Sample Type : Serum Report Status : Final Report
DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval
Potassium - Serum
Serum Potassium 4.18 mmol/L 3.5 - 5.5
Method: ISE (Indirect)
Machine: BECKMAN COULTER AU700
Interpretation:-
Potassium is a primary intracellular ion,only 2 % is extracellular , high intracellular concentration is maintained by a Na- K ATPase pump, which continuously
transports potassium into the cell against a concentration gradient .The pump is a critical factor in maintaining and adjusting the ionic gradients , on which nerve
impulse transmission and contractility of cardiac and skeletal muscle depends.In acidemia,potassium moves out of the cells , in alkalemia , potassium moves into the
cells . Hypokalemia inhibits aldosterone production and hyperkalemia stimulates aldosterone production.
Page 3 of 19
SIN No:E2464898
Patient Name : Aryaman Sharma Barcode : E2464898
Age/Gender : 22Y 0M 0D /Male Sample Collected On : 27/Feb/2025 07:05AM
Order Id : 12893051460 Sample Received On : 27/Feb/2025 12:54PM
Referred By : Self Report Generated On : 27/Feb/2025 02:11PM
Customer Since : 27/Feb/2025 Sample Temperature : Maintained
Sample Type : Serum Report Status : Final Report
DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval
Page 4 of 19
SIN No:E2464898
Patient Name : Aryaman Sharma Barcode : E2464898
Age/Gender : 22Y 0M 0D /Male Sample Collected On : 27/Feb/2025 07:05AM
Order Id : 12893051460 Sample Received On : 27/Feb/2025 12:54PM
Referred By : Self Report Generated On : 27/Feb/2025 02:11PM
Customer Since : 27/Feb/2025 Sample Temperature : Maintained
Sample Type : Serum Report Status : Final Report
DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval
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.
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 19
SIN No:E2464898
Patient Name : Aryaman Sharma Barcode : E2464898
Age/Gender : 22Y 0M 0D /Male Sample Collected On : 27/Feb/2025 07:05AM
Order Id : 12893051460 Sample Received On : 27/Feb/2025 12:54PM
Referred By : Self Report Generated On : 27/Feb/2025 02:11PM
Customer Since : 27/Feb/2025 Sample Temperature : Maintained
Sample Type : SERUM Report Status : Final Report
DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval
Page 6 of 19
SIN No:E2464898
Patient Name : Aryaman Sharma Barcode : E2464898
Age/Gender : 22Y 0M 0D /Male Sample Collected On : 27/Feb/2025 07:05AM
Order Id : 12893051460 Sample Received On : 27/Feb/2025 12:54PM
Referred By : Self Report Generated On : 27/Feb/2025 02:11PM
Customer Since : 27/Feb/2025 Sample Temperature : Maintained
Sample Type : SERUM Report Status : Final Report
DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval
Page 7 of 19
SIN No:E2464898
Patient Name : Aryaman Sharma Barcode : E2464898
Age/Gender : 22Y 0M 0D /Male Sample Collected On : 27/Feb/2025 07:05AM
Order Id : 12893051460 Sample Received On : 27/Feb/2025 12:54PM
Referred By : Self Report Generated On : 27/Feb/2025 02:11PM
Customer Since : 27/Feb/2025 Sample Temperature : Maintained
Sample Type : SERUM Report Status : Final Report
DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval
Lipid Profile
Total Cholesterol 153.4 mg/dl Desirable : <200
Method: Enzymatic Borderline: 200-239
Machine: BECKMAN COULTER AU700
High : >/=240
Serum Triglycerides 75.1 mg/dl Desirable : <150
Method: Enzymatic Borderline high : 150-199
Machine: BECKMAN COULTER AU700
High : 200-499
Very high : >= 500
Serum HDL Cholesterol 44.9 mg/dl 40 - 60
Method: Enzymatic immuno inhibition
Machine: BECKMAN COULTER AU700
LDL Cholesterol Calculated 93.48 mg/dl Optimal : <100
Method: Calculated near /above Optimal:100 -
129
Borderline High: 130- 159
High : 160 - 189
Very High :>/=190
VLDL Cholesterol Calculated 15.02 mg/dl <30
Method: Calculated
Total CHOL / HDL Cholesterol Ratio 3.42 Ratio 3.30 - 4.40
Method: Calculated
LDL / HDL Cholesterol Ratio 2.08 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 0.48 Ratio Optimal->0.4
Method: Calculated Moderate-0.4 to 0.3
High-<0.3
Non-HDL Cholesterol 108.5 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.
Page 8 of 19
SIN No:E2464898
Patient Name : Aryaman Sharma Barcode : E2464898
Age/Gender : 22Y 0M 0D /Male Sample Collected On : 27/Feb/2025 07:05AM
Order Id : 12893051460 Sample Received On : 27/Feb/2025 12:54PM
Referred By : Self Report Generated On : 27/Feb/2025 02:11PM
Customer Since : 27/Feb/2025 Sample Temperature : Maintained
Sample Type : SERUM Report Status : Final Report
DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval
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
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 9 of 19
SIN No:E2464898
Patient Name : Aryaman Sharma Barcode : E2464898
Age/Gender : 22Y 0M 0D /Male Sample Collected On : 27/Feb/2025 07:05AM
Order Id : 12893051460 Sample Received On : 27/Feb/2025 01:10PM
Referred By : Self Report Generated On : 27/Feb/2025 04:11PM
Customer Since : 27/Feb/2025 Sample Temperature : Maintained
Sample Type : URINE Report Status : Final Report
Page 10 of 19
SIN No:E2464898
Patient Name : Aryaman Sharma Barcode : E2464898
Age/Gender : 22Y 0M 0D /Male Sample Collected On : 27/Feb/2025 07:05AM
Order Id : 12893051460 Sample Received On : 27/Feb/2025 01:10PM
Referred By : Self Report Generated On : 27/Feb/2025 04:11PM
Customer Since : 27/Feb/2025 Sample Temperature : Maintained
Sample Type : URINE Report Status : Final Report
Method: Microscopy
RBCs Nil /HPF Nil
Method: Microscopy
Casts Nil Nil
Method: Microscopy
Crystals Nil Nil
Method: Microscopy
Bacteria Absent Absent
Method: Microscopy
Yeast Cell Nil
Others (Non Specific) Nil
Method: Microscopy
The main indication for testing for glucose in urine is detection of unsuspected diabetes mellitus or follow-up of known diabetic patients. Renal
glycosuria accounts for 5% of cases of glycosuria in general population.
Proteinuria can be seen in nephrotic syndrome, pyelonephritis, heavy metal poisoning, tuberculosis of kidney, interstitial nephritis, cystinosis,
Fanconi syndrome , rejection of kidney transplant. Hemodynamic proteinuria is transient and can be seen in high fever, hypertension, heavy
exercise, congestive cardiac failure, seizures, and exposure to cold. Post-renal proteinuria is caused by inflammatory or neoplastic conditions in
renal pelvis, ureter, bladder, prostate, or urethra.
Ketonuria can be seen in uncontrolled Diabetes mellitus with ketoacidosis, Glycogen storage disorder, starvation, persistent vomiting in children,
weight reduction program, fever in children, severe thyrotoxicosis, pregnancy and protein calorie malnutrition.
Presence of bilirubin in urine indicates conjugated hyperbilirubinemia (obstructive or hepatocellular jaundice). Bile salts along with bilirubin can
be detected in urine in cases of obstructive jaundice. Normally about 0.5-4 mg of urobilinogen is excreted in urine in 24 hours. Therefore, a small
amount of urobilinogen is normally detectable in urine. Increased urobilinogen in urine can be seen due to hemolysis , megaloblastic anemia
and haemorrhage in tissues. Decreased urobilinogen can be seen in obstructive jaundice, reduction of intestinal bacterial flora, neonates and
following antibiotic treatment. The presence of abnormal number of intact red blood cells in urine is called as hematuria. It implies presence of a
bleeding lesion in the urinary tract. Hematuria can be seen in glomerular diseases like Glomerulonephritis, Berger’s disease, lupus nephritis,
Henoch-Schonlein purpura, non glomerular diseases like Calculus, tumor, infection, tuberculosis, pyelonephritis, hydronephrosis, polycystic
kidney disease, trauma, after strenuous physical exercise, diseases of prostate (benign hyperplasia of prostate, carcinoma of prostate).
Nitrites are not present in normal urine. Ingested nitrites are converted to nitrate and excreted
in urine. If gram-negative bacteria (e.g. E.coli, Salmonella, Proteus, Klebsiella, etc.) are present in urine, they will reduce the nitrates to nitrites
through the action of bacterial enzyme nitrate reductase. As E. coli is the commonest organism causing urinary tract infection, this test is helpful
as a screening test for urinary tract infection.
Some organisms like Staphylococci or Pseudomonas do not reduce nitrate to nitrite and therefore in such infections nitrite test is negative.
Leucocyte esterase test detects esterase enzyme released in urine from granules of leucocytes. Thus the test is positive in pyuria.
Page 11 of 19
SIN No:E2464898
Patient Name : Aryaman Sharma Barcode : E2464898
Age/Gender : 22Y 0M 0D /Male Sample Collected On : 27/Feb/2025 07:05AM
Order Id : 12893051460 Sample Received On : 27/Feb/2025 01:08PM
Referred By : Self Report Generated On : 27/Feb/2025 02:45PM
Customer Since : 27/Feb/2025 Sample Temperature : Maintained
Sample Type : Whole Blood EDTA Report Status : Final Report
DEPARTMENT OF HAEMATOLOGY
Test Name Value Unit Bio. Ref Interval
PERIPHERAL SMEAR
RBCs RBCs ARE
NORMOCYTIC
NORMOCHROMIC.
WBCs WBCs ARE NORMAL
IN NUMBER WITH
INCREASE IN
MONOCYTES.
PLATELETS PLATELETS ARE
ADEQUATE.
HAEMOPARASITE NO
HAEMOPARASITES
SEEN.
IMPRESSION NORMOCYTIC
NORMOCHROMIC
BLOOD PICTURE
WITH MONOCYTOSIS.
Red Blood cells are evaluated for variation in size, shape, hemoglobin distribution and presence of cellular inclusions.
WBC count is described as increased or decreased and morphology is described as any increased number of particular cells and presence of abnormal cells if any.
Platelet number (increased or decreased) and morphology (presence of giant platelets) is described.
Presence or absence of any hemoparasite is mentioned.
Page 12 of 19
SIN No:E2464898
Patient Name : Aryaman Sharma Barcode : E2464898
Age/Gender : 22Y 0M 0D /Male Sample Collected On : 27/Feb/2025 07:05AM
Order Id : 12893051460 Sample Received On : 27/Feb/2025 01:08PM
Referred By : Self Report Generated On : 27/Feb/2025 01:45PM
Customer Since : 27/Feb/2025 Sample Temperature : Maintained
Sample Type : WHOLE BLOOD EDTA Report Status : Final Report
DEPARTMENT OF HAEMATOLOGY
Test Name Value Unit Bio. Ref Interval
Page 13 of 19
SIN No:E2464898
Patient Name : Aryaman Sharma Barcode : E2464898
Age/Gender : 22Y 0M 0D /Male Sample Collected On : 27/Feb/2025 07:05AM
Order Id : 12893051460 Sample Received On : 27/Feb/2025 01:08PM
Referred By : Self Report Generated On : 27/Feb/2025 01:45PM
Customer Since : 27/Feb/2025 Sample Temperature : Maintained
Sample Type : WHOLE BLOOD EDTA Report Status : Final Report
DEPARTMENT OF HAEMATOLOGY
Test Name Value Unit Bio. Ref Interval
Page 14 of 19
SIN No:E2464898
Patient Name : Aryaman Sharma Barcode : E2464898
Age/Gender : 22Y 0M 0D /Male Sample Collected On : 27/Feb/2025 07:05AM
Order Id : 12893051460 Sample Received On : 27/Feb/2025 01:08PM
Referred By : Self Report Generated On : 27/Feb/2025 01:45PM
Customer Since : 27/Feb/2025 Sample Temperature : Maintained
Sample Type : WHOLE BLOOD EDTA Report Status : Final Report
DEPARTMENT OF HAEMATOLOGY
Test Name Value Unit Bio. Ref Interval
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 15 of 19
SIN No:E2464898
Patient Name : Aryaman Sharma Barcode : E2464898
Age/Gender : 22Y 0M 0D /Male Sample Collected On : 27/Feb/2025 07:05AM
Order Id : 12893051460 Sample Received On : 27/Feb/2025 05:46PM
Referred By : Self Report Generated On : 27/Feb/2025 06:28PM
Customer Since : 27/Feb/2025 Sample Temperature : Maintained
Sample Type : Serum Report Status : Final Report
DEPARTMENT OF IMMUNOLOGY
Test Name Value Unit Bio. Ref Interval
Page 16 of 19
SIN No:E2464898
Patient Name : Aryaman Sharma Barcode : E2464898
Age/Gender : 22Y 0M 0D /Male Sample Collected On : 27/Feb/2025 07:05AM
Order Id : 12893051460 Sample Received On : 27/Feb/2025 12:54PM
Referred By : Self Report Generated On : 27/Feb/2025 01:52PM
Customer Since : 27/Feb/2025 Sample Temperature : Maintained
Sample Type : Serum Report Status : Final Report
DEPARTMENT OF IMMUNOLOGY
Test Name Value Unit Bio. Ref Interval
Vitamin B12
VITAMIN B12 235 pg/mL 211 - 911
Method: CLIA
Machine: Siemens Atellica IM1600
Interpretation
Vitamin B12 is a coenzyme that is involved in two very important metabolic functions vital to normal cell growth and DNA synthesis: 1) the synthesis of methionine
from homocysteine and 2) the conversion of methyl malonyl CoA to succinyl CoA. Deficiency of this vitamin can lead to megaloblastic anemia andultimately to severe
neurological problems. It can also lead to macrocytic anemia, glossitis, peripheral neuropathy, weakness, hyperreflexia, ataxia, loss of proprioception, poor
coordination, and affective behavioral changes. A significant increase in RBC mean corpuscular volume (MCV) may be an important indicator of vitamin B12
deficiency.
Patients taking vitamin B12 supplementation may have misleading results. A normal serum concentration of Vitamin B12 does not rule out tissue deficiency of vitamin
B12. The most sensitive test for Vitamin B12 deficiency at the cellular level is the assay for methyl malonic acid (MMA). If clinicalsymptoms suggest deficiency,
measurement of MMA and homocysteine should be considered, even ifserum B12 concentrations are normal.
Page 17 of 19
SIN No:E2464898
Patient Name : Aryaman Sharma Barcode : E2464898
Age/Gender : 22Y 0M 0D /Male Sample Collected On : 27/Feb/2025 07:05AM
Order Id : 12893051460 Sample Received On : 27/Feb/2025 12:54PM
Referred By : Self Report Generated On : 27/Feb/2025 01:52PM
Customer Since : 27/Feb/2025 Sample Temperature : Maintained
Sample Type : Serum Report Status : Final Report
DEPARTMENT OF IMMUNOLOGY
Test Name Value Unit Bio. Ref Interval
Vitamin D, 25-Hydroxy
VITAMIN D (25 - OH VITAMIN D) 7.74 ng/ml 30 - 100
Method: CLIA
Machine: Siemens Atellica IM1600
VITAMIN D STATUS VITAMIN D 25 HYDROXY (ng/mL), Adult VITAMIN D 25 HYDROXY (ng/mL), Pediatric
DEFICIENCY <20 <15
INSUFFICIENCY 20 - 30 15 - 20
SUFFICIENCY 30 – 100 20 - 100
Vitamin D is a steroid hormone known for its important role in regulating body levels of calcium and phosphorus and in the mineralization of bone
Uses :
Increased in
Vitamin D intoxication
Excessive exposure to sunlight
Decreased in
Malabsorption
Steatorrhoea
Dietary osteomalacia
Thyrotoxicosis
Coeliac disease
Inflammatory bowel disease
Rickets
Pancreatic insufficiency
Page 18 of 19
SIN No:E2464898
Patient Name : Aryaman Sharma Barcode : E2464898
Age/Gender : 22Y 0M 0D /Male Sample Collected On : 27/Feb/2025 07:05AM
Order Id : 12893051460 Sample Received On : 27/Feb/2025 12:54PM
Referred By : Self Report Generated On : 27/Feb/2025 01:52PM
Customer Since : 27/Feb/2025 Sample Temperature : Maintained
Sample Type : Serum Report Status : Final Report
DEPARTMENT OF IMMUNOLOGY
Test Name Value Unit Bio. Ref Interval
Pregnancy interval Bio Ref Range for TSH in uIU/ml (As per American Thyroid Association)
First trimester 0.1 - 2.5
Second trimester 0.2 – 3.0
Third trimester 0.3 – 3.0
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 even in 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 influence the levels of thyroid hormones such as L-Dopa, Lithium, Glucocorticoids, Phenytoin etc.
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 19 of 19
SIN No:E2464898