Description: Comprehensive Blood Tests: Metabolic, Kidney, Liver, Lipid, and Hormone Panels
Comprehensive Metabolic Panel (CMP-14) with eGFR Blood Test
Glucose—Measures blood sugar levels, the most direct test for screening diabetes and managing the condition.
Kidney Profile
- Blood Urea Nitrogen (BUN)—An Indicator of Kidney Function.
- Creatinine, Serum—An Indicator of Kidney Function.
- BUN/Creatinine Ratio—Calculated by dividing BUN by creatinine. This ratio can indicate conditions such as dehydration or intestinal bleeding.
- Estimated Glomerular Filtration Rate (eGFR)—Assesses kidney function to determine the stage of kidney disease and detect early kidney damage.
Liver Panel
- Total Protein—Helps assess liver and kidney function as well as nutritional health.
- Albumin, Serum—A major protein essential for liver and kidney function.
- Total Globulin—A major protein involved in blood clotting and immune defence.
- Albumin/Globulin Ratio—Calculated by dividing albumin by globulin. When analysed with other test results, it helps diagnose various liver conditions.
- Total Bilirubin—Helps detect hepatitis, sickle cell anaemia, cirrhosis, and alcohol or drug abuse. High levels may cause jaundice.
- Alkaline Phosphatase—A protein essential for detecting bone disorders and liver disease.
- Aspartate Aminotransferase (AST or SGOT)—An enzyme used to evaluate liver function. Elevated levels may indicate hepatitis.
- Alanine Aminotransferase (ALT or SGPT)—An enzyme used to detect liver damage. Abnormal levels may indicate liver disease.
Fluids & Electrolytes
- Sodium—A key electrolyte that regulates water balance and nerve and muscle function.
- Potassium—Helps control nerve and muscle activity.
- Chloride—Works with sodium to maintain electrolyte balance.
- Total Carbon Dioxide (CO₂)—Helps detect, evaluate, and monitor electrolyte imbalances.
- Calcium—A mineral essential for bone and tooth health, muscle function, nerve transmission, and blood clotting.
Lipid Panel
Includes total cholesterol, high-density lipoprotein (HDL) cholesterol, low-density lipoprotein (LDL) cholesterol (calculated), triglycerides, and very low-density lipoprotein (VLDL) cholesterol (calculated).
Testosterone (Total and Free)
Testosterone is a hormone responsible for male characteristics. Blood levels are measured in men to evaluate abnormal sexual development and dysfunction. In women, small amounts are produced in the ovaries, and testing helps assess signs of virilization.
- Free testosterone is typically <2% of total testosterone. In most men and women, >50% of total circulating testosterone is bound to sex hormone-binding globulin (SHBG), with the remainder bound to albumin.
- Standard assay methods for total testosterone lack the sensitivity to accurately measure free testosterone directly. This test estimates free testosterone using a direct, analog radioimmunoassay method, which uses a labeled testosterone analog with low binding affinity for SHBG and albumin but high affinity for the antitestosterone antibody used in the assay.
Sex Hormone-Binding Globulin (SHBG)
SHBG is a liver-produced protein that binds to sex hormones in both men and women, including:
- Testosterone—the primary male sex hormone.
- Dihydrotestosterone (DHT)—Another potent male sex hormone.
Homocysteine
Helps diagnose B12 and folate deficiencies and assess the risk of heart disease and stroke.
C-Reactive Protein, High Sensitivity (CRP, hs)
- High-sensitivity CRP assays enhance the predictive value of other cardiovascular risk markers.
- CRP increases due to various disease processes, including tissue injury, infection, and inflammation.
- CRP results should be interpreted alongside clinical history, as recent medical events may elevate CRP levels.
- Serial CRP measurements should not be used to monitor treatment efficacy.
Thyroid Panel with Thyroid-Stimulating Hormone (TSH)
Thyroid function is critical for metabolism, energy levels, heart rate, and weight regulation. The thyroid-stimulating hormone (TSH), produced by the pituitary gland, regulates thyroid hormone production. This panel includes:
- T3 Uptake
- T4 (Thyroxine), Free
- Free Thyroxine Index (T7)
- Thyroid-Stimulating Hormone (TSH)
Free T3
Assesses thyroid function and identifies abnormal protein-binding disorders.
Free T4
- Used when binding globulin (TBG) abnormalities are suspected or when conventional test results do not align with clinical observations.
- Free T4 levels should remain normal in euthyroid individuals with high thyroxine-binding globulin levels.
- It should also be normal in familial dysalbuminemic hyperthyroxinemia.
Estradiol
Estrogen hormones regulate female sexual development and function. The three main types of estrogen are:
- Estrone (E1)
- Estradiol (E2)—Primarily produced in women's ovaries; in men, mainly from the testes and adrenal glands.
- Estriol (E3)
Normal estradiol levels support ovulation, conception, pregnancy, bone health, and cholesterol regulation.
DHEA-S (Dehydroepiandrosterone Sulphate)
- An androgen present in both men and women, involved in male puberty and secondary sexual characteristics.
- Can convert into stronger androgens (testosterone and androstenedione) or oestrogen.
- Primarily produced by the adrenal cortex, with smaller amounts from the ovaries and testes.
- Controlled by adrenocorticotropic hormone (ACTH).
- Elevated levels may indicate adrenal tumours, cancer, or hyperplasia and can cause symptoms such as amenorrhoea and virilisation in women.
IGF-1 (Somatomedin-C)
- Produced by the liver in response to growth hormone (GH) from the pituitary gland.
- Evaluates growth disturbances and monitors growth hormone therapy.
Frequently Asked Questions
Do I Need to Book an Appointment at PULSE Clinic?
You can either walk into any of our clinics to get tested and treated, or you can book an appointment beforehand to streamline the process, making your wait time shorter.
- Here's how:
- Go to the PULSE Clinic Booking page (or click Book an Appointment Now button below)
- Choose your preferred location
- Choose the service you want to avail of
- Choose your preferred appointment date and time
- Fill out the necessary details
- Confirm booking
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