Sample Collected At :LUDHIANA 4(Gurudwara Kuhisar Sahib, A.T.

I Road, Ludhiana)
Name: Mr. TARANJEET SINGH UID.: 800542
Age/Gender: 50 Y/Male Registered on: 19/Oct/2024 09:31AM
Mobile: 9417507880 Sample collected on: 19/Oct/2024 09:48AM
Lab No: 0912410190021 Sample received on: 19/Oct/2024 05:21PM
BarcodeNo: 11331188 Report released on.: 19/Oct/2024 06:15PM
Referred By.: Self Report status: Final
Test Name: LIVER PROFILE (LFT),LIPID PROFILE,KIDNEY PROFILE (KFT),Iron Profile,Vitamin B12,THYROID
PROF
Net Amt: Rs.800 Paid Amt: Rs.800 Balance Amt: Rs.0
Life Care Foundation

HAEMATOLOGY
Test Name Value Unit Bio Ref.Interval

CBC- Whole Blood EDTA

Haemoglobin (HB) 14.8 g/dL 13.0 - 17.0
Method -Cyanide free SLS hemoglobin detection method

PCV / Haematocrit 42.3 % 40.0 - 50.0

Method -Calculated

Red Blood Cell (RBC) 4.58 Million/mm3 4.5 - 5.5

Method -Hydrodynamic Focussing method
Mean Corp. Volume (MCV) 92.4 fL 80.0 - 100.0
Method -Derived from RBC histogram
Mean Corp. HB (MCH) 32.3 H pg 27 - 32
Method -Calculated

Mean Corp. HB Con. (MCHC) 35 H gm/dL 31.5 - 34.5

Method -Calculated
Red Cell Distribution Width-CV 11.9 % 11.6 - 14.0
Method -Derived from RBC histogram
Red Cell Distribution Width-SD 39.8 35.0 - 56.0
Method -Derived from RBC histogram
Total Leucocyte Count (TLC) 5.8 10^3/mm^3 4.0 - 10.0
Method -Flowcytometry method using a semiconductor laser
DIFFERENTIAL LEUCOCYTE COUNT
Neutrophils 60 % 40 - 80
Method -Flowcytometry method using a semiconductor
Lymphocytes 27 % 20 - 40
Method -Flowcytometry method using a semiconductor
Monocytes 11 H % 2 - 10
Method -Flowcytometry method using a semiconductor
Eosinophils 2 % 1-6
Method -Flowcytometry method using a semiconductor

Basophils 0 % <2
Method -Flowcytometry method using a semiconductor

Absolute Neutrophil Count (ANC) 3.48 10^3/mm^3 2.00 - 7.00

Method -Calculated
Absolute Lymphocyte Count (ALC) 1.57 10^3/mm^3 1.00 - 3.00
Method -Calculated

Absolute Monocyte Count (AMC) 0.64 10^3/mm^3 0.20 - 1.00

Method -Calculated
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Page 1 of 11
Sample Collected At :LUDHIANA 4(Gurudwara Kuhisar Sahib, A.T.I Road, Ludhiana)
Name: Mr. TARANJEET SINGH UID.: 800542
Age/Gender: 50 Y/Male Registered on: 19/Oct/2024 09:31AM
Mobile: 9417507880 Sample collected on: 19/Oct/2024 09:48AM
Lab No: 0912410190021 Sample received on: 19/Oct/2024 05:21PM
BarcodeNo: 11331188 Report released on.: 19/Oct/2024 06:15PM
Referred By.: Self Report status: Final
Test Name: LIVER PROFILE (LFT),LIPID PROFILE,KIDNEY PROFILE (KFT),Iron Profile,Vitamin B12,THYROID
PROF
Net Amt: Rs.800 Paid Amt: Rs.800 Balance Amt: Rs.0

HAEMATOLOGY
Test Name Value Unit Bio Ref.Interval

Absolute Eosinophil Count (AEC) 0.12 10^3/mm^3 0.02 - 0.50

Method -Calculated

Absolute Basophil Count (ABC) 0.00 10^3/mm^3 0.00 - 0.10

Method -Calculated
PLATELET
Platelet Count 203 10^3/mm^3 150 - 450
Method -Hydrodynamic Focussing method

Mean Platelet Volume (MPV) 10.9 fl 6.5 - 12.0

Method -Derived from Platelet histogram
Platelet Distribution Width (PDW) 12.7 11.0 - 21.0
Method -Derived from Platelet histogram

Test performed on XN1000_LY

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Page 2 of 11
 Sample Collected At :LUDHIANA 4(Gurudwara Kuhisar Sahib, A.T.I Road, Ludhiana)
Name: Mr. TARANJEET SINGH UID.: 800542
Age/Gender: 50 Y/Male Registered on: 19/Oct/2024 09:31AM
Mobile: 9417507880 Sample collected on: 19/Oct/2024 09:48AM
Lab No: 0912410190021 Sample received on: 19/Oct/2024 06:47PM
BarcodeNo: 11331188 Report released on.: 19/Oct/2024 08:23PM
Referred By.: Self Report status: Final
Test Name: LIVER PROFILE (LFT),LIPID PROFILE,KIDNEY PROFILE (KFT),Iron Profile,Vitamin B12,THYROID
PROF
Net Amt: Rs.800 Paid Amt: Rs.800 Balance Amt: Rs.0
Life Care Foundation

BIOCHEMISTRY
Test Name Value Unit Bio Ref.Interval

Fasting Glucose , Flouride Plasma 77 mg/dL 74 - 106

Method -Hexokinase

CLINICAL NOTE:-

Glucose is a primary cellular energy source. Fasting plasma glucose concentrations and tolerance to a dose of
glucose are used to establish the diagnosis of diabetes mellitus and disorders of carbohydrate metabolism.
Test performed on BC_AU5800

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Page 3 of 11
 Sample Collected At :LUDHIANA 4(Gurudwara Kuhisar Sahib, A.T.I Road, Ludhiana)
Name: Mr. TARANJEET SINGH UID.: 800542
Age/Gender: 50 Y/Male Registered on: 19/Oct/2024 09:31AM
Mobile: 9417507880 Sample collected on: 19/Oct/2024 09:48AM
Lab No: 0912410190021 Sample received on: 19/Oct/2024 05:30PM
BarcodeNo: 11331188 Report released on.: 19/Oct/2024 09:47PM
Referred By.: Self Report status: Final
Test Name: LIVER PROFILE (LFT),LIPID PROFILE,KIDNEY PROFILE (KFT),Iron Profile,Vitamin B12,THYROID
PROF
Net Amt: Rs.800 Paid Amt: Rs.800 Balance Amt: Rs.0
Life Care Foundation

BIOCHEMISTRY
Test Name Value Unit Bio Ref.Interval

KIDNEY PROFILE (KFT)

Blood Urea 17.3 mg/dL 17.0 - 43.0
Method -Urease/GLDH Kinetic Assay
Blood Urea Nitrogen (BUN) 8.1 mg/dl 6.0 - 20.0
Method -Calculated

Creatinine, Serum 0.70 mg/dl 0.70 - 1.30

Method -Modified jaffe Kinetic
BUN/Creatinine Ratio 11.5 Ratio
Method -Calculated

Blood Urea/Creatinine Ratio 24.7 Ratio

Method -Calculated
Uric Acid, Serum 5.3 mg/dL 3.5 - 7.2
Method -Uricase PAP
Calcium , Serum 8.6 L mg/dL 8.8 - 10.6
Method -Arsenazo III

Inorganic Phosphorus, Serum 3.1 mg/dL 2.5 - 4.5

Method -Phosphomolybdate UV test

Sodium, Serum 138.1 mmol/L 136 - 146

Method -Ion Selective Electrode
Potassium ,Serum 4.3 mmol/L 3.5 - 5.1
Method -Ion Selective Electrode

Chloride, Serum 105.5 mmol/L 101 - 109

Method -Ion Selective Electrode

Total Protein, Serum 6.8 g/dL 6.6 - 8.3

Method -Biuret
Albumin,Serum 4.0 gm/dl 3.5 - 5.2
Method -Bromocresol Green(BCG)
Globulin, Serum 2.8 gm/dL 2.5 - 4.5
Method -Calculated

Albumin/Globulin Ratio ,Serum 1.4 Ratio 0.9 - 2.0

Method -Calculated

Test performed on BC_AU5800_2

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Page 4 of 11
 Sample Collected At :LUDHIANA 4(Gurudwara Kuhisar Sahib, A.T.I Road, Ludhiana)
Name: Mr. TARANJEET SINGH UID.: 800542
Age/Gender: 50 Y/Male Registered on: 19/Oct/2024 09:31AM
Mobile: 9417507880 Sample collected on: 19/Oct/2024 09:48AM
Lab No: 0912410190021 Sample received on: 19/Oct/2024 05:30PM
BarcodeNo: 11331188 Report released on.: 19/Oct/2024 09:47PM
Referred By.: Self Report status: Final
Test Name: LIVER PROFILE (LFT),LIPID PROFILE,KIDNEY PROFILE (KFT),Iron Profile,Vitamin B12,THYROID
PROF
Net Amt: Rs.800 Paid Amt: Rs.800 Balance Amt: Rs.0
Life Care Foundation

BIOCHEMISTRY
Test Name Value Unit Bio Ref.Interval

LIPID PROFILE
Cholesterol Total,Serum 164 mg/dL < 200
Method -CHOD - PAP

Triglycerides , Serum 435 H mg/dL < 150

Method -GPO - POD

HDL Cholesterol, Serum 37 L mg/dL 40 - 60

Method -Enzymatic Immunoihibtion

LDL Cholesterol, Serum 40 mg/dL < 130

Method -Calculated

VLDL Cholesterol,Serum 87 H mg/dL 5 - 40

Method -Calculated

Cholesterol Total / HDL Ratio 4.43 Ratio 2.00 - 5.00

Method -Calculated

Non HDL Cholesterol 127 mg/dL 0 - 130

Method -Calculated

*REFERENCE RANGES AS PER NCEP ATP III GUIDELINES:-

NATIONAL LIPID ASSOCIATION TOTAL CHOLESTEROL in TRIGLYCERIDE in LDL CHOLESTEROL in NON HDL CHOLESTEROL
RECOMMENDATIONS (NLA-2014) mg/dL mg/dL mg/dL in mg/dL
Optimal < 200 < 150 < 100 < 130
Above Optimal -- - --- 100 - 129 130 - 159
Borderline High 200 - 239 150 - 199 130 - 159 160 - 189
High > 240 200-499 160-189 190-219
Very High --- > 500 > 190 > 220

Note:-

1. Estimation of LDL cholesterol by Direct method is recommended when Triglycerides >400 mg/dL.
2. Measurements in the same patient can show physiological & analytical variations.
3. Three serial samples 1 week apart are recommended for Total Cholesterol, Triglycerides, HDL & LDL Cholesterol.
4. Certain conditions such as acute illness, stress, pregnancy, dietary changes especially changes in intake of saturated fatty acids,
lipid lowering drugs, alcohol or prednisone may cause variation in lipid levels.
5. As per NCEP guidelines, all adults above the age of 20 years should be screened for lipid status. Selective screening of
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Page 5 of 11
Sample Collected At :LUDHIANA 4(Gurudwara Kuhisar Sahib, A.T.I Road, Ludhiana)
Name: Mr. TARANJEET SINGH UID.: 800542
Age/Gender: 50 Y/Male Registered on: 19/Oct/2024 09:31AM
Mobile: 9417507880 Sample collected on: 19/Oct/2024 09:48AM
Lab No: 0912410190021 Sample received on: 19/Oct/2024 05:30PM
BarcodeNo: 11331188 Report released on.: 19/Oct/2024 09:47PM
Referred By.: Self Report status: Final
Test Name: LIVER PROFILE (LFT),LIPID PROFILE,KIDNEY PROFILE (KFT),Iron Profile,Vitamin B12,THYROID
PROF
Net Amt: Rs.800 Paid Amt: Rs.800 Balance Amt: Rs.0

BIOCHEMISTRY
Test Name Value Unit Bio Ref.Interval

children above the age of 2 years with a family history of premature cardiovascular disease or those with at least one parent
with high total cholesterol is recommended.
6. It is recommends, for routine screening, a fasting lipid profile is not mandatory. Both fasting and non-fasting lipid profiles are
important for managing Indian patients with dyslipidemia. In most patients, there is usually a clinically unimportant increase in
TG concentrations 2-6 hours after eating normal meals. Non fasting levels are required to determine post prandial
hypertriglyceridemia which may be more significant predictor of CVD risk.

Fasting lipid profile is required if:-

Non-fasting triglycerides >400 mg/dL

Known hypertriglyceridaemia on treatment
Recovering from hypertriglyceridaemic pancreatitis
Starting medications that cause severe hypertriglyceridaemia
Additional laboratory tests are requested that require fasting or morning samples (e.g. fasting glucose, therapeutic drug
monitoring etc)

Test performed on BC_AU5800_2

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Page 6 of 11
 Sample Collected At :LUDHIANA 4(Gurudwara Kuhisar Sahib, A.T.I Road, Ludhiana)
Name: Mr. TARANJEET SINGH UID.: 800542
Age/Gender: 50 Y/Male Registered on: 19/Oct/2024 09:31AM
Mobile: 9417507880 Sample collected on: 19/Oct/2024 09:48AM
Lab No: 0912410190021 Sample received on: 19/Oct/2024 05:30PM
BarcodeNo: 11331188 Report released on.: 19/Oct/2024 07:23PM
Referred By.: Self Report status: Final
Test Name: LIVER PROFILE (LFT),LIPID PROFILE,KIDNEY PROFILE (KFT),Iron Profile,Vitamin B12,THYROID
PROF
Net Amt: Rs.800 Paid Amt: Rs.800 Balance Amt: Rs.0
Life Care Foundation

BIOCHEMISTRY
Test Name Value Unit Bio Ref.Interval

LIVER PROFILE (LFT)

Bilirubin Total ,Serum 0.76 mg/dL 0.30 - 1.20
Method -DIAZO-Photometric colour test
Bilirubin Direct (Conj.) , Serum 0.10 mg/dL 0.00 - 0.20
Method -DIAZO-Photometric colour test
Bilirubin Indirect (Unconj.), Serum 0.66 mg/dL 0.00 - 0.90
Method -Calculated

GGT; Gamma Glutamyl Transferase 32 U/L < 55

Method -IFCC

SGOT / AST ,Serum 32 U/L < 50

Method -IFCC (Without P5P Activation)
SGPT / ALT , Serum 42 U/L < 50
Method -IFCC (Without P5P Activation )
Alkaline Phosphatase, Serum 67 U/L 30 - 120
Method - IFCC pNPP

Total Protein, Serum 6.8 g/dL 6.6 - 8.3

Method -Biuret
Albumin,Serum 4.0 gm/dl 3.5 - 5.2
Method -Bromocresol Green(BCG)
Globulin, Serum 2.8 gm/dL 2.5 - 4.5
Method -Calculated

Albumin/Globulin Ratio ,Serum 1.4 Ratio 0.9 - 2.0

Method -Calculated

Test performed on BC_AU5800_2

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Page 7 of 11
 Sample Collected At :LUDHIANA 4(Gurudwara Kuhisar Sahib, A.T.I Road, Ludhiana)
Name: Mr. TARANJEET SINGH UID.: 800542
Age/Gender: 50 Y/Male Registered on: 19/Oct/2024 09:31AM
Mobile: 9417507880 Sample collected on: 19/Oct/2024 09:48AM
Lab No: 0912410190021 Sample received on: 19/Oct/2024 05:30PM
BarcodeNo: 11331188 Report released on.: 19/Oct/2024 07:23PM
Referred By.: Self Report status: Final
Test Name: LIVER PROFILE (LFT),LIPID PROFILE,KIDNEY PROFILE (KFT),Iron Profile,Vitamin B12,THYROID
PROF
Net Amt: Rs.800 Paid Amt: Rs.800 Balance Amt: Rs.0
Life Care Foundation

BIOCHEMISTRY
Test Name Value Unit Bio Ref.Interval

Iron Profile
Iron ,Serum 117 µg/dL 70 - 180
Method -TPTZ
UIBC(Unsaturated Iron Binding Capacity) 252 µg/dL 155 - 355
Method -Nitroso PSAP
TIBC(Total Iron Binding Capacity) 369.00 ug/dL 225.0 - 535.0
Method -Calculated

Comment:

Most body iron is found in hemoglobin. The serum measurement of iron is useful in the differential diagnosis of anemia,
iron deficiency anemia, thalassemia, possible sideroblastic anemia, and iron poisoning. Total iron-binding capacity in
serum, representing transferrin concentration in iron-binding capacity, is a useful index of nutritional iron status.
Iron deficiency anemia is characterized by a decreased serum Fe, increased TIBC or transferrin, and a decreased
transferrin saturation. Serum TIBC is increased in iron deficiency. Serum TIBC is decreased in anemia of chronic
disease.

% Transferrin Saturation Index 32 % 13 - 45

Method -Calculated
Transferrin, Serum 252 mg/dL 200 - 350
Method -Calculated

INTERPRETATION:
Serum iron concentration is decreased in many but not all patients with iron deficiency anemia; Inflammatory disorders such as acute
infection, immunization, and myocardial infarction; acute or recent haemorrhage; malignancy; kwashiorkor; late pregnancy; menstruation
and nephrosis. Serum iron concentration diminishes markedly in patients who are beginning to respond to specific therapy for anemias for
other causes e.g. treatment nof pernicious anemia with Vit B12.Greater than normal concentrations of serum iron occur in iron over-loaded
disorder such as haemochromatosis and in acute iron poisoning following oral or parenteral iron administration. Iron level may also be
increased in acute hepatitis, lead poisoning, acute leukemia, thalassemia or oral contraception.
Test performed on BC_AU5800_2

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Page 8 of 11
 Sample Collected At :LUDHIANA 4(Gurudwara Kuhisar Sahib, A.T.I Road, Ludhiana)
Name: Mr. TARANJEET SINGH UID.: 800542
Age/Gender: 50 Y/Male Registered on: 19/Oct/2024 09:31AM
Mobile: 9417507880 Sample collected on: 19/Oct/2024 09:48AM
Lab No: 0912410190021 Sample received on: 19/Oct/2024 05:30PM
BarcodeNo: 11331188 Report released on.: 19/Oct/2024 06:49PM
Referred By.: Self Report status: Final
Test Name: LIVER PROFILE (LFT),LIPID PROFILE,KIDNEY PROFILE (KFT),Iron Profile,Vitamin B12,THYROID
PROF
Net Amt: Rs.800 Paid Amt: Rs.800 Balance Amt: Rs.0
Life Care Foundation

IMMUNOLOGY
Test Name Value Unit Bio Ref.Interval

THYROID PROFILE
T3 (Total Triiodothronine) , Serum 0.82 ng/ml 0.35 - 1.93
Method -CMIA

T4 (Total Thyroxine), Serum 4.97 µg/dL 4.87 - 11.72

Method -CMIA
TSH (Thyroid Stimulating Hormone), Serum (3rd 1.14 µIU/mL 0.40 - 4.20
generation ultrasensitive)
Method -CMIA

In case of Increased TSH (4.2 to 10.0).

Advised a repeat TSH after 1 month, If the patient is not on Thyroid Medication, to rule out transient hypothyroidism.
Which may be due to subclinical viral infection, Sleep deprivation, medication etc.

Note:
1.Total T3 & T4 levels measure the hormone which is in the bound form and is not available to most tissues.
2. Severe systemic illness affects the thyroid binding proteins and can falsely alter Total T4 levels in the absence of a primary thyroid
disease. Hence Free T3 & T4 levels are recommended for accurate assessment of thyroid dysfunction.

Note: 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.
Clinical Use:
Diagnose Hypothyroidism and Hyperthyroidism
Monitor T4 replacement or T4 suppressive therapy
Quanitify TSH levels in the subnormal range

Increased Levels: Primary hypothyroidism, Subclinical hypothyroidism, TSH dependent, HyperthyroidismThyroid hormone resistance
Decreased Levels: Graves disease, Autonomous thyroid hormone secretion, TSH deficiency

Test performed on Alinity_New

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Page 9 of 11
 Sample Collected At :LUDHIANA 4(Gurudwara Kuhisar Sahib, A.T.I Road, Ludhiana)
Name: Mr. TARANJEET SINGH UID.: 800542
Age/Gender: 50 Y/Male Registered on: 19/Oct/2024 09:31AM
Mobile: 9417507880 Sample collected on: 19/Oct/2024 09:48AM
Lab No: 0912410190021 Sample received on: 19/Oct/2024 05:30PM
BarcodeNo: 11331188 Report released on.: 19/Oct/2024 07:48PM
Referred By.: Self Report status: Final
Test Name: LIVER PROFILE (LFT),LIPID PROFILE,KIDNEY PROFILE (KFT),Iron Profile,Vitamin B12,THYROID
PROF
Net Amt: Rs.800 Paid Amt: Rs.800 Balance Amt: Rs.0
Life Care Foundation

IMMUNOLOGY
Test Name Value Unit Bio Ref.Interval

Serum, 25 (OH) VITAMIN-D Total

Serum, 25 (OH) VITAMIN-D Total 18.8 L ng/mL 30.0 - 100.0
Method -CMIA

Expected Values
Deficiency : < 20
Insufficiency : 20 - 30
Sufficiency : 30 - 100
Toxicity : > 100.0

Note: It should be taken into cosideration that differences in Vitamin D (25-OH) levels may exist with respect to gender, age, season, geographical
area, latitude and ethnic groups
Comments
Vitamin D Total assay is used as an aid in the assesment of Vitamin D sufficiency in adults.
Vitamin D is acquired either by exposure to sunlight or ingestion of food containing vitamin D. It is metabolized to vit D, 25 hydroxy in the liver in the
first step by vit D,25-hydroxylase system. A small amount of it further gets metabolized by hydroxylation in kidney to vit D 1,25 dihydroxy. Since vit D,
25 hydroxy is the predominant circulating form of Vit D in normal population, it is considered to be the most reliable index of vit D status.
Vitamin D is essential for bone health. In children, severe deficiency leads to bone-malformation, known as rickets. Milder degrees of insufficiecy
are believed to cause reduced efficiency in the utilization of dietary calcium.
The measurement of 25-OH-D is becoming increasingly important in the management of patients with various disorders of calcium metabolism
associated with Rickets, neonatal hypocalcemia, pregnancy, nutritional and renal osteodystrophy, hypoparathyroidism, and postmenopausal state.
Increased levels are found in Vit D intoxication.
Decreased levels are detected in Rickets, osteomalacia, secondary hyperparathyroidism, malabsorption of vit D (e.g. liver diseases, cholestasis),
and diseases that increase Vit D metabolism (viz. Tuberculosis, sarcoidosis, primary hyperparathyroidism).
Recent studies have associated vitamin D deficiency with increased risk for cancer, autoimmune disease, infectious disease, cardiovascular
disease, and many chronic diseases.
Chronic severe vitamin D deficiency in infants and children causes bone deformation commonly known as rickets, while in adults, proximal
muscle weakness, bone pain and osteomalacia may develop.

Test performed on Alinity_New

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Page 10 of 11
 Sample Collected At :LUDHIANA 4(Gurudwara Kuhisar Sahib, A.T.I Road, Ludhiana)
Name: Mr. TARANJEET SINGH UID.: 800542
Age/Gender: 50 Y/Male Registered on: 19/Oct/2024 09:31AM
Mobile: 9417507880 Sample collected on: 19/Oct/2024 09:48AM
Lab No: 0912410190021 Sample received on: 19/Oct/2024 05:30PM
BarcodeNo: 11331188 Report released on.: 19/Oct/2024 06:53PM
Referred By.: Self Report status: Final
Test Name: LIVER PROFILE (LFT),LIPID PROFILE,KIDNEY PROFILE (KFT),Iron Profile,Vitamin B12,THYROID
PROF
Net Amt: Rs.800 Paid Amt: Rs.800 Balance Amt: Rs.0
Life Care Foundation

IMMUNOLOGY
Test Name Value Unit Bio Ref.Interval

Vitamin B12
Vitamin B12 ,Serum 232 pg/mL 187 - 883
Method -CMIA

Comments :-
Vitamin B12 performs many important functions in the body, but the most significant function is to act as coenzyme for reducing ribonucleotides to
deoxyribonucleotides, a step in the formation of genes. Inadequate dietary intake is not the commonest cause for cobalamine deficiency. The most common cause is
malabsorption either due to atrophy of gastric mucosa or diseases of terminal ileum. Cobalamine deficiency leads to Megaloblastic anemia and demyelination of large
nerve fibres of spinal cord. Normal body stores are sufficient to last for 3-6 years. Sources of Vitamin B12 are liver, shellfish, fish, meat, eggs, milk, cheese & yogurt.
Decreased Levels :-
Lack of Intrinsic factor: Total or partial gastrectomy, Atrophic gastritis, Intrinsic factor antibodies
Malabsorption: Regional ileitis, resected bowel, Tropical Sprue, Celiac disease, pancreatic insufficiency, bacterial overgrowth & achlorhydria
Loss of ingested vitamin B12: fish tapeworm
Dietary deficiency: Vegetarians
Congenital disorders: Orotic aciduria & transcobalamine deficiency
Increased demand: Pregnancy specially last trimester
Increased Levels:-
Chronic renal failure, Congestive heart failure, Acute & Chronic Myeloid Leukemia, Polycythemia vera, Carcinomas with liver metastasis, Liver disease, Drug
induced cholestasis & Protein malnutrition.

Limitations - interference
The assay is unaffected by icterus (bilirubin ≤ 1112 μmol/L or ≤ 65 mg/dL),hemolysis (Hb ≤ 0.025 mmol/L or ≤ 0.04 g/dL), lipemia (Intralipid≤ 17.1 mmol/L or ≤ 1500 mg/dL), biotin (≤ 205
nmol/L or ≤ 50 ng/mL), IgG ≤ 28 g/L, IgA ≤ 16 g/L and IgM ≤ 10 g/L. Criterion: Recovery within ± 10 % of initial value with samples > 200 pg/mL and ≤ ± 20 pg/mL with samples ≤ 200
pg/mL. Samples should not be taken from patients receiving therapy with high biotin doses (i.e. > 5 mg/day) until at least 8 hours following the last biotin administration. No interference was
observed from rheumatoid factors up to a concentration of 1500 IU/mL. In vitro tests were performed on 16 commonly used pharmaceuticals. No interference with the assay was found. In rare cases,
interference due to extremely high titers of antibodies to analyte specific antibodies, streptavidin or ruthenium can occur. These effects are minimized by suitable test design. Because intrinsic factor is
typically used as the binding protein in serum vitamin B12 assays, anti-intrinsic factor antibodies (which are common in pernicious anemia) can lead to elevated vitamin B12 measurement
values.2,11,12 The Elecsys Vitamin B12 II assay is designed to avoid interference due to anti-intrinsic factor antibodies.13 For diagnostic purposes, the results should always be assessed in
conjunction with the patient's medical history, clinical examination and other findings.
Note: The presence of immunoglobulin-vitamin B12 complexes may cause unexpectedly high values of vitamin B12.14,15

Test performed on Alinity_New

*** End Of Report ***
Note: The reports are strictly for the use of Medical Practitioners and are not medical diagnosis as such.

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Page 11 of 11