Biomarkers
Every blood test and biomarker, counted value by value.
One ordered test can return many values: a full blood count reports 14, a urine full report 10. The counts below are individually reported laboratory values. Tap any biomarker to see what it measures and when it is added.
40biomarkers · Essential
55biomarkers · Premium
8physician additions
By body system
Every system, read as one picture.
Essential covers eight of them with 40 biomarkers. Premium deepens the liver, kidneys and heart and adds vitamins and minerals, for 55. The additions are drawn only when the history calls for them, apart from lipoprotein(a), which is recommended once for every adult.
Cardiovascular
- Total cholesterolEssential + Premium
- LDL cholesterolEssential + Premium
- HDL cholesterolEssential + Premium
- TriglyceridesEssential + Premium
- Non-HDL cholesterolEssential + Premium
- Apolipoprotein B (ApoB)Premium
- hs-CRPPremium
- Lipoprotein(a), once in a lifetimeRecommended addition
Metabolic
- Fasting blood glucoseEssential + Premium
- HbA1cEssential + Premium
- Uric acidPremium
- Fasting insulinPhysician addition
- HOMA-IR (calculated)Physician addition
Inflammatory
- ESREssential + Premium
Liver
- ALT (SGPT)Essential + Premium
- ASTEssential + Premium
- ALPPremium
- GGTPremium
- Total bilirubinPremium
- Direct bilirubinPremium
- Total proteinPremium
- AlbuminPremium
- GlobulinPremium
Kidneys and minerals
- Serum creatinineEssential + Premium
- eGFR (calculated)Essential + Premium
- Serum sodiumEssential + Premium
- Serum potassiumEssential + Premium
- Serum chlorideEssential + Premium
- Corrected calciumPremium
- Serum magnesiumPremium
- Urine albumin-to-creatinine ratioPremium
Thyroid
- TSHEssential + Premium
- Free T3Physician addition
- Free T4Physician addition
Blood count
- Full blood count 14 values: haemoglobin, haematocrit, red cell count and indices, white cells with a five-part differential, plateletsEssential + Premium
Urine
- Urine full report 10 values: protein, glucose, blood, leucocytes, nitrites, ketones, bilirubin, pH, specific gravity, microscopyEssential + Premium
Vitamins and iron
- Vitamin D (25-OH)Premium
- Vitamin B12Premium
- Serum ferritinPhysician addition
- Serum ironPhysician addition
- TIBCPhysician addition
- Transferrin saturationPhysician addition
- HomocysteinePhysician addition
- Folate, if homocysteine is raisedPhysician addition
Hormones
- Testosterone, morning sample (men)Physician addition
- SHBG, if testosterone is borderlinePhysician addition
Cancer screening
- Bowel screening stool test (FIT), aged 50 to 74Physician addition
- PSA, men aged 50 to 69, after a conversationPhysician addition
Reference
What each biomarker measures.
The same explanations that open when a biomarker is tapped, in one place.
Cardiovascular
- Total cholesterol
- All the cholesterol carried in the blood, the LDL and HDL fractions together with other lipid particles. A broad snapshot; the breakdown below it tells the fuller story. What a lipid profile measures
- LDL cholesterol
- LDL carries cholesterol into the artery wall, where excess accumulates as plaque over years. Keeping it in range is one of the most effective long-term protections for heart and vessels. What a lipid profile measures
- HDL cholesterol
- HDL carries excess cholesterol back to the liver for disposal. Higher levels generally go with lower cardiovascular risk.
- Triglycerides
- The most common fat in the blood, used for energy. Persistently high levels often reflect diet, alcohol or how the body handles sugar, and add to cardiovascular and metabolic risk.
- Non-HDL cholesterol
- Total cholesterol minus HDL: every particle that can contribute to plaque. Many clinicians consider it a more complete measure of heart risk than LDL alone. What a lipid profile measures
- Apolipoprotein B (ApoB)
- ApoB counts the plaque-forming particles themselves, since each carries exactly one ApoB molecule. It predicts risk at least as well as LDL, and better when the two disagree. What ApoB measures
- hs-CRP
- A sensitive marker of low-grade inflammation. Because chronic inflammation contributes to artery disease, it adds a window on cardiovascular risk beyond cholesterol.
- Lipoprotein(a)
- An inherited lipid particle that raises cardiovascular risk independently of LDL and does not respond to diet. Measured once in a lifetime, because it barely changes. Recommended once for every adult, as an addition at its price.
Metabolic
- Fasting blood glucose
- Blood sugar after a fast, reflecting how the body manages sugar at rest. The standard screen for pre-diabetes and diabetes, and the last number to move.
- HbA1c
- Average blood sugar over the past two to three months, measured as the sugar attached to red cells. A stable long-term picture that a single glucose cannot give. What an HbA1c of 5.7 to 6.4 means
- Uric acid
- The end product of purine metabolism. High levels cause gout, and they travel with insulin resistance, high blood pressure and kidney strain, which is why it is read with the metabolic markers.
- Fasting insulin
- The hormone that moves sugar from blood into cells, measured fasting. A raised level shows the body working harder to keep sugar normal, often years before glucose rises. Physician addition: waist over 90 cm (men) or 80 cm (women), glucose or HbA1c in the pre-diabetic band, or type 2 diabetes in a parent or sibling. Why glucose is the last number to move
- HOMA-IR
- A calculation from fasting glucose and insulin that estimates insulin resistance, the state in which cells respond less to insulin. It detects the metabolic change that precedes type 2 diabetes. Physician addition, with fasting insulin. Why glucose is the last number to move
Inflammatory
- ESR
- How quickly red cells settle in a tube, which rises when inflammation is present. A general signal that prompts a closer look at the cause.
Liver
- ALT (SGPT)
- An enzyme from liver cells that leaks into the blood when they are stressed. One of the most useful markers of liver health, and it can flag fatty liver before any symptom.
- AST
- An enzyme found in liver, muscle and other tissues. Read with ALT to build a clearer picture of liver health.
- ALP
- An enzyme of the liver, bile ducts and bone. With the other liver tests it helps separate liver causes from bone causes.
- GGT
- A liver enzyme particularly sensitive to the bile ducts, alcohol and certain medicines. Used with the other liver tests to locate the source of an abnormality.
- Total bilirubin
- The pigment produced when old red cells are broken down and processed by the liver. A rise can point to liver or bile-flow problems.
- Direct bilirubin
- The fraction the liver has already processed for excretion. With total bilirubin it shows whether a rise comes from the liver and bile ducts or from red cell breakdown.
- Total protein
- All circulating blood protein, mainly albumin and the globulins. A broad view of nutrition, liver and kidney function, and immune activity.
- Albumin
- The most abundant protein made by the liver, holding fluid inside the vessels and carrying hormones, vitamins and medicines. Low levels can reflect liver, kidney or nutritional problems.
- Globulin
- A group of proteins involved in immune defence and transport. Read with albumin to assess immune and liver health.
Kidneys and minerals
- Serum creatinine
- A waste product of normal muscle activity that the kidneys filter out. The standard indicator of how well they are clearing waste.
- eGFR
- A calculated estimate of how efficiently the kidneys filter, from creatinine with age and sex. The main number used to gauge kidney function and track it over time.
- Serum sodium
- The main salt in the blood, which controls how water is shared between the cells and the bloodstream. The kidneys hold it in a narrow range; a value outside it usually reflects fluid balance or a medicine such as a water tablet.
- Serum potassium
- A mineral that keeps the heart beating in rhythm and the muscles and nerves working. The kidneys hold it in a narrow range, and some blood pressure medicines and water tablets can push it up or down.
- Serum chloride
- A salt that travels with sodium and helps keep the body’s fluid and acid balance steady. Read with sodium and potassium rather than on its own.
- Corrected calcium
- Calcium in the blood, held in a narrow range by the parathyroid glands, vitamin D and the kidneys, and read with the albumin. A value outside that range is followed up rather than treated from the diet.
- Serum magnesium
- A mineral needed for muscle, nerve and heart rhythm, and for insulin to work. Low levels are common with some medicines and with poorly controlled blood sugar.
- Urine albumin-to-creatinine ratio
- Small amounts of albumin leaking into the urine, which the kidneys normally keep in the blood. An early sign of kidney and vascular stress, often before any other test changes.
Thyroid
- TSH
- The signal from the brain that tells the thyroid how much hormone to make. The primary screen for thyroid function, because it moves sensitively when the gland is under- or over-active.
- Free T3
- The active thyroid hormone that sets metabolism, energy and body temperature. Measured with TSH and free T4 when the thyroid needs a closer look. Physician addition: thyroid disease in the family or already treated.
- Free T4
- The main hormone the thyroid releases, later converted to the more active T3. Shows how well the gland itself is working. Physician addition, or added at laboratory cost if TSH returns outside range.
Blood count
- Full blood count (14 values)
- Counts and characterises red cells, white cells and platelets: haemoglobin, haematocrit, red cell indices, the white cell differential and platelets. It can show anaemia, infection, inflammation or clotting problems.
Urine
- Urine full report (10 values)
- The physical, chemical and microscopic makeup of the urine: protein, sugar, blood, ketones, cells and casts among them. A simple window on kidney, urinary and metabolic health.
Vitamins and iron
- Vitamin D (25-OH)
- The stored form of vitamin D, which supports bone, muscle and immune function. Deficiency is common and usually silent.
- Vitamin B12
- Needed for nerves, red cells and DNA. Low levels develop quietly and affect energy, memory and nerve function.
- Serum ferritin
- The amount of iron stored in the body, the best single indicator of iron reserves. Low means iron deficiency; high can reflect inflammation or iron excess. Physician addition: iron studies.
- Serum iron
- Iron circulating in the blood at the moment of the draw. Read with TIBC and transferrin saturation, never alone, because it swings through the day. Physician addition: iron studies.
- Total iron-binding capacity
- How much iron the blood’s transport protein could carry. High capacity with low iron is the pattern of deficiency; low capacity goes with inflammation or overload. Physician addition: iron studies.
- Transferrin saturation
- The share of the transport protein that is actually carrying iron. The most useful single number for distinguishing deficiency from overload. Physician addition: iron studies.
- Homocysteine
- An amino acid whose level depends partly on B-vitamin status. Raised levels go with cardiovascular risk and can often be brought down with nutrition. Physician addition: B12 low or borderline on Premium, or a heart attack or stroke in a parent or sibling before 60 that the lipids do not explain.
- Folate
- A B vitamin needed for red cells and for clearing homocysteine. Needed to read a raised homocysteine. Added at laboratory cost if homocysteine is raised.
Hormones
- Testosterone, morning sample
- The main male sex hormone, supporting muscle, bone, energy, mood and libido. Measured in the morning, when it peaks. Physician addition: men with low libido, erectile difficulty, or fatigue with a waist over 90 cm.
- SHBG
- The protein that binds testosterone and controls how much is free to act. Puts a borderline testosterone into context. Added at laboratory cost if testosterone is borderline.
Cancer screening
- Bowel screening stool test (FIT)
- Looks for traces of blood in a stool sample, an early sign of bowel polyps or cancer. Offered every two years from 50 to 74, the schedule used by the UK and European screening programmes; a raised result is referred for a colonoscopy. Physician addition.
- PSA
- A prostate protein. A raised level can come from cancer but also from enlargement or infection, which is why it is drawn only after a conversation about what the result would mean. Physician addition, men aged 50 to 69.
How a programme is built
A base, a layer, and what the physician may add.
Nothing on this page is chosen by the visitor. The first call settles which programme fits; the examination and the history settle whether anything is added, and it is confirmed in writing before the draw.
- 40biomarkersEssential, 11 ordered tests
Full blood count, fasting glucose, HbA1c, lipid profile, creatinine with eGFR, serum electrolytes (sodium, potassium, chloride), AST, ALT, TSH, ESR, urine full report. LKR 23,000 founding.
- 55biomarkersPremium, 18 ordered tests
Essential with AST and ALT replaced by the full liver panel, plus ApoB, hs-CRP, urine albumin-to-creatinine ratio, vitamin D, B12, corrected calcium, magnesium and uric acid. LKR 55,000 founding.
- +8additionsAdded where the history calls for it
Fasting insulin with HOMA-IR, iron studies, free T3 and T4, homocysteine, lipoprotein(a) (recommended once for every adult), morning testosterone, and the cancer screenings due for your age: a bowel screening stool test and, for men 50 to 69 after a conversation, PSA. Priced individually, agreed in writing before the draw.
Physician additions
What may be added, and when.
Each addition has a reason. If the reason is not there, the test is not drawn, whatever the programme.
- Fasting insulin with HOMA-IRLKR 6,100
Waist over 90 cm for a man or 80 cm for a woman, glucose or HbA1c in the pre-diabetic band, or type 2 diabetes in a parent or sibling. Repeated at Month 3 if raised.
- Iron studiesLKR 9,200
Low haemoglobin, heavy periods, a vegetarian diet, or tiredness with no other explanation. Iron, TIBC, transferrin saturation and ferritin.
- Free T3 and free T4LKR 4,500
Thyroid disease in the family or already treated. Otherwise free T4 is added at laboratory cost (about LKR 2,000) only if TSH returns outside range.
- HomocysteineLKR 9,700
B12 low or borderline on Premium, or a heart attack or stroke in a parent or sibling before 60 that the lipids do not explain. Folate added at laboratory cost (about LKR 12,400) if raised. Repeated only if treated.
- Lipoprotein(a)LKR 12,900
Measured once, ever, because it barely changes. Recommended for every adult, as an addition at its price.
- Testosterone, morning sampleLKR 5,000
Men with low libido, erectile difficulty, or fatigue with a waist over 90 cm. SHBG added at laboratory cost (about LKR 12,900) if borderline. Repeated at Month 3 if low, because one low reading is not a diagnosis.
- Bowel screening stool test (FIT)LKR 5,000
Aged 50 to 74, every two years. A raised result is referred for a colonoscopy.
- PSA, for men aged 50 to 69LKR 8,000
Only after a conversation at the consultation about what a raised result would and would not mean. A raised result is repeated before any referral.
Begin
Which programme fits is settled on a free call.
About 15 minutes. Your history, your question, and which of the two programmes fits. Nothing is paid before it.
Start with a free call- EEssential · 40 biomarkersLKR 23,000 founding. Every Essential biomarker
- PPremium · 55 biomarkersLKR 55,000 founding. Every Premium biomarker