Feel Sharp · Sugar & weight
Stubborn Weight Gain Check
Noticing weight gain around your waist even though your routine has not changed?
Noticing weight gain around your waist even though your routine has not changed? Feeling more tired or sluggish than usual? It is easy to blame a busy routine. These changes have many possible causes, and symptoms alone cannot tell you which one applies. Meanwhile, high cholesterol, rising blood sugar and fatty liver can develop without clear warning signs.
The problem: You can feel mostly fine while important health numbers are changing. Waiting for a stronger symptom can leave you without a clear picture of what is happening.
The way forward: This check brings six blood panels together: cholesterol, average blood sugar (HbA1c), liver enzymes, kidney function, thyroid (TSH) and a complete blood count (CBC). A Marham General Physician reviews the results with you online or in clinic, explains what they mean for you and advises whether anything needs follow-up. Blood tests alone cannot confirm or rule out fatty liver; your doctor may recommend an ultrasound separately if appropriate.
Whether you have noticed a change or simply want to know where you stand, start with clarity. Feel sharp. Stay sharp.
کیا روزمرہ کی روٹین بدلے بغیر وزن، خاص طور پر پیٹ کے گرد، بڑھ رہا ہے؟ یا پہلے سے زیادہ تھکن محسوس ہوتی ہے؟ ان تبدیلیوں کی کئی وجوہات ہو سکتی ہیں۔ دوسری طرف کولیسٹرول، بڑھتی ہوئی شوگر اور فیٹی لیور اکثر واضح علامات کے بغیر ہوتے ہیں۔ اس چیک میں خون کے چھ ٹیسٹ اور جنرل فزیشن سے مشاورت شامل ہے۔ ڈاکٹر رپورٹس کو ایک ساتھ دیکھ کر بتاتا ہے کہ آپ کے لیے کیا اہم ہے اور آگے کیا کرنا چاہیے۔ صرف خون کے ٹیسٹ سے فیٹی لیور کی تشخیص نہیں ہوتی؛ ضرورت ہو تو ڈاکٹر الگ سے الٹراساؤنڈ تجویز کر سکتا ہے۔
Updated 28 September 2026
What’s tested, and why
Complete Blood Examination (CBC)
HbA1C
About this testLFTs (T-Bili, ALT, AST, ALP, ALB, GGT, T-Prot, Globulins, A/G )
Lipid Profile
About this testRFTs (Renal Function Test with eGFR)
About this test
General Physician consultation, included — Online or In Clinic Consultation
Our team calls to arrange it once your reports are ready.
Six panels from one blood sample, plus the doctor who reads them together.
- LFTs (Liver Function Tests): bilirubin, ALT, AST, ALP, GGT, albumin, total protein and the A/G ratio. These enzymes rise when there is inflammation in the liver, which in a working adult here most often means fat building up in it. Caught early that is reversible; left for years it is not.
- Lipid Profile: total cholesterol, LDL, HDL and triglycerides, reported separately, because a respectable total can hide a bad LDL to HDL split. These are the numbers cardiac risk is calculated from.
- HbA1c: your average blood sugar over the past two to three months. It does not move with what you ate yesterday, which is what makes it the honest sugar test rather than a snapshot.
- RFTs (Renal Function Tests, with eGFR): urea, creatinine, electrolytes and an estimated filtration rate. Kidney function falls silently, and the eGFR is the number that shows it long before anything is felt.
- TSH: the first test of thyroid function. An out of range TSH explains a good deal of what usually gets blamed on stress: weight that will not move, tiredness, hair fall, feeling cold, low mood.
- CBC (Complete Blood Examination): haemoglobin, white cells and platelets. Picks up anaemia and infection, and gives the baseline the rest of the report is read against.
- General Physician consultation, included: a Marham doctor reads all six together and tells you which numbers matter and which do not. Online or at a clinic, whichever suits you. It is part of the package, not an add on.
What this is not. It is a blood panel, not a full body checkup. There is no ultrasound, no ECG, no chest X ray, no urine test and no cancer screening in it. It cannot tell you whether there is fat on your liver on imaging, only whether your liver enzymes are raised; if the numbers warrant an ultrasound, your doctor orders one.
If something needs following up, your doctor orders only what is needed, charged separately: an abdominal ultrasound, hepatitis B and C screening, a fasting insulin, a urine albumin to creatinine ratio, or free T4 with thyroid antibodies.
Feel Sharp. Stay Sharp.
The doctor tells you which result explains how you feel, what to take, and when to test again so you know the treatment has worked.
If everything is normal, that is useful too: it rules out the commonest causes and moves the conversation to the next question, such as sleep, blood sugar or mood.
Not just a report. An answer.
Before your test
- Fast for 10 to 12 hours before the sample. Plain water is fine and worth drinking. The fast is for the lipid profile only. The other five are unaffected by food, and HbA1c in particular does not need fasting at all, since it measures sugar attached to your red cells over two to three months rather than the sugar in your blood this morning.
- Book a morning slot. It is the practical end of an overnight fast, and it is when the lab runs.
- Drink water normally on the morning of the test. Being dehydrated concentrates the blood and pushes urea and creatinine up, which reads as worse kidney function than you actually have.
- Stop biotin supplements 48 to 72 hours before. Biotin sits in most hair, skin and nail supplements and it interferes with the TSH assay, producing thyroid results that look abnormal when the thyroid is fine. Tell the doctor if you take one.
- Do not train hard in the 48 hours before the sample. Heavy exercise raises AST and creatinine and can make a normal liver and normal kidneys look abnormal.
- Tell the doctor about every medicine, supplement and herbal or hakeem preparation you take. Many herbal liver and joint remedies, and regular paracetamol, raise liver enzymes on their own. This is one of the commonest reasons an LFT comes back abnormal in someone who is perfectly well.
- Avoid alcohol for at least 72 hours before, if it applies to you, since it moves both the liver enzymes and the triglycerides.
- Postpone the whole panel if you have a fever or an active infection. The CBC and the liver enzymes both shift during illness, and the result will not represent your normal.
- If you are already being treated for cholesterol, sugar, thyroid or blood pressure, take your usual medicines as prescribed and tell the doctor what they are. Do not stop anything for the test.
- Not for under 18s.
- One out of range number in a six panel report is common and usually means nothing by itself. That is exactly what the consultation is for.
Questions people ask
فیٹی لیور کیا ہے اور کیا دوا سے ٹھیک ہو جاتا ہے؟
فیٹی لیور کا مطلب ہے جگر کے خلیوں میں چربی جمع ہو جانا۔ یہ پاکستان میں بہت عام ہے اور بڑی وجوہات وزن کا بڑھنا، پیٹ کی چربی، شوگر اور کولیسٹرول کا زیادہ ہونا اور بیٹھے رہنے والا طرزِ زندگی ہیں۔ شروع میں اس کی کوئی علامت نہیں ہوتی، اسی لیے یہ اکثر ٹیسٹ یا الٹراساؤنڈ میں اتفاقاً پکڑا جاتا ہے۔ اہم بات یہ ہے کہ بازار سے ملنے والے جگر کے ٹانک اور سیرپ اس کا علاج نہیں ہیں۔ ابتدائی مرحلے میں فیٹی لیور وزن کم کرنے، میٹھے اور تلی ہوئی چیزوں میں کمی اور روزانہ چہل قدمی سے واپس ٹھیک ہو سکتا ہے، اور یہی واحد طریقہ ہے جس کا فائدہ ثابت شدہ ہے۔ LFTs ٹیسٹ سے معلوم ہوتا ہے کہ جگر میں سوزش ہے یا نہیں، اور ڈاکٹر بتا دیتا ہے کہ الٹراساؤنڈ کروانے کی ضرورت ہے یا نہیں۔ مزید پڑھیں: فیٹی لیور
کولیسٹرول بڑھ جائے تو کیا محسوس ہوتا ہے؟
عام طور پر کچھ بھی محسوس نہیں ہوتا، اور یہی اس کا سب سے بڑا خطرہ ہے۔ کولیسٹرول خون میں موجود ایک چکنائی ہے جو ضرورت سے زیادہ ہو جائے تو برسوں تک خاموشی سے شریانوں میں جمتی رہتی ہے، اور پہلی علامت اکثر دل کا دورہ یا فالج ہوتی ہے۔ لپڈ پروفائل میں برا کولیسٹرول LDL، اچھا کولیسٹرول HDL اور ٹرائی گلیسرائیڈز الگ الگ دیکھے جاتے ہیں، اس لیے صرف ٹوٹل نمبر دیکھ کر فیصلہ کرنا درست نہیں ہوتا۔ اگر گھر میں کسی کو کم عمری میں دل کی بیماری ہو چکی ہو، یا آپ کو شوگر یا بلڈ پریشر ہو، تو یہ ٹیسٹ اور بھی ضروری ہو جاتا ہے۔ مزید پڑھیں: کولیسٹرول
I feel completely fine. Is there any point in testing?
Do I really have to fast for twelve hours?
Can I just book the tests I want instead of the whole package?
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