Fatty Liver & Cholesterol Check
Updated 10 September 2026Most people who book this feel completely fine. That is the point of it. Fatty liver, high cholesterol, a sugar level that has been creeping up for two years, an underactive thyroid, kidneys quietly losing function: none of these hurt, and none of them announce themselves. They are either found on a blood test or they are found late. This is the once a year blood test for an adult who has no complaint yet, six panels from one sample taken at your home in Lahore, read by a doctor rather than left as numbers on a page.
The six cover the organs that carry the cost of a desk job and a Pakistani diet. LFTs measure the liver enzymes that rise when fat builds up in the liver, which is very common here and is reversible in its early stages. A lipid profile gives cholesterol and triglycerides, the numbers cardiac risk is calculated from decades before a heart attack. HbA1c gives your average blood sugar over three months, which matters because Pakistan has the highest rate of diabetes in the world, roughly three in ten adults, and about one in four of them does not know it (IDF Diabetes Atlas). RFTs check kidney function with an eGFR. TSH checks the thyroid. And a CBC covers anaemia, infection and the blood counts everything else is read against.
Your report is usually ready the same day. A PMC verified General Physician then reads all six together, online or at a clinic, whichever suits you. Six panels produce a lot of numbers, and one mildly out of range value on its own usually means very little. Raised liver enzymes with everything else normal means one thing; the same enzymes next to a high triglyceride and a borderline HbA1c mean something quite different, and get treated as one problem rather than three. If it all comes back normal, that is a real answer and a baseline to measure next year against.
آپ کو کوئی شکایت نہ بھی ہو تب بھی سال میں ایک بار یہ ٹیسٹ کروا لینا مفید ہے، کیونکہ جگر پر چربی، کولیسٹرول کی زیادتی، بڑھتی ہوئی شوگر، تھائیرائیڈ کی خرابی اور گردوں کی کمزوری شروع میں کوئی علامت پیدا نہیں کرتیں۔ اس چیک اپ میں جگر کے ٹیسٹ LFTs، کولیسٹرول کے لیے لپڈ پروفائل، تین مہینے کی شوگر HbA1c، گردوں کے ٹیسٹ RFTs، تھائیرائیڈ کا TSH اور خون کا مکمل ٹیسٹ CBC شامل ہیں۔ نمونہ لاہور میں گھر بیٹھے لیا جاتا ہے اور مرہم کا ڈاکٹر آن لائن یا کلینک پر رپورٹ سمجھاتا ہے کہ کون سا نمبر اہم ہے اور آگے کیا کرنا ہے۔
Tests included
Complete Blood Examination (CBC)
HbA1C
LFTs (T-Bili, ALT, AST, ALP, ALB, GGT, T-Prot, Globulins, A/G )
Lipid Profile
RFTs (Renal Function Test with eGFR)
TSH
What's included
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.
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.
How it works
Book the package
Confirm the patient’s details and pick a home-collection slot, then pay online or have our team call to confirm.
Home sample collection
A Marham Lab phlebotomist collects the sample from your home in Lahore.
Get your reports
Your reports are delivered through Marham once the lab has processed them.
Doctor consultation
Our team calls to arrange your included consultation once your reports are ready.
Frequently asked questions
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
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
Book this package
Rs. 7,200
Rs. 11,75039% offTests
6
General Physician
Online or In Clinic Consultation
Sample collection
At home · Lahore