Aarogyam D Plus

What is Aarogyam D Plus Toxic Elements + FBS?

The Aarogyam D Plus Toxic Elements + FBS is Thyrocare's most comprehensive single-package health assessment — 125 parameters combining the full Aarogyam D Plus panel with a 22-parameter Toxic Elements (heavy metals) screening and Fasting Blood Sugar. It is the definitive choice for anyone wanting the most thorough preventive health picture available in a single fasting blood and urine draw.

What sets this apart from all other Aarogyam packages is the combination of advanced markers rarely found together — Free T3 and Free T4 (more precise than total thyroid hormones), Homocysteine as a cardiac risk marker, Total IgE for allergy and immune assessment, Phosphorous for bone-kidney health, and a complete 22-parameter heavy metal panel — alongside the standard comprehensive workup.

Powered by Thyrocare — NABL-accredited, CAP-accredited labs. Reports within ~6 hours of samples reaching the lab.

Tests Included (125 Parameters)

Thyroid Advanced (3 Tests)

• TSH – Ultrasensitive (UTSH) — Most sensitive thyroid screening test.
• Free Thyroxine (FT4) — Free (unbound) T4; measures the biologically active fraction of thyroxine. More precise than Total T4 as it is unaffected by thyroid-binding protein levels.
• Free Triiodothyronine (FT3) — Free (unbound) T3; the most metabolically active thyroid hormone. Free T3 provides a more accurate picture of thyroid function than Total T3, especially in those with protein abnormalities or on medications.

Lipid Advanced+ (10 Tests)

• Total Cholesterol, HDL – Direct, LDL – Direct, Triglycerides, VLDL Cholesterol — Complete lipid panel.
• LDL/HDL Ratio, NON-HDL Cholesterol, TC/HDL Ratio, HDL/LDL Ratio, TRIG/HDL Ratio — Advanced cardiovascular risk ratios.

Liver Extended (12 Tests)

• Bilirubin – Total, Direct, Indirect — Liver bilirubin processing markers.
• SGOT [AST], SGPT [ALT], SGOT/SGPT Ratio — Primary liver enzymes and ratio.
• Alkaline Phosphatase (ALP) — Bile duct and liver disease marker.
• Gamma Glutamyl Transferase (GGT) — Sensitive liver damage marker.
• Protein – Total, Albumin – Serum, Serum Globulin, Serum Alb/Globulin Ratio — Liver synthesis function and nutritional markers.

Kidney Advanced (7 Tests)

• Serum Creatinine, BUN, Urea (Calculated) — Core kidney function markers.
• BUN/Creatinine Ratio, Urea/SR. Creatinine Ratio — Diagnostic kidney assessment ratios.
• Calcium — Regulated by kidneys; essential for heart, bones and nerves.
• Uric Acid — Elevated in gout, kidney stones and cardiovascular disease.

Iron Deficiency Profile (4 Tests)

• Serum Iron, % Transferrin Saturation, Total Iron Binding Capacity (TIBC), UIBC — Complete iron status assessment; anaemia is extremely common in India and increases cardiac workload.

Cardiac Risk Markers (5 Tests)

• Lipoprotein (a) [Lp(a)] — Major independent cardiovascular risk factor; elevated Lp(a) is unaffected by standard cholesterol treatment.
• Apo B / Apo A1 Ratio — The most powerful lipid ratio for cardiovascular risk prediction; superior to LDL or total cholesterol.
• Apolipoprotein A1 (Apo-A1) — Protective HDL protein; measures true cardioprotective capacity.
• Apolipoprotein B (Apo-B) — Atherogenic particle marker; more accurate than LDL for cardiac risk.
• Homocysteine — Elevated homocysteine damages arterial walls and accelerates clot formation. An independent risk factor for heart attack, stroke and dementia linked to B-vitamin deficiency. Unique to this D Plus variant.

Diabetes Profile (2 Tests)

• HbA1c — 3-month average blood sugar; gold standard for diabetes diagnosis and monitoring.
• Average Blood Glucose (ABG) — Calculated from HbA1c.

Vitamins Profile (2 Tests)

• 25-OH Vitamin D (Total) — Most common deficiency in India; critical for bone health, immunity and mental well-being.
• Vitamin B-12 — Essential for nerve function and red blood cell production; B12 deficiency raises homocysteine, worsening cardiac risk.

Electrolytes (2 Tests)

• Sodium — Regulates fluid balance, blood pressure and cardiac rhythm.
• Chloride — Maintains acid-base and fluid balance with sodium.

Additional Markers (3 Tests)

• Phosphorous — Works with calcium for bone mineralisation; regulated by kidneys. Abnormal phosphorous is an early sign of kidney disease and is associated with cardiovascular complications in renal patients.
• Total IgE (TIGE) — Total Immunoglobulin E; significantly elevated in allergies (allergic rhinitis, asthma, eczema), parasitic infections and certain immune disorders. A useful baseline immune marker not included in most standard packages.
• High Sensitivity C-Reactive Protein (hs-CRP) — Most sensitive marker for arterial inflammation and cardiovascular risk; predicts heart attack independently of cholesterol levels.

Fasting Blood Sugar (1 Test)

• Fasting Blood Glucose (FBS) — Direct same-day fasting glucose for immediate diabetes and pre-diabetes diagnosis. Combined with HbA1c gives both short-term and long-term glucose assessment.

CBC — Complete Blood Count (28 Tests)

• Haemoglobin, RBC, WBC, Platelet Count, PCV, MCV, MCH, MCHC, RDW-CV, RDW-SD
• Differential leucocyte count: Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils (absolute and percentage)
• Platelet indices: MPV, PDW, PCT

Complete Urine Analysis (24 Tests)

• Physical: Specific Gravity, Appearance, Colour, Volume
• Chemical: Urinary Bilirubin, Urine Blood, Urobilinogen, Bile Pigment, Bile Salt, Urinary Glucose, Urine Ketone, Leucocyte Esterase, Nitrite, pH, Urinary Protein
• Microscopy: Bacteria, Casts, Crystals, Epithelial Cells, Urinary Leucocytes (pus cells), Mucus, Parasite, Red Blood Cells, Yeast

Toxic Elements — Heavy Metals Panel (22 Tests)

• Arsenic (As) — Groundwater and pesticide contamination; causes neuropathy, skin disease and cancer with chronic exposure.
• Lead (Pb) — Old paint, certain Ayurvedic medicines, contaminated soil; causes neurotoxicity, anaemia and kidney damage.
• Mercury (Hg) — Contaminated seafood, industrial exposure; causes neurological damage and kidney toxicity.
• Cadmium (Cd) — Cigarette smoke, contaminated food; accumulates in kidneys causing chronic kidney disease; proven carcinogen.
• Copper (Cu), Zinc (Zn), Iron (Fe), Selenium (Se) — Essential trace minerals where both deficiency and toxicity are assessed.
• Cobalt (Co), Chromium (Cr), Nickel (Ni), Manganese (Mn), Barium (Ba), Beryllium (Be), Bismuth (Bi), Lithium (Li), Molybdenum (Mo), Platinum (Pt), Antimony (Sb), Tin (Sn), Thallium (Tl), Vanadium (V) — Complete industrial and environmental heavy metal panel.

How This Compares to Aarogyam D Plus (102 tests)

• Adds 22-parameter Toxic Elements heavy metal screening
• Adds Fasting Blood Sugar alongside HbA1c for complete diabetes assessment
• Everything else is identical — same 102 parameters of the D Plus
• Ideal when you want the D Plus workup and also need heavy metal screening in a single visit

Who Should Take This Test?

• Adults above 40 wanting the most comprehensive single-draw health assessment available
• People working in manufacturing, mining, welding, printing or painting industries
• Those consuming borewell, well or groundwater regularly
• Anyone on long-term Ayurvedic, herbal or traditional medicines
• People with unexplained fatigue, neuropathy, anaemia or cognitive decline
• Diabetics wanting FBS + HbA1c + ABG in the same draw
• Anyone with known or suspected allergies (Total IgE)
• Those whose previous D Plus results need follow-up with heavy metal ruling out