Aarogyam F Plus FBS

What is Aarogyam F Plus FBS?

The Aarogyam F Plus FBS is the pinnacle of Thyrocare's Aarogyam range — 136 parameters representing the most comprehensive single-booking preventive health assessment available. It builds on the E Plus panel with four clinically significant additions: Anti-Nuclear Antibodies (ANA) for lupus and systemic autoimmune screening, Anti-CCP (the most specific blood test for Rheumatoid Arthritis), Lp-PLA2 (a vascular-specific inflammation marker for stroke and cardiovascular risk), and Fasting Insulin (for insulin resistance assessment independent of blood glucose). The expanded 22-parameter Elements panel now includes Aluminium, Caesium, Strontium and Uranium alongside the full toxic and nutrient element range.

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

Tests Included (136 Parameters)

Thyroid Advanced (3 Tests)

• TSH – Ultrasensitive (UTSH) — Most sensitive thyroid screening test.
• Free Triiodothyronine (FT3) — Free, biologically active T3; more precise than Total T3.
• Free Thyroxine (FT4) — Free, unbound T4; unaffected by binding protein levels.

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.
• 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.

Kidney Advanced (7 Tests)

• Serum Creatinine, BUN, Urea (Calculated), BUN/Creatinine Ratio, Urea/Creatinine Ratio — Complete kidney function panel.
• Calcium — Heart, bone and nerve function.
• Uric Acid — Elevated in gout, kidney stones and cardiovascular disease.

Iron Deficiency Profile (4 Tests)

• Serum Iron, % Transferrin Saturation, TIBC, UIBC — Complete iron status assessment.

Cardiac Risk Markers (5 Tests)

• Lipoprotein (a) [Lp(a)] — Major independent cardiac risk factor unresponsive to standard cholesterol treatment.
• Apo B / Apo A1 Ratio — Most powerful lipid ratio for cardiovascular risk prediction.
• Apolipoprotein A1 (Apo-A1) — True HDL cardioprotective protein.
• Apolipoprotein B (Apo-B) — Atherogenic particle marker; superior to LDL.
• Homocysteine — Arterial wall damage marker; independent cardiac and stroke risk factor linked to B-vitamin deficiency.

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.
• Vitamin B-12 — Nerve health, red blood cell production; deficiency raises homocysteine.

Electrolytes (2 Tests)

• Sodium — Blood pressure, fluid balance and cardiac rhythm.
• Chloride — Acid-base balance.

Pancreas Profile (2 Tests)

• Lipase — Most specific pancreatic enzyme; elevated in acute and chronic pancreatitis.
• Amylase — Pancreatic and salivary enzyme; used alongside lipase for comprehensive pancreatic 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

Additional Markers (9 Tests)

• Phosphorous — Bone mineralisation; early kidney disease marker.
• Total IgE (TIGE) — Allergy, asthma and immune assessment.
• Fructosamine — Short-term 2–3 week glucose monitoring; complements HbA1c.
• Magnesium — Deficiency linked to hypertension, diabetes, arrhythmias and muscle cramps.
• Ferritin — Most sensitive early iron deficiency marker.
• Folate (Vitamin B9) — Anaemia, homocysteine control; critical pre-conception marker.
• High Sensitivity C-Reactive Protein (hs-CRP) — Arterial inflammation and cardiovascular risk marker.
• Rheumatoid Factor (RF) — Autoantibody present in Rheumatoid Arthritis and other autoimmune conditions.
• Fasting Blood Sugar (FBS) — Direct same-day fasting glucose alongside HbA1c for complete diabetes assessment.

Exclusive Markers — Unique to F Plus (4 Tests)

• Anti-Nuclear Antibodies (ANA) — Screens for systemic autoimmune diseases including Systemic Lupus Erythematosus (SLE), Sjögren's Syndrome, Mixed Connective Tissue Disease (MCTD), Scleroderma and other connective tissue disorders. ANA is the best initial screening test when autoimmune disease is suspected. Positive ANA with symptoms (joint pain, rash, fatigue, hair loss, mouth ulcers) requires further investigation. This is the only Aarogyam package with ANA.
• Anti-CCP (ACCP — Anti-Cyclic Citrullinated Peptide) — The most specific blood test for Rheumatoid Arthritis (RA); more specific than Rheumatoid Factor. Anti-CCP can be positive years before RA symptoms appear, enabling early diagnosis and treatment before joint damage occurs. Particularly valuable in people with early joint symptoms or a family history of RA.
• Lp-PLA2 (Lipoprotein-Associated Phospholipase A2) — A vascular-specific inflammation marker that predicts stroke and coronary artery disease risk independently of other cardiac markers. Unlike hs-CRP which reflects general body inflammation, Lp-PLA2 is produced specifically within arterial plaques — making it a highly specific marker of unstable plaque activity and imminent cardiovascular event risk. Elevated Lp-PLA2 identifies high-risk individuals even when standard cholesterol tests appear normal.
• Insulin – Fasting — Directly measures fasting insulin levels to detect hyperinsulinaemia and insulin resistance — the root metabolic dysfunction underlying Type 2 diabetes, PCOS, obesity and metabolic syndrome. Fasting insulin can be elevated for years before blood sugar rises, making it the earliest marker of pre-diabetic metabolic dysfunction. Combined with fasting glucose, it allows calculation of the HOMA-IR insulin resistance index.

Elements 22 — Toxic and Nutrients Panel (22 Tests)

Toxic Elements (14):

• Aluminium (Al) — Accumulates with long-term antacid use, dialysis and industrial exposure; linked to neurological damage and bone disease.
• Arsenic (As) — Groundwater contamination; causes neuropathy, skin disease and cancer.
• Barium (Ba) — Industrial exposure; affects cardiovascular and nervous system.
• Cadmium (Cd) — Cigarette smoke and contaminated food; chronic kidney disease and carcinogen.
• Caesium (Cs) — Radioactive isotopes from environmental contamination; toxic to kidneys and cardiovascular system.
• Mercury (Hg) — Contaminated fish; neurological and kidney toxicity.
• Lead (Pb) — Ayurvedic medicines, old paint; neurotoxicity, anaemia and kidney damage.
• Tin (Sn), Bismuth (Bi), Beryllium (Be), Antimony (Sb), Strontium (Sr), Thallium (Tl), Uranium (U) — Environmental and industrial toxic elements assessed for chronic exposure.

Nutrient Elements (8):

• Cobalt (Co), Chromium (Cr), Molybdenum (Mo), Silver (Ag), Vanadium (V), Selenium (Se), Nickel (Ni), Manganese (Mn) — Essential trace nutrients assessed for both deficiency and toxicity; selenium deficiency is linked to thyroid dysfunction and immune weakness; chromium deficiency worsens insulin resistance.

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

The 4 Markers That Make F Plus the Ultimate Package

• ANA — Screens for lupus and systemic autoimmune diseases missed by every other Aarogyam package. Essential for women with unexplained fatigue, joint pain, rash or hair loss.
• Anti-CCP — Most specific RA test; detects autoimmune arthritis years before joint damage. More specific than Rheumatoid Factor.
• Lp-PLA2 — Vascular plaque-specific inflammation; identifies imminent cardiovascular event risk that hs-CRP and lipid tests can miss.
• Fasting Insulin — Detects insulin resistance years before diabetes develops; the root cause of PCOS, obesity and metabolic syndrome.

Who Should Take This Test?

• Adults above 40 wanting the absolute most comprehensive health assessment in one visit
• Women with unexplained fatigue, joint pain, hair loss, skin rash or mouth ulcers (ANA for lupus)
• Anyone with early joint symptoms, morning stiffness or family history of Rheumatoid Arthritis (Anti-CCP)
• High cardiovascular risk individuals — especially those with normal cholesterol but other risk factors (Lp-PLA2)
• People with PCOS, obesity or pre-diabetes wanting insulin resistance assessment (Fasting Insulin)
• Industrial workers, well water users and long-term Ayurvedic medicine users (expanded toxic elements)
• Anyone wanting zero diagnostic gaps in their annual preventive health screen