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Clinical Laboratory Reference Guide

Blood Test Biomarkers & Normal Ranges in Malaysia

Understand your laboratory test results in plain English. Learn the clinical significance of standard reference ranges, what out-of-range flags mean, and which screening packages evaluate each organ system.

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Heart & Cardiovascular Lipids

Evaluates circulating blood fats, arterial plaque formation risks, and cardiovascular wellness.

Total Cholesterol

Unit: mmol/L
Target: < 5.2 mmol/L

Total measure of all cholesterol types circulating in your blood stream.

▲ High:Elevated risk of arterial plaque buildup, atherosclerosis, and coronary artery disease.
▼ Low:Rare; may reflect severe malnutrition, chronic liver disease, or hyperthyroidism.
Tested In: Standard / Comprehensive ScreenView Packages →

HDL Cholesterol ('Good' Cholesterol)

Unit: mmol/L
Target: > 1.0 mmol/L (Men) / > 1.2 mmol/L (Women)

High-density lipoprotein transports excess cholesterol back to the liver for excretion.

▲ High:Cardio-protective; lowers overall heart disease risk.
▼ Low:Increased cardiovascular risk; often associated with sedentary lifestyle, obesity, or smoking.
Tested In: Comprehensive Health ScreeningView Packages →

LDL Cholesterol ('Bad' Cholesterol)

Unit: mmol/L
Target: < 3.4 mmol/L (Standard) / < 2.6 (High Risk)

Low-density lipoprotein can deposit on arterial walls and form restrictive plaques.

▲ High:Major contributor to cardiac arterial blockages, heart attack, and stroke risk.
▼ Low:Generally optimal, but very low values may need review if accompanied by malabsorption.
Tested In: Comprehensive Health ScreeningView Packages →

Triglycerides

Unit: mmol/L
Target: < 1.7 mmol/L

Fat molecules converted from excess dietary calories, especially refined sugars and carbohydrates.

▲ High:Associated with metabolic syndrome, fatty liver, insulin resistance, and pancreatitis risk.
▼ Low:Low dietary fat intake or malnutrition.
Tested In: Comprehensive Health ScreeningView Packages →
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Liver Function & Hepatic Enzymes

Monitors detoxifying liver enzymes, protein synthesis, bile clearance, and cellular liver damage.

ALT (Alanine Aminotransferase / SGPT)

Unit: U/L
Target: < 45 U/L (Men) / < 34 U/L (Women)

Enzyme found predominantly inside liver cells. Released into bloodstream during hepatic inflammation.

▲ High:Signifies liver cell stress, non-alcoholic fatty liver disease (NAFLD), viral hepatitis, or alcohol intake.
▼ Low:Normal physiological finding; no clinical concern.
Tested In: Comprehensive / Executive ScreenView Packages →

AST (Aspartate Aminotransferase / SGOT)

Unit: U/L
Target: < 40 U/L

Enzyme present in liver, heart, and muscle tissue. Evaluated alongside ALT.

▲ High:Indicates hepatic stress, strenuous muscular injury, or alcohol-induced liver changes.
▼ Low:Normal physiological finding.
Tested In: Comprehensive Health ScreeningView Packages →

Total Bilirubin

Unit: umol/L
Target: 3.4 – 20.5 umol/L

Yellow pigment produced during natural breakdown of aged red blood cells.

▲ High:Can manifest as jaundice (yellowing skin/eyes), bile duct obstruction, or Gilbert's syndrome.
▼ Low:Clinically insignificant.
Tested In: Comprehensive Health ScreeningView Packages →

Albumin

Unit: g/L
Target: 35 – 50 g/L

Essential circulating blood protein synthesized exclusively by the liver.

▲ High:Typically indicates systemic dehydration.
▼ Low:Can indicate chronic liver dysfunction, kidney protein loss (nephrotic syndrome), or poor nutrition.
Tested In: Comprehensive Health ScreeningView Packages →
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Kidneys & Renal Function

Tests filtration efficiency, waste clearance, electrolyte balance, and chronic kidney disease risks.

Serum Creatinine

Unit: umol/L
Target: 62 – 106 umol/L (Men) / 44 – 80 umol/L (Women)

Normal waste breakdown product of muscle creatine cleared exclusively by healthy kidneys.

▲ High:Suggests impaired kidney filtration, chronic renal disease, dehydration, or heavy muscle mass.
▼ Low:Low muscle mass, muscle atrophy, or prolonged bed rest.
Tested In: Standard / Comprehensive ScreenView Packages →

eGFR (Estimated Glomerular Filtration Rate)

Unit: mL/min/1.73m²
Target: > 90 mL/min (Optimal)

Gold-standard calculated index of overall kidney filtration capacity based on creatinine, age, and sex.

▲ High:Healthy, fully functional kidney filtration capacity.
▼ Low:Values below 60 mL/min signify chronic kidney disease (CKD) requiring clinical nephrology review.
Tested In: Comprehensive Health ScreeningView Packages →

Blood Urea

Unit: mmol/L
Target: 2.8 – 7.2 mmol/L

Nitrogenous waste product resulting from dietary protein metabolism by the liver.

▲ High:Kidney impairment, dehydration, high-protein diets, or gastrointestinal bleeding.
▼ Low:Severe liver disease, low-protein diet, or overhydration.
Tested In: Comprehensive Health ScreeningView Packages →

Uric Acid

Unit: umol/L
Target: 200 – 420 umol/L (Men) / 140 – 360 umol/L (Women)

Byproduct of purine breakdown found in red meat, seafood, organ meats, and alcohol.

▲ High:Risk factor for painful Gout arthritis crystal deposits and kidney uric acid stones.
▼ Low:Rare; generally harmless.
Tested In: Comprehensive Health ScreeningView Packages →
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Diabetes & Blood Sugar Regulation

Monitors daily glucose homeostasis and long-term 3-month glycemic control.

Fasting Blood Glucose

Unit: mmol/L
Target: 3.9 – 5.5 mmol/L (Normal) / 5.6 – 6.9 (Pre-diabetes)

Measures circulating glucose after an 8 to 10-hour overnight fast.

▲ High:Levels >= 7.0 mmol/L indicate Diabetes Mellitus; 5.6–6.9 indicates impaired fasting glucose (pre-diabetes).
▼ Low:Hypoglycemia (< 3.9 mmol/L); can cause shakiness, dizziness, sweating, and weakness.
Tested In: Standard / Comprehensive ScreenView Packages →

HbA1c (Glycated Hemoglobin)

Unit: %
Target: < 5.7% (Normal) / 5.7 – 6.2% (Pre-diabetic)

Average blood sugar control over the past 90 to 120 days. Does not require fasting.

▲ High:Values >= 6.3% are diagnostic for Type 2 Diabetes; predicts cardiovascular & kidney complications.
▼ Low:May occur in hemolytic anemia or blood loss with shortened RBC lifespan.
Tested In: Comprehensive Health ScreeningView Packages →
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Full Blood Count & Hematology

Checks oxygen-carrying red blood cells, infection-fighting white cells, and blood clotting platelets.

Hemoglobin (Hb)

Unit: g/dL
Target: 13.0 – 17.0 g/dL (Men) / 12.0 – 15.0 g/dL (Women)

Iron-rich protein in red blood cells that transports oxygen to your brain and bodily organs.

▲ High:Polycythemia, chronic smoking, sleep apnea, or prolonged high-altitude living.
▼ Low:Anemia; leads to chronic fatigue, pallor, dizziness, cold hands, and shortness of breath.
Tested In: Standard / Comprehensive ScreenView Packages →

Total White Blood Cell Count (WBC)

Unit: 10^9/L
Target: 4.0 – 11.0 10^9/L

Primary defenders of your immune system against bacterial, viral, and inflammatory triggers.

▲ High:Leukocytosis; indicates active bacterial/viral infection, systemic inflammation, or physical stress.
▼ Low:Leukopenia; bone marrow suppression, viral illness (e.g. Dengue), or medication reaction.
Tested In: Standard / Comprehensive ScreenView Packages →

Platelet Count

Unit: 10^9/L
Target: 150 – 450 10^9/L

Microscopic cell fragments critical for clot formation and preventing excessive hemorrhage.

▲ High:Thrombocytosis; reactive inflammation, iron deficiency, or marrow disorders.
▼ Low:Thrombocytopenia; increased bruising, Dengue fever warning sign, or auto-immune destruction.
Tested In: Standard / Comprehensive ScreenView Packages →
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Vitamins, Minerals & Bone Health

Essential micronutrients governing bone density, cellular immunity, and neuromuscular function.

Vitamin D (25-Hydroxy)

Unit: nmol/L
Target: 50 – 125 nmol/L (Optimal) / < 50 (Deficient)

Crucial steroid pro-hormone regulating calcium absorption, bone strength, and immune defense.

▲ High:Toxicity from over-supplementation; can cause hypercalcemia.
▼ Low:Extremely common in urban Malaysia due to indoor lifestyles; causes fatigue, bone loss, and muscle aches.
Tested In: Add-On Test / Executive ScreenView Packages →

Serum Calcium

Unit: mmol/L
Target: 2.15 – 2.55 mmol/L

Vital mineral for bone mineralization, cardiac rhythm, and neuromuscular signaling.

▲ High:Hyperparathyroidism, certain malignancies, or excess vitamin D.
▼ Low:Vitamin D deficiency, kidney failure, or hypoparathyroidism.
Tested In: Comprehensive Health ScreeningView Packages →

Biomarker & Lab Test FAQs

Common questions about Malaysian laboratory standards, fasting, and result interpretation.

Why do blood test reference ranges differ slightly between laboratories in Malaysia?▼

Reference ranges can vary slightly depending on the specific testing analyzer instruments, reagents, calibration standards, and patient demographic populations utilized by different accredited laboratories (e.g. MS ISO 15189 standards). Always review your results against the specific target range printed on your Elab laboratory report.

What should I do if a biomarker is flagged as High or Low on my report?▼

An isolated borderline result does not necessarily mean a serious medical disease. Mild dehydration, recent strenuous exercise, dietary changes, or temporary viral infections can influence enzymes and counts. Every Elab screening includes plain-English doctor review to advise you if medical follow-up is warranted.

How frequently should healthy adults in Malaysia screen their blood biomarkers?▼

The Malaysian Ministry of Health and clinical wellness guidelines recommend that healthy adults aged 30 and above complete an annual comprehensive health screening (evaluating lipid panel, fasting glucose, kidney and liver enzymes). Individuals with a family history of diabetes, hypertension, or cardiac conditions should screen yearly from age 25.

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