Liver Function

Liver Check-up: Everything You Need to Know

The liver is one of the most important organs in the body, performing a multitude of functions such as aiding digestion, eliminating toxins, producing proteins, and regulating blood sugar levels. When the liver malfunctions, it can impact various systems in the body and lead to various diseases.

A liver check-up is a preliminary method for evaluating liver health and detecting abnormalities before they become severe.

Why should you get a liver check-up?

There are several reasons why you should get a liver check-up:

  • You have a history of risk factors for liver disease: This includes regular alcohol consumption, smoking, and infection with hepatitis viruses (such as hepatitis B and C).
  • You experience symptoms that may be related to liver disease: These include fatigue, loss of appetite,nausea, vomiting, diarrhea, abdominal pain under the right ribs, yellowing of the skin and eyes, dark urine, and pale stools.
  • You have a pre-existing condition that may affect your liver: This includes diabetes, fatty liver disease, and obesity.
  • You need preparation before surgery: Sometimes, surgery can affect the liver, so your doctor may recommend a liver check-up beforehand.
  • You need to monitor the treatment of liver disease: If you are receiving treatment for liver disease, your doctor may recommend regular check-ups to monitor your progress.

Types of liver check-ups:

There are several types of liver check-ups, each with its own advantages and disadvantages:

  • Blood tests: This is a simple, convenient, and painless method for checking liver health. It measures the levels of enzymes and chemicals in your blood that may indicate liver abnormalities.
  • Ultrasound: This imaging technique helps visualize the size and shape of the liver and detect tissue abnormalities, such as fibrosis and masses.
  • CT scan or MRI scan of the liver: These imaging techniques provide more details than an ultrasound and can clearly depict liver abnormalities.

Your doctor will choose the most appropriate liver check-up method based on your medical history, risk factors, and symptoms.

Preparing for a liver check-up:

Before your liver check-up, you may need to fast, avoid certain foods, or stop taking specific medications as instructed by your doctor.

Interpreting the results:

The results of your liver check-up may indicate abnormalities such as:

  • Elevated blood enzyme levels: This may suggest liver cell damage.
  • Abnormal liver blood flow: This may be a sign of cirrhosis.
  • Liver masses: These could be benign tumors or cancerous growths.

If your liver check-up results are abnormal, your doctor will perform further tests to determine the cause and provide appropriate treatment.

Maintaining liver health:

There are several things you can do to maintain your liver health:

  • Abstain from alcohol.
  • Quit smoking.
  • Eat a healthy diet: Focus on fruits, vegetables, and whole grains.
  • Exercise regularly.
  • Manage any underlying conditions: Such as diabetes, fatty liver disease, and obesity.
  • Get vaccinated against hepatitis B virus.

Find and Order Laboratory Tests

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Anti-Desmoglein 1 (Dsg1) Ab:

2,860 THB

Detects antibodies to desmoglein 1, used to diagnose pemphigus foliaceus, an autoimmune skin disease causing skin blistering.
serum 1-2 ml.
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Autoimmune Diseases Crusting Skin Lesions None Pemphigus Foliaceus Pemphigus Foliaceus Test Skin Blisters

Specific IgE for Gluten(f79):

2,600 THB

Measures specific IgE antibodies to gluten, used to diagnose gluten sensitivity or wheat allergies.
serum 1 ml
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Abdominal Pain Diarrhea Food Allergies Gluten Allergy Test Gluten Consumption Gluten Sensitivity Hives

FoundationOne Liquid (ACT) (FOUNDATION MEDICINE, INC.):

293,930 THB

Analyzes blood samples from patients with solid tumors (lung, breast, colon, etc.) using next-generation sequencing to detect genomic alterations.
Whole blood in FoundationOne Liquid collection tubes (Streck BCT tube X 2) 1. ( Streck tube ) 2. + Request+Consent form Load Salesforce 3.
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Cancer Family History of Cancer FoundationOne Liquid Cancer Test None Solid Tumors Tumor Growth

Pregnenolone, LC/MS/MS [Questdiagnostic]:

32,220 THB

Measures pregnenolone hormone levels, used to assess adrenal function and hormonal balance.
Serum 2 ml (DO NOT USE GEL TUBES)
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Adrenal Disorders Depression Fatigue Hormonal Imbalance Low Libido None Pregnenolone Hormone Test

ANORA Miscarriage testing(BCC):

51,200 THB

Detects chromosomal abnormalities, large deletions or duplications, and uniparental disomy in miscarriage tissue to determine causes of pregnancy loss.
0.5 mm^3 tissue in container with NSS and maternal blood in Special kit **Fresh tissue in NSS and maternal EDTA blood 4-6 ml are alter- native in case of no anora kit** // PBS/NSS NSS BCC 17/11/22
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Genetic Disorders Maternity Loss Miscarriage Genetic Testing None Recurrent Miscarriage

FoundationOne HEME (Longitudinal Program case):

214,760 THB

Next-generation sequencing test for hematologic cancers (leukemia, sarcoma), identifying genomic alterations, including base substitutions, insertions, deletions, and rearrangements.
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Family History of Cancer FoundationOne HEME Cancer Test Leukemia None Sarcoma Tumor Growth

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Gene-agnostic parallel sequencing test to identify genetic mutations associated with cancer.
1. Blood in streck tube (there are 2 streck tubes) and 2. FFPE tissue in collection kits
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Cancer Family History of Cancer Gene Agnostic Cancer Test Genetic Cancer Syndromes None Tumor Growth

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Screens for common drugs of abuse using liquid chromatography/tandem mass spectrometry (LC-MS/MS), with detection limits varying by substance.
random urine 50 ml (minimum 5 ml)
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Drug Screening Drug Use Substance Abuse Substance Use

Ethylbenzene (Sum of mandelic acid and phenyl- glyoxylic acid )(HPLC):

1,620 THB

Measures levels of ethylbenzene metabolites (mandelic acid and phenylglyoxylic acid) in urine, used to assess occupational exposure.
Random Urine 10-20 mL (End of Shift)
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Dizziness Ethylbenzene Exposure Test Ethylbenzene Toxicity Headaches Industrial Exposure Occupational Exposure Weakness

JAK2 V617F mutation:

7,088 THB

Detects JAK2 V617F mutation, associated with myeloproliferative disorders like polycythemia vera, using allele-specific PCR (AS-PCR).
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Blood Clots Fatigue Headaches JAK2 Mutation Test Myeloproliferative Disorders None Polycythemia Vera

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Anti-Desmoglein 1 (Dsg1) Ab:

2,860 THB

Description: Detects antibodies to desmoglein 1, used to diagnose pemphigus foliaceus, an autoimmune skin disease causing skin blistering.
Specimen: serum 1-2 ml.
Related Tests: Autoimmune Panel,Skin Disorder Testing
Autoimmune Diseases Crusting Skin Lesions None Pemphigus Foliaceus Pemphigus Foliaceus Test Skin Blisters
Add to cart

Specific IgE for Gluten(f79):

2,600 THB

Description: Measures specific IgE antibodies to gluten, used to diagnose gluten sensitivity or wheat allergies.
Specimen: serum 1 ml
Related Tests: Celiac Disease Panel,Food Allergy Testing
Abdominal Pain Diarrhea Food Allergies Gluten Allergy Test Gluten Consumption Gluten Sensitivity Hives
Add to cart

FoundationOne Liquid (ACT) (FOUNDATION MEDICINE, INC.):

293,930 THB

Description: Analyzes blood samples from patients with solid tumors (lung, breast, colon, etc.) using next-generation sequencing to detect genomic alterations.
Specimen: Whole blood in FoundationOne Liquid collection tubes (Streck BCT tube X 2) 1. ( Streck tube ) 2. + Request+Consent form Load Salesforce 3.
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Cancer Family History of Cancer FoundationOne Liquid Cancer Test None Solid Tumors Tumor Growth
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Pregnenolone, LC/MS/MS [Questdiagnostic]:

32,220 THB

Description: Measures pregnenolone hormone levels, used to assess adrenal function and hormonal balance.
Specimen: Serum 2 ml (DO NOT USE GEL TUBES)
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Adrenal Disorders Depression Fatigue Hormonal Imbalance Low Libido None Pregnenolone Hormone Test
Add to cart

ANORA Miscarriage testing(BCC):

51,200 THB

Description: Detects chromosomal abnormalities, large deletions or duplications, and uniparental disomy in miscarriage tissue to determine causes of pregnancy loss.
Specimen: 0.5 mm^3 tissue in container with NSS and maternal blood in Special kit **Fresh tissue in NSS and maternal EDTA blood 4-6 ml are alter- native in case of no anora kit** // PBS/NSS NSS BCC 17/11/22
Related Tests: Genetic Miscarriage Panel,Chromosomal Abnormality Testing
Genetic Disorders Maternity Loss Miscarriage Genetic Testing None Recurrent Miscarriage
Add to cart

FoundationOne HEME (Longitudinal Program case):

214,760 THB

Description: Next-generation sequencing test for hematologic cancers (leukemia, sarcoma), identifying genomic alterations, including base substitutions, insertions, deletions, and rearrangements.
Specimen: Turnaround Time 1 month
Family History of Cancer FoundationOne HEME Cancer Test Leukemia None Sarcoma Tumor Growth
Add to cart

Gene Agnostic Parallel (GTP) (Gene Agnostic):

212,459 THB

Description: Gene-agnostic parallel sequencing test to identify genetic mutations associated with cancer.
Specimen: 1. Blood in streck tube (there are 2 streck tubes) and 2. FFPE tissue in collection kits
Related Tests: Hereditary Cancer Panel,Genetic Screening
Cancer Family History of Cancer Gene Agnostic Cancer Test Genetic Cancer Syndromes None Tumor Growth
Add to cart

Screening for common drug(Urine):

10,238 THB

Description: Screens for common drugs of abuse using liquid chromatography/tandem mass spectrometry (LC-MS/MS), with detection limits varying by substance.
Specimen: random urine 50 ml (minimum 5 ml)
Related Tests: Toxicology Panel,Drug Abuse Testing
Drug Screening Drug Use Substance Abuse Substance Use
Add to cart

Ethylbenzene (Sum of mandelic acid and phenyl- glyoxylic acid )(HPLC):

1,620 THB

Description: Measures levels of ethylbenzene metabolites (mandelic acid and phenylglyoxylic acid) in urine, used to assess occupational exposure.
Specimen: Random Urine 10-20 mL (End of Shift)
Related Tests: Occupational Health Panel,Toxicology Testing
Dizziness Ethylbenzene Exposure Test Ethylbenzene Toxicity Headaches Industrial Exposure Occupational Exposure Weakness
Add to cart

JAK2 V617F mutation:

7,088 THB

Description: Detects JAK2 V617F mutation, associated with myeloproliferative disorders like polycythemia vera, using allele-specific PCR (AS-PCR).
Specimen: EDTA whole blood 3-5 ml or EDTA bone marrow 3-5 ml
Related Tests: Myeloproliferative Disease Panel,JAK2 Testing
Blood Clots Fatigue Headaches JAK2 Mutation Test Myeloproliferative Disorders None Polycythemia Vera
Add to cart
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