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Gabit - Heart Health

Gabit - Heart Health near me in Jamshedpur

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34 tests

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The Gabit - Heart Health package is a comprehensive set of blood tests tailored to assess your heart health and identify potential risk factors for cardiovascular diseases. This package includes a range of tests that evaluate various markers associated with heart health, including complete hemogram (CBC & ESR) test, fasting blood sugar (FBS) test, serum homocysteine test, lipid profile test, uric acid test, and hsCRP (high sensitive CRP) test. It is recommended for individuals who have a family history of heart disease, are overweight, have high blood pressure, or exhibit symptoms like chest pain, shortness of breath, or palpitations. It is also essential for people who are already diagnosed with heart disease to monitor their cardiovascular health and prevent complications.

Getting tested with the Gabit - Heart Health package enables your doctor to suggest lifestyle changes such as diet or exercise or initiate appropriate treatment to prevent possible complications.

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What does Gabit - Heart Health measure?

Contains 34 tests

Complete Hemogram (CBC & ESR)

A Complete Hemogram (CBC & ESR) test combines a complete blood count (CBC) test and an erythrocyte sedimentation rate (ESR) test. The CBC test evaluates all of your blood cells (red, white, and platelets) that reflect your general health. The ESR test, on the other hand, determines the presence of any inflammation or infection in your body.

Know more about Complete Hemogram (CBC & ESR)

ESR (Erythrocyte Sedimentation Rate)

The ESR (Erythrocyte Sedimentation Rate) test measures how fast red blood cells (erythrocytes) settle in a tube over one hour.

When your body is inflamed, certain proteins, mainly fibrinogen, increase in the blood. These proteins cause the red blood cells to stick together in stacks. These stacks settle faster, leading to a higher ESR.

The ESR test shows that inflammation is present. However, it cannot tell you exactly where the inflammation is or what is causing it. That’s why doctors usually do this test along with other tests. This helps them understand and treat your health problems.

What Do the Results Mean?

Pathological Factors

Test Parameter	Interpretation (possible causes)
Normal Level	No inflammation
Low Level	Polycythemia vera Sickle cell anemia CHF (congestive heart failure) Typhoid and undulant fever, malarial paroxysm, trichinosis, pertussis, infectious Mononucleosis, and uncomplicated viral diseases Peptic ulcer Acute allergy
High Level	Infections Vasculitis, including temporal arteritis Inflammatory arthritis Renal disease Tuberculosis Anemia Malignancies and plasma cell dyscrasias Tissue injury, including myocardial infarction

Physiological Factors

🧓 Age: ESR usually rises as people get older because of changes in blood proteins and red blood cells.

🚺 Gender: Women often have slightly higher ESR than men due to hormones and lower red blood cell levels.

🩸 Pregnancy and Menstruation: Both conditions can temporarily elevate ESR . THis can be due to hormonal fluctuations, increased plasma volume, and changes in fibrinogen concentration.

💊 Medications: Medicines such as dextran, methyldopa, oral contraceptives, penicillamine, procainamide, etc., can increase ESR, while aspirin, steroids, and quinine may decrease it.

Lifestyle Factors

🥗 Nutrition: Poor diet may influence plasma composition and affect ESR levels.

🚬 Smoking: Chronic smoking can increase oxidative stress and mildly raise ESR levels.

🏃 Physical Activity: Prolonged inactivity or chronic fatigue can influence inflammatory markers.

😴 Sleep and Stress: High stress or poor sleep may impact immune response and inflammation, indirectly affecting ESR.

Disclaimer: This information is for educational purposes only and should not replace professional medical advice, diagnosis, or treatment. Always consult your healthcare provider for personalized guidance.

What Do Normal ESR Levels Mean?

Normal ESR levels suggest that there is no significant inflammation in the body. It means your immune system is stable and there are no ongoing infections or major inflammatory conditions.

What Do High Levels of ESR Indicate?

High ESR levels usually suggest inflammation or tissue damage in the body. They can be seen in conditions like :

Infections
Inflammatory arthritis
Vasculitis (such as temporal arteritis)
Anemia
Kidney disease
Tuberculosis
Certain cancers, and plasma cell disorders
After tissue injury (like a heart attack)
During allergic and autoimmune reactions

What to Do if Your ESR Is Higher Than Normal?

If your ESR level is higher than normal, your doctor may recommend further tests to find the underlying cause. Treatment focuses on managing the condition causing the inflammation. Lifestyle measures like a balanced diet, proper rest, and following prescribed medications can help reduce inflammation over time.

What Do Low Levels of ESR Indicate?

Low ESR levels are less common but may occur in conditions that reduce red blood cell sedimentation. These include:

Polycythemia vera
Sickle cell anemia
Congestive heart failure (CHF)
Certain infections like typhoid, malaria, or viral illnesses
In cases of peptic ulcer disease or acute allergic reactions

Can ESR Results Be Inaccurate?

Yes. ESR results can be affected by factors like pregnancy, anemia, infections, or certain medications. Errors in sample handling or delayed testing may also impact accuracy. Hence, results should be interpreted along with symptoms and additional test results.

What Factors Can Affect ESR (Erythrocyte Sedimentation Rate) Results?

Though a reliable test, several factors can influence accuracy:

Falsely Increased ESR:

High fibrinogen, gamma, or beta globulins
Age, female gender, pregnancy, or menstruation
Infections, autoimmune disorders, or anemia
Medications such as dextran, methyldopa, penicillamine, theophylline, vitamin A, and oral contraceptives
Hypercholesterolemia
High lab temperature

Falsely Decreased ESR:

Abnormally shaped RBCs (sickle cells, spherocytes, acanthocytes)
Microcytosis, HbC disease, or hypofibrinogenemia
Extreme leukocytosis
Low lab temperature or clotted blood

What Follow-Up Tests May Be Required?

If your ESR levels are high or low, your doctor may suggest additional tests to find the underlying cause. These may include:

Table: Tests Commonly Ordered Alongside ESR Test

Test Name	Primary Purpose
CRP (C-Reactive Protein)	Detects active inflammation
CBC (Complete Blood Count)	Evaluates infection or anemia
ANA (Antinuclear Antibody)	Screens for autoimmune diseases
Rheumatoid Factor (RF)	Assesses for rheumatoid arthritis

How Does ESR Differ from Other Inflammatory Tests?

It is important to understand how the ESR (Erythrocyte Sedimentation Rate) test differs from other common inflammatory tests:

C-Reactive Protein (CRP): Detects acute inflammation and rises more quickly than ESR. It is useful for identifying infections and monitoring treatment response.
High-Sensitivity CRP (hs-CRP): Measures low-grade inflammation and helps assess cardiovascular disease risk.
Antinuclear Antibody (ANA): Screens for autoimmune diseases by detecting specific antibodies in the blood.
Rheumatoid Factor (RF): Helps diagnose rheumatoid arthritis and other autoimmune disorders.

CBC (Complete Blood Count)

The CBC (Complete Blood Count) test measures the number of red blood cells (RBCs), white blood cells (WBCs), and platelets. Each of these blood cells performs essential functions–RBCs carry oxygen from your lungs to the various body parts, WBCs help fight infections and other diseases, and platelets help your blood to clot. Therefore, determining their levels can provide significant health information. A CBC test also determines the hemoglobin level, a protein in RBC that carries oxygen from the lungs to the rest of your body. Evaluating all these components together can provide important information about your overall health.

This further contains

Differential Leukocyte Count
Red Blood Cell Count
Hb (Hemoglobin)
Platelet Count
Total Leukocyte Count
Hematocrit
Mean Corpuscular Volume
Mean Corpuscular Hemoglobin
Mean Corpuscular Hemoglobin Concentration
Mean Platelet Volume
PDW
RDW CV
Absolute Leucocyte Count

FBS (Fasting Blood Sugar)

The FBS (Fasting Blood Sugar) test measures the glucose level in the body under overnight fasting conditions. Glucose is the body's energy currency and is broken down through metabolism to produce energy. Hormones and enzymes produced by the liver and pancreas control this process. The hormone insulin, produced by the pancreas, regulates blood glucose levels. When these levels are high, such as after a meal, insulin is secreted to transport glucose into cells for energy production. Elevated glucose levels in the body after fasting may indicate a risk of developing prediabetes or diabetes, which can be of two types: type 1, caused by little or no insulin production, and type 2, caused by insulin resistance or decreased insulin production.

What Do the Results Mean?

Pathological Factors

Test Parameter	Interpretation (possible causes)
Normal	No diabetes
Borderline/Elevated	Pre-diabetes (can be due to insulin resistance, and other risk factors like obesity, unhealthy diet, sedentary lifestyle, etc)
High levels	Diabetes

Physiological Factors

🧒 Age: Glucose levels may increase slightly with age, even in healthy individuals.

🫄 Pregnancy: Hormonal changes during pregnancy can temporarily alter blood sugar levels.

Lifestyle Factors

🥞 Diet: High sugar intake, irregular meals can affect fasting glucose readings.

😴 Sleep: Poor sleep quality, irregular sleep patterns, or chronic stress may elevate fasting glucose levels.

🚬 Smoking & Alcohol: Both can interfere with insulin function and lead to inaccurate blood sugar results.

What Do Normal Fasting Blood Sugar Levels Mean?

Normal fasting blood sugar levels suggest that your body is efficiently regulating glucose through proper insulin function. It indicates a stable energy balance and a lower risk of developing diabetes or related metabolic issues.

What Do High Levels of Fasting Blood Sugar Indicate?

High fasting blood sugar levels may point to insulin resistance or reduced insulin activity in the body. It can be an early sign of prediabetes or diabetes and is often linked to factors such as poor diet, stress, inactivity, or certain health conditions.

What to Do if Your Fasting Blood Sugar Is Higher Than Normal?

If your fasting blood sugar level is higher than normal, it is important to follow up with your doctor. Many people successfully manage or reverse borderline results with healthy lifestyle changes such as balanced nutrition, regular physical activity, adequate sleep, and medical guidance when required.

What Do Low Levels of Fasting Blood Sugar Indicate?

Low fasting blood sugar levels may indicate that your body has more insulin than needed or that you have not eaten enough before the test. It can also occur due to certain medications or underlying medical conditions. Always consult your healthcare provider to understand the reason and manage it safely.

Can Fasting Blood Sugar Results Be Inaccurate?

Certain conditions or external factors such as skipping meals, lack of sleep etc., can affect FBS results. If your readings do not align with your symptoms or overall health, your doctor may recommend repeating the test or performing additional investigations to confirm accuracy.

What Factors Can Affect Fasting Blood Sugar Results?

Though a reliable test, some circumstances can influence accuracy:

Eating or drinking anything (other than water) before the test
Dehydration or prolonged fasting
Stress or lack of sleep before testing
Certain medications
Sunburn
Coffee intake
Alcohol

Table: Tests Commonly Ordered Alongside Fasting Blood Sugar Test:

Test Name	Primary Purpose
HbA1c (Glycosylated Hemoglobin)	Measures average blood sugar over 2–3 months
Postprandial Blood Sugar (PPBS)	Checks glucose levels 2 hours after eating
RBS (Random Blood Sugar)	Measures blood sugar at any time, without the need for fasting.
Oral Glucose Tolerance Test (OGTT)	Evaluates how the body processes sugar
Lipid Profile	Evaluates cholesterol and overall heart risk
Urine Microalbumin	Detects early signs of kidney damage
Liver/Kidney Function Tests	Monitors organ health and diabetes-related complications
Thyroid Profile	Assesses metabolism and hormone balance

How Does FBS (Fasting Blood Sugar) Differ from Other Glucose Blood Tests?

PPBS (Postprandial Blood Sugar): Measures blood sugar 2 hours after eating a meal.

RBS (Random Blood Sugar): Measures blood sugar anytime, without fasting.

OGTT (Oral Glucose Tolerance Test): Measures blood sugar before and after consuming glucose.

Glycated Hemoglobin (HbA1c): Reflects average blood sugar over the past 2–3 months.

Know more about FBS (Fasting Blood Sugar)

Serum Homocysteine

The Serum Homocysteine test measures your blood levels of homocysteine that serves in the body as an intermediate in the metabolism of methionine and cysteine. Methionine is an essential amino acid and antioxidant that synthesizes proteins. Cysteine is a nonessential amino acid synthesized from methionine. It reduces inflammation, increases communication between immune cells, and increases liver health.

The human body generally has low levels of homocysteine. This is because our body uses vitamins B12, B6, and folic acid (also called folate or vitamin B9) to break down homocysteine rapidly, convert it into other compounds, and transport it to our body. However, high levels can damage blood vessels and increase the risk of heart attacks, damage to arteries, and brain stroke.

Know more about Serum Homocysteine

Lipid Profile

The Lipid Profile assesses the level of specific fat molecules called lipids in the blood and helps determine the risk of heart ailments. This profile determines the amount of different types of lipids, including total cholesterol, low-density lipoprotein (LDL) cholesterol, very-low-density lipoprotein (VLDL) cholesterol, high-density lipoprotein (HDL) cholesterol, and triglycerides. Lipids play a pivotal role in the functioning of the body. They are crucial components of the cell membranes and hormones, provide cushioning, and are a storehouse of energy. Any alterations in the lipid levels may lead to potential heart ailments, making their monitoring crucial.

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Cholesterol - LDL

The Cholesterol - LDL test measures the concentration of low-density lipoprotein (LDL) cholesterol in the blood. LDL cholesterol plays an important role in your body. It carries cholesterol from your liver to other parts of the body where it's needed for things like building cell walls and making hormones. However, it is often referred to as "bad" cholesterol because when present in excess in your blood, it can stick to your blood vessel walls leading to the formation of plaque, making them narrow and less flexible. When this happens, it's harder for the blood to flow, which can lead to heart problems, like heart attacks and strokes. By measuring LDL cholesterol levels, your doctor can assess your risk of developing cardiovascular diseases and can recommend appropriate preventive or treatment strategies.

Triglycerides

The Triglycerides test measures the amount of triglycerides in the blood and helps evaluate your risk of developing cardiovascular diseases. Triglycerides are a type of fat (lipid) that your body uses as a source of energy. When you consume more calories than your body needs, the excess calories are converted into triglycerides and stored in fat cells for later use. High triglyceride levels can contribute to the hardening and narrowing of arteries, increasing the risk of heart attack, stroke, and other related conditions.

Cholesterol - Total

The Cholesterol - Total test measures the total amount of cholesterol (fats) in your blood. Cholesterol is mainly synthesized in the liver and partially in the intestines. It acts as a building block for cell membranes, is a precursor to vital hormones, and helps produce bile acids that help digest fats. Cholesterol is transported through the blood as lipoproteins: low-density lipoprotein (LDL) and high-density lipoprotein (HDL). An optimal amount of these proteins is necessary for proper body functioning.

Cholesterol - HDL

The Cholesterol - HDL test measures the concentration of high-density lipoprotein (HDL) cholesterol in the blood. HDL cholesterol plays a crucial role in maintaining cardiovascular health, as it helps transport excess low-density lipoprotein (LDL) cholesterol from the bloodstream back to the liver for excretion. This process prevents plaque buildup on the blood vessel walls, which can cause them to become narrow and less flexible. Higher HDL cholesterol levels are generally associated with a lower risk of heart problems, such as heart attacks and strokes. By measuring HDL cholesterol levels, your doctor can assess your risk of developing cardiovascular diseases and recommend appropriate preventive or treatment strategies, including lifestyle modifications and medications.

Very Low Density Lipoprotein

The Very Low Density Lipoprotein test measures the concentration of very-low-density lipoprotein (VLDL) cholesterol in the blood. VLDL cholesterol plays a vital role in the body's metabolic processes. It is produced by the liver and is used to transport triglycerides, a type of fat, from the liver to various tissues throughout the body, where they are either utilized for energy or stored for later use. Though VLDL cholesterol is essential for the body's normal functioning, it is harmful if present in excess amounts. By measuring VLDL cholesterol levels, your doctor can assess your risk of developing cardiovascular diseases and recommend appropriate preventive or treatment strategies.

Total Cholesterol/HDL Cholesterol Ratio

The Total Cholesterol/HDL Cholesterol Ratio test measures the ratio of total cholesterol and high-density lipoprotein (HDL)/good cholesterol in your blood which is a significant indicator of cardiovascular health. This ratio is calculated by dividing the total cholesterol by the HDL number. A high ratio indicates a higher amount of 'bad' cholesterol relative to 'good' cholesterol, implying a higher risk of developing heart disease. Conversely, a lower ratio implies a higher amount of 'good' cholesterol relative to 'bad' cholesterol, indicating a lower risk.

LDL/HDL Ratio

An LDL/HDL Ratio test measures the ratio of low-density lipoproteins (LDL) to high-density lipoproteins (HDL) in your blood. These two types of lipoproteins carry cholesterol throughout the body. LDL, often referred to as the 'bad' cholesterol, carries cholesterol to the cells that need it. However, if there is too much LDL cholesterol in the blood, it can combine with other substances and form plaque in the arteries, leading to cardiovascular diseases. On the other hand, HDL, often referred to as the 'good' cholesterol, helps remove other forms of cholesterol, including LDL, from the bloodstream. It transports cholesterol back to the liver, where it is broken down and eliminated from the body, thus reducing the risk of cholesterol buildup and heart disease. The LDL/HDL ratio is a significant indicator of cardiovascular health. A high ratio indicates a higher amount of 'bad' cholesterol relative to 'good' cholesterol, implying a higher risk of developing heart disease. Conversely, a lower ratio implies a higher amount of 'good' cholesterol relative to 'bad' cholesterol, indicating a lower risk.

Non HDL Cholesterol

The Non HDL Cholesterol test looks for the “bad” cholesterol particles that are likely to contribute to heart problems. These bad particles include LDL (low-density lipoprotein) cholesterol, VLDL (very-low-density lipoprotein) cholesterol, and remnants of other cholesterol-carrying molecules. Cholesterol is a waxy substance that circulates in your bloodstream and is essential for various bodily functions. However, too much of “bad” types of cholesterol can build up in your arteries and increase the risk of heart conditions. LDL and VLDL cholesterol particles are often referred to as the "bad" cholesterol because they can stick to the walls of your arteries and form plaque, narrowing the arteries and restricting blood flow to your heart. By measuring non-HDL cholesterol, your doctor can assess your risk of heart disease and determine if any interventions or lifestyle changes are needed to protect your heart.

Uric Acid, Serum

The Uric Acid, Serum test measures the amount of uric acid in your blood. Uric acid is a waste product formed when the body breaks down purines. Purines are the natural substances found in your body’s cells (DNA) and in certain foods like red meat or seafood. Under normal conditions, uric acid dissolves in the blood, passes through the kidneys, and is excreted in the urine. When this process doesn’t work properly, due to either increased production or reduced elimination, the uric acid can build up in the blood. This may indicate underlying health issues such as kidney dysfunction, gout, or the presence of kidney stones. In some cases, the exact reason for high uric acid levels is unclear. On the other hand, low uric acid levels are rarely a cause for concern. This test helps doctors understand if uric acid levels are within a healthy range and whether further evaluation or treatment is needed.

What Do the Results Mean?

Pathological Factors

Test Parameter

Interpretation

Possible causes

High Uric Acid

Hyperuricemia

Increased uric acid production due to:

Leukemia
Multiple myeloma
Paget’s disease
Psoriasis
Chemotherapy
Polycythemia vera
Lymphoma
Hemolysis
Sickle cell anemia
Pneumonia

Decreased uric acid removal due to:

Kidney disorder
Metabolic Acidosis
Hypovolemia
Sarcoidosis
Hyperparathyroidism
Hypothyroidism
Genetic disorders

Both increased production and decreased removal in:

Gout
Asymptomatic hyperuricemia

Low Uric Acid

Hypouricemia

Decreased uric acid production due to:

Xanthinuria

Increased uric acid removal due to:

Wilson's disease
Fanconi syndrome
Acromegaly (some patients)
Celiac disease (slightly)
Neoplasms

Physiological Factors

🧒 Age: Uric acid level rises every 10 years in men. However, it only begins increasing after the age of 50 in women.

🧑‍🦳 Gender: Men generally have higher uric acid levels than women.

🫄 Pregnancy: Uric acid levels tend to drop during early pregnancy due to hormonal changes. These levels return to normal as the pregnancy progresses.

🩸Menopause: Uric acid levels are higher after menopause due to low estrogen levels.

Lifestyle Factors

🏃 Exercise: Weight loss and physical exercise lower uric acid levels.

🥗 Diet: Eating purine-rich foods (such as alcohol, red meat, seafood, etc., and fructose- or sugar-containing beverages) increases the uric acid levels.

😟Stress: Stress can affect blood cortisol levels and thus uric acid concentrations.

💊Medications: Medicines, such as diuretics, immunosuppressants, chemotherapeutic agents, etc., can affect uric acid removal. Therefore, they increase uric acid levels.

Geographical Location: High-altitude regions, such as mountains, can also increase the uric acid production, raising its levels.

What Do Normal Uric Acid, Serum Levels Mean?

Normal uric acid levels suggest proper breakdown of purines and uric acid removal. It means your kidneys are working properly. It means that you have a low risk of other health problems like kidney stones, gout, or kidney problems.

What Do High Levels of Uric Acid, Serum Indicate?

High uric acid levels (hyperuricemia) indicate problems in uric acid synthesis or removal. This can happen due to kidney issues and can lead to gout and kidney stones. Also, these levels increase the chances of diabetes, high blood pressure, and heart disease.

What to Do if the Levels Are Higher Than Normal?

If your uric acid levels are higher than normal, it may indicate conditions such as gout, kidney disease, or metabolic disorders. Your doctor will evaluate your symptoms and may suggest lifestyle changes like reducing intake of purine-rich foods, limiting alcohol and sugary drinks, and staying well-hydrated to help flush out excess uric acid.

What Do Low Levels of Uric Acid, Serum Indicate?

Low uric acid levels (hypouricemia) result from increased uric acid removal from the body or decreased production of uric acid. It can occur due to certain medicines or health issues, such as problems in the kidneys, thyroid, or parathyroid glands. Generally, low uric acid levels do not show any symptoms. However, they are associated with muscle weakness, fatigue, and rare genetic disorders. Low uric acid levels are not very common and are often discovered incidentally during routine blood tests. Since low readings can have different causes, always consult a doctor to understand what they mean in your specific case.

Can Uric Acid, Serum Results Be Inaccurate?

Yes. Certain conditions can affect test accuracy. If your uric acid serum test results do not align with your symptoms or overall health, your doctor may recommend repeating the test or ordering additional investigations.

What Factors Can Affect Uric Acid, Serum Results?

Though it is a reliable test, several factors can influence the accuracy:

Diet including purine-rich or fructose-containing foods
Alcohol
Certain medications, like diuretics or immunosuppressants
Pregnancy
Menopause
Age
Dehydration
Exercise
Certain medical conditions, like kidney diseases or cancer

What Follow-Up Tests May Be Required?

Based on your uric acid results, your doctor may recommend additional tests to get a clearer picture of your health or to monitor possible complications. These may include kidney panels, cholesterol testing, or a CBC test.

Table: Tests Commonly Ordered Alongside Uric Acid, Serum:

Test Name	Primary Purpose
Urinalysis	Measures uric acid in urine to assess kidney stones
KFT	Analyzes kidney health to detect issues with kidney function
CBC	Determines the levels of blood cells to detect the disease behind abnormal uric acid levels
Lipid profile	Measures lipid levels for the presence or risk of other disorders, such as heart disease
HbA1c	Estimates blood sugar for the presence of diabetes
Renal CT scan or ultrasound	Visualizes stones in the kidneys
X-rays	Detect swelling in joints
Joint Aspiration	Analyzes the presence of uric acid crystals in joints

How Does the Uric Acid, Serum Test Differ from Other Kidney Function Tests?

The Uric Acid, Serum test measures the level of uric acid in the blood, which is a byproduct of purine metabolism. Elevated or decreased levels can indicate kidney issues, metabolic disorders, or other health conditions. Other related tests include:

Serum Creatinine: Measures creatinine to assess kidney filtration efficiency and overall kidney function.
Urine Uric Acid: Measures uric acid excretion in urine to assess kidney function, detect risk of uric acid kidney stones, or evaluate metabolic disorders.
BUN/Urea: Gives an idea of how well your kidneys are working. The levels can change with your diet or water intake.
Serum Electrolytes: Measures important minerals like sodium, potassium, and chloride to check your body’s mineral balance.
eGFR: Estimates your overall kidney function based on creatinine level, age, sex, and body size.

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hsCRP (High Sensitive CRP)

An hsCRP (High Sensitive CRP) test is a state-of-the-art biochemical marker to predict potential risks of future diseases. This test is more sensitive than the standard CRP test and can also detect lower CRP levels in the blood. Its accuracy in predicting cardiovascular issues, autoimmune disorders, and other health issues makes it an excellent test to detect asymptomatic conditions with limited diagnosis.

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Content created by

Dr. Swati Gupta (Anand)

MD Lab Medicine, MBBS

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Last Updated

3rd Dec 2025