Updated for today

Dag’s Round 1 blood test brief

Updated to include the 3 added cardiology-prep blood tests: Creatinine, Electrolytes, and HbA1c.
Date
2026-04-18
Location
Biomed Phnom Penh
Tests
25
Estimated total
$177.25

At-a-glance list

#TestBiomed namePrice
1CBCCBC/Hg$2.50
2FerritinFerritin$7.50
3CRP hsCRP hs( C-Reactive Protein ) Quantitative$1.75
4Total IgAIgA$10.00
5AST + ALTSGOT,SGPT (Transaminase)$1.50
6GGTGGT$1.25
7BilirubinBilirubin T, D & I$2.00
8Alkaline PhosphataseAlkaline Phosphatase/PAL$1.25
9Lipid PanelBilan Lipid (Lipid Profiles, Lipid Panel)$5.75
10ApoBAPO lipoprotein B$12.50
11Vitamin B12Vitamin B12 (Cyanocobalamin)$17.50
12LipaseLipase$6.00
13AmylaseAmylase/Blood$1.50
14Vitamin DVitamin D Total (25-Hydroxyvitamin D)$30.00
15TSHTSH ultra sensitive$7.00
16PSAPSA Total$10.00
17GastrinGastrin$19.50
18ESRESR / Vs$1.00
19TIBCTIBC$7.75
20Transferrin SaturationTransferrin Saturation$12.50
21ABO Blood Group & RhABO Blood group and Rhesus$2.00
22MagnesiumMagnesium/Blood$1.50
23CreatinineCreatinine/Blood$1.25
24ElectrolytesElectrolyte (Na+, K+, Cl-) / Blood$5.00
25HbA1cA1c (Hemoglobin A1c)$8.75
Test 1 • Iron / bleeding / inflammation

CBC

CBC/Hg • $2.50
Layman’s version: This is the basic blood count that shows whether you are becoming anemic, fighting inflammation, or still running high platelets.

For you this is high-yield because hemoglobin was 13.1, MCV has drifted down, and platelets have stayed high, which fits possible iron loss plus chronic gut irritation. Expected result: still-normal hemoglobin with early iron-deficiency clues, or a clearer drop that strengthens the case for ongoing occult blood loss.

Test 2 • Iron / bleeding / inflammation

Ferritin

Ferritin • $7.50
Layman’s version: Ferritin shows how much iron reserve you still have stored in the body.

This matters a lot because ferritin has fallen from about 94 to 35 with fatigue and brain fog on top of a prior diverticular bleed history. Expected result: still low, possibly low-20s to 30s; below 30 would strongly support true iron loss.

Test 3 • Inflammation / gut activity

CRP hs

CRP hs( C-Reactive Protein ) Quantitative • $1.75
Layman’s version: CRP is a general inflammation signal that rises when the body is dealing with something actively irritating or inflaming it.

This helps separate mild chronic background inflammation from something more active, especially with bloating, eczema, prior calprotectin elevation, and high platelets. Expected result: mildly elevated around your recent 2-3 mg/L range rather than a big jump.

Test 4 • Celiac screen support

Total IgA

IgA • $10.00
Layman’s version: Total IgA checks whether your main mucosal antibody level is normal, which is needed to correctly interpret a future celiac blood test.

Relevant because chronic bloating plus falling iron stores keeps celiac on the rule-out list despite an old negative test. Expected result: normal, which would make any future tTG IgA result trustworthy.

Test 5 • Liver / alcohol recovery

AST + ALT

SGOT,SGPT (Transaminase) • $1.50
Layman’s version: These two liver enzymes show whether liver cells look irritated or injured.

Relevant because recent alcohol re-exposure worsened the gut and you are also on atorvastatin. Expected result: still normal, supporting a gut-heavy rather than liver-heavy problem.

Test 6 • Liver / alcohol recovery

GGT

GGT • $1.25
Layman’s version: GGT is a liver and bile-duct marker that often moves up with alcohol stress before other liver tests do.

Useful because you recently stopped drinking again after a period that clearly worsened your bloating. Expected result: normal or only mildly up from your recent 22.

Test 7 • Liver / bile flow

Bilirubin

Bilirubin T, D & I • $2.00
Layman’s version: Bilirubin shows how well your liver is processing and clearing old red blood cell waste through the bile system.

Mainly a completeness check while looking at gut, liver, and pancreatic possibilities together. Expected result: normal, as before.

Test 8 • Liver / bile flow

Alkaline Phosphatase

Alkaline Phosphatase/PAL • $1.25
Layman’s version: ALP is another liver and bile-flow marker that can rise when there is blockage or irritation in the bile system.

Lower priority than ferritin or CBC, but useful to round out the liver picture. Expected result: normal, again arguing against a cholestatic explanation.

Test 9 • Cardiovascular risk

Lipid Panel

Bilan Lipid (Lipid Profiles, Lipid Panel) • $5.75
Layman’s version: This panel measures your cholesterol pattern, especially LDL, HDL, and triglycerides.

For you this is about whether atorvastatin 20 mg is enough in the setting of very high Lp(a). Expected result: HDL/triglycerides still good, LDL possibly still above the ideal very-high-risk target.

Test 10 • Cardiovascular risk

ApoB

APO lipoprotein B • $12.50
Layman’s version: ApoB counts the number of cholesterol-carrying particles that can actually get into artery walls and cause plaque.

One of your most important heart-risk markers because it quantifies modifiable particle burden better than standard cholesterol numbers. Expected result: ideally still under 80 and hopefully not far from your prior 63.9.

Test 11 • Nutrient status / gut absorption

Vitamin B12

Vitamin B12 (Cyanocobalamin) • $17.50
Layman’s version: B12 is needed for nerves, blood formation, energy, and normal gut-cell function.

Alcohol history, possible dysbiosis/malabsorption, fatigue, and bloating make it worth rechecking. Expected result: normal but possibly low-to-mid normal rather than robustly high.

Test 12 • Pancreas / pain episode

Lipase

Lipase • $6.00
Layman’s version: Lipase is the main blood test for pancreatic irritation or pancreatitis.

You added this for a good reason because the severe upper-abdominal/epigastric pain episode with nausea and sweating cannot just be waved away. Expected result: normal, close to your earlier 35.3.

Test 13 • Pancreas / pain episode

Amylase

Amylase/Blood • $1.50
Layman’s version: Amylase is a second pancreas-related enzyme that helps back up or challenge the lipase result.

Cheaper and weaker than lipase, but it helps provide a fuller read on whether that pain episode had a pancreatic signature. Expected result: normal again.

Test 14 • Immune / inflammation background

Vitamin D

Vitamin D Total (25-Hydroxyvitamin D) • $30.00
Layman’s version: Vitamin D checks whether you have enough of a hormone-like vitamin that affects immunity, inflammation, and many tissues beyond bone.

Useful because eczema, inflammatory background, and supplementation gaps all matter here. Expected result: still acceptable but possibly lower than your prior 98.7 nmol/L.

Test 15 • Thyroid / motility / lipids

TSH

TSH ultra sensitive • $7.00
Layman’s version: TSH is the main screening signal for whether your thyroid may be running too slow.

Relevant because borderline hypothyroid drift can contribute to bloating, gut-motility slowdown, fatigue, and worse lipids. Expected result: upper-normal or borderline-high again.

Test 16 • Monitoring / age-related screening

PSA

PSA Total • $10.00
Layman’s version: PSA is a prostate marker used mainly to track whether the prostate is becoming more active or enlarged over time.

Not central to today’s GI problem, but the upward trend makes it worth keeping honest. Expected result: still in range and hopefully near prior levels.

Test 17 • Rule-out / unusual causes of bloating

Gastrin

Gastrin • $19.50
Layman’s version: Gastrin measures a stomach hormone that can become very high in rare conditions that drive too much acid production.

More of a rule-out than a likely hit, but persistent severe bloating and upper-GI discomfort make it reasonable. Expected result: normal.

Test 18 • Inflammation / chronicity

ESR

ESR / Vs • $1.00
Layman’s version: ESR is a slower inflammation test that can show whether there is a more chronic inflammatory pattern going on.

Helpful because CRP can stay only mildly abnormal while a chronic inflammatory pattern is still present. Expected result: mildly elevated in the high teens or low 20s.

Test 19 • Iron / bleeding / inflammation

TIBC

TIBC • $7.75
Layman’s version: TIBC shows how much iron-carrying capacity your blood has, which helps tell real iron depletion apart from inflammation noise.

Important because ferritin can be distorted by inflammation while the real question is whether you are quietly running out of iron. Expected result: normal or edging upward.

Test 20 • Iron / bleeding / inflammation

Transferrin Saturation

Transferrin Saturation • $12.50
Layman’s version: This shows what percentage of your iron-transport protein is actually carrying iron right now.

Strong companion to ferritin and TIBC because it can reveal functional iron shortage. Expected result: probably lower than your older 40% reading, possibly teens to low 20s if depletion is advancing.

Test 21 • Identity / logistics

ABO Blood Group & Rh

ABO Blood group and Rhesus • $2.00
Layman’s version: This simply tells you your blood type and rhesus factor.

Not about solving symptoms; just useful information to finally have on file.

Test 22 • Nutrient status / alcohol recovery

Magnesium

Magnesium/Blood • $1.50
Layman’s version: Magnesium checks one of the key minerals involved in nerves, muscles, energy, and bowel function.

Relevant because alcohol can drain magnesium and the arm cramping/vibration symptom makes it worth checking. Expected result: normal or low-normal around your previous 0.82.

Test 23 • Cardiology prep / kidney baseline

Creatinine

Creatinine/Blood • $1.25
Layman’s version: Creatinine checks kidney function.

Useful because a cardiologist may want contrast imaging such as CCTA or angiography, and having a baseline kidney number removes friction. Expected result: normal again, around your previous 78 μmol/L baseline.

Test 24 • Cardiology prep / rhythm support

Electrolytes

Electrolyte (Na+, K+, Cl-) / Blood • $5.00
Layman’s version: This checks the main blood salts that affect rhythm, conduction, hydration, and muscle function.

Relevant because heart-region discomfort, arm sensations, and any future ECG review are easier to interpret with sodium and potassium in hand. Expected result: normal sodium and potassium, consistent with prior results.

Test 25 • Cardiometabolic baseline

HbA1c

A1c (Hemoglobin A1c) • $8.75
Layman’s version: HbA1c shows your average blood sugar over the last 2 to 3 months.

Useful for the cardiology visit because it gives a clean metabolic-risk baseline instead of a single glucose snapshot. Expected result: still reassuring, likely close to your previous 5.1%.