Bengaluru · Home visit · Physician-read
You are doing everything right. The weight is not moving.
A routine health package will usually call that normal. This one goes further: measurements a collection centre cannot take, a fasted panel that includes what those packages leave out, and a ten-minute call with the physician who read it. You get a reason to work with, not another page of arrows.
Currently available inside Bengaluru only, because we run our own collection. Other cities open when we can do the same there.
The difference
Three results. Two of them look fine on their own.
A number and a reading are not the same thing. This is a specimen extract from a real report format — the rows exactly as they print, and underneath, the reading.
The reading
Glucose is being held in the normal range, but with more insulin than would typically be needed to do it. Glucose is often the last measure to move, while insulin can rise earlier. That is the reason this assessment measures both rather than glucose alone.
The HbA1c is not treated as settled either. Iron deficiency raises HbA1c independently of glucose, and iron stores here are very low, so that figure is read with the iron result beside it and repeated once iron status has been reviewed. A panel that reported these four numbers without connecting them would have been accurate and useless.
Specimen extract. Illustrative values; describes no real person.
The reading
SHBG is the protein that binds testosterone and decides how much of it is free to act. A low SHBG raises the free fraction even when the total reads normal, so a normal total can be misleading on its own. SHBG is also lowered by high insulin, which is why a low value here is read alongside the glucose and insulin results rather than as a separate finding.
An assessment that measured total testosterone alone would have reported this as normal and stopped there. No conclusion is drawn from a single set of hormone results; this is the point at which imaging and a separately timed repeat draw get arranged.
Specimen extract. Illustrative values; describes no real person.
The reading
Weight on its own cannot tell a change in fat from a change in muscle or body water. That is why the visit measures composition and waist as well, and why the muscle figure is recorded at the start rather than assumed — muscle is where most of the glucose from a meal is disposed of, so a change in weight means something quite different depending on whether that number holds.
Visceral fat is the fat around the abdominal organs rather than under the skin. It is the deposit most closely tied to insulin handling, liver enzymes and triglycerides, and it is usually the first thing to move. Because manufacturers' scales differ, the device is named on the report and the same one is used at every repeat.
Specimen extract. Illustrative values; describes no real person.
How it runs
One fasted morning. One needle. One call.
The order is not administrative. Each step exists because doing it in a different order produces a number you cannot use.
You book, and we send the preparation
A short intake on WhatsApp: your age, anything you take regularly, and a slot. You get the preparation note the same day — an 8 to 12 hour fast with water only, and a 72-hour stop on high-dose biotin, which is in most hair, skin and nail supplements and interferes with several assays on this panel.
Our team comes to your home
Early morning, while you are still fasted. Identity and consent are confirmed, then the pre-draw checks: hours fasted, medication, supplements, recent illness. If the fast is short, the visit stops and gets rescheduled rather than producing a glucose result nobody can interpret.
Measurements and vitals — before the needle, never after
Five minutes of seated rest, then blood pressure taken twice with a cuff chosen from your measured arm circumference, not assumed. Then pulse, height, weight, waist and hip, and body composition on a commercial analyser: fat mass, fat-free mass, skeletal muscle mass and visceral fat. Venepuncture raises blood pressure and pulse, so anything measured afterwards is not a usable reading.
One draw, labelled in front of you
A single venepuncture by a trained phlebotomist covers the whole panel, with enough serum held back that a follow-on test can usually be added from the same sample instead of calling you back. Every tube is labelled at the chair, in front of you, before the visit ends. Samples go to an NABL-accredited laboratory.
Your report, then the doctor calls
The report reaches you within 24 hours of your collection, and the call follows it — ten minutes with the physician who read it, going through what was found, what it means together, and what is worth doing first. What you agreed is written into the report so you are not relying on memory afterwards.
Where a result triggers a follow-on test, that one arrives as a dated addendum rather than holding the whole report back. You are told on the call which part is still open and when to expect it.
What is measured
Nine domains, chosen for what they change.
Every test on this panel earns its place by changing what happens next. Several commonly sold add-ons are deliberately left off, and the reasons are recorded.
Domain 1
Body and composition
- Height, weight, BMI
- Waist, hip, waist-to-height, waist-to-hip
- Blood pressure ×2, resting pulse
- Fat mass and fat-free mass
- Skeletal muscle mass
- Visceral fat
This is the part a courier-collected blood package cannot do at all.
Domain 2
Glucose and insulin
- Fasting plasma glucose
- HbA1c
- Fasting insulin
- HOMA-IR, calculated
Insulin usually moves years before glucose does. Measuring only glucose means finding out late.
Domain 3
Thyroid
- TSH
- Free T4
- Thyroid antibody, if TSH is raised
The antibody is added only when it would change something, rather than billed to everybody.
Domain 4
Iron, blood count, inflammation
- Complete blood count with indices
- Ferritin
- hs-CRP
- Mentzer index, calculated
Low iron is a common and frequently missed reason exercise feels harder than effort alone explains.
Domain 5
Lipids
- Total, LDL, HDL, triglycerides
- Non-HDL cholesterol, calculated
- Triglyceride to HDL ratio
Triglycerides track insulin handling more closely than any other lipid, so they are read with the glucose panel.
Domain 6
Liver
- AST, ALT, GGT, ALP
- Bilirubin, albumin
- FIB-4 screening score, where valid for age
Normal enzymes do not by themselves exclude fat in the liver, which is why the whole pattern is assessed.
Domain 7
Kidney and uric acid
- Creatinine with lab-reported eGFR
- Urea, sodium, potassium
- Uric acid
Uric acid rises during rapid weight loss, so the starting value is worth knowing before anything changes.
Domain 8
Vitamins
- 25-OH vitamin D
- Vitamin B12
Both are common on Indian vegetarian diets and both affect how consistent activity feels.
Domain 9
Hormonal
- Total testosterone
- SHBG and free androgen index — female panel
- Free testosterone — added on trigger, male panel
Measured with the binding protein, because the total alone can read normal while the active fraction does not.
Being straight with you
What this assessment is not.
Most of what gets sold in this category oversells. Here is the boundary, written down before you pay rather than discovered afterwards.
- It is not a diagnosis, and it is not a prescription. It identifies what was found and what is worth checking next. Any medicine, supplement, hormone or thyroid treatment is a decision made in a consultation, by a physician, after clinical review.
- It is not a gate to any programme. Nothing in the report says whether you may or may not join anything. You can take this assessment, use the findings with your own doctor, and never speak to us again. That is a completely normal outcome and it is priced as a standalone assessment for exactly that reason.
- It is not a fitness certificate or a pre-participation screen. It does not clear anyone for exercise, surgery, insurance or employment.
- It does not replace a specialist. Some findings need a cardiologist, an endocrinologist, a hepatologist or a sleep physician. Where that applies you are told plainly, in writing, and told who to see.
- It does not promise a result. No weight figure, no percentage, no timeframe appears anywhere in the report, and none is implied. What it gives you is a clearer picture and an order of work.
- Some numbers deliberately do not appear. Where a measure has no guideline-endorsed threshold, it is shown as a descriptive baseline with that stated, or it is not printed at all. A number without a threshold gets read as one, and that is how people end up treating a figure instead of a person.
Price
One price, everything included.
No packages, no tiers, no add-on pressure on the call. If a follow-on test is needed, most can be run from the sample already taken.
Male panel
₹10,999 all inclusive
15 orderable tests, home visit, body composition, report and the call.
Female panel
₹11,999 all inclusive
16 orderable tests. The female panel carries an additional binding-protein measure, without which the hormone result cannot be read properly. That is the whole of the difference.
Included
- Home visit anywhere inside Bengaluru
- All measurements, vitals and body composition
- The full fasted panel at an NABL-accredited laboratory
- The laboratory's own report, unaltered
- The IRASTO physician interpretation
- A ten-minute call with the doctor who read it
- A written priority order and retest schedule
Not included
- Any medicine or supplement
- Imaging, and tests referred outside this panel
- Specialist consultations arranged on referral
- Repeat testing at the scheduled interval
- Any weight-management programme, which is separate and optional
Questions
Before you book.
How is this different from a full body checkup?
Two things. First, what is measured: a routine package usually reports glucose but not fasting insulin, and reports total testosterone without the binding protein that decides how much of it is active. Those gaps are exactly where the answer often sits. Second, what happens to the numbers: a package returns a PDF with arrows on it. Here a physician reads the results together, writes what they mean in plain language, sets an order of work, and calls you to go through it.
Do I have to join a weight-loss programme afterwards?
No, and nothing in the report pushes you towards one. It is sold as a standalone assessment. Plenty of people will take the findings to their own physician, and that is a perfectly good use of it. If a programme is genuinely the right next step, that comes up on the call as a suggestion, once, and you decide.
What do I need to do the night before?
Fast for 8 to 12 hours, water only. Nothing else: no tea or coffee including black, no chewing gum, mints, tobacco or paan. Take your regular medicines as normal unless your own doctor has told you otherwise — do not stop anything for this test, just tell us what you take. Stop high-dose biotin 72 hours beforehand; it is in most hair, skin and nail supplements and it interferes with several assays on this panel.
Why does the blood pressure get taken before the blood draw?
Because a needle raises blood pressure and pulse, so a reading taken afterwards is not usable. Cuff size matters just as much: a standard adult cuff on a larger arm reads falsely high, commonly by 10 to 20 mmHg. Your arm is measured and the cuff is picked from that, and the cuff used is recorded on your report so a future reading can be compared against the same conditions.
How accurate is the body composition measurement?
Bioelectrical impedance estimates rather than measures. The readings move with hydration, time of day and what you last ate, which is why it is done fasted, in the morning, before any fluid, on the same device each time. Read that way the direction of change is dependable even though the absolute figures are estimates, and the report says so rather than presenting them as exact. Visceral fat scales also differ between manufacturers, so the device is named on your report and never swapped mid-way.
What does "within 24 hours" actually mean?
Twenty-four hours from your collection, not from when the laboratory finishes. A morning visit means the report and the call reach you by the following morning at the latest, and usually sooner than that. We quote the outside figure rather than the best case, because this assessment is worth more to you read properly than read fast. One thing genuinely moves it: a sample that has to be re-run. Where a result triggers a follow-on test, the report still arrives on time and the extra result follows as a dated addendum, because holding a whole report back for one pending value helps nobody. If anything slips, you hear it from us before you have to ask.
What if something serious turns up?
Certain results stop the report from being sent automatically. It goes to the physician first, and you get a call before you get the document. Where a finding sits outside what this assessment covers, you are referred, in writing, with the reason and the kind of specialist you need.
Do I get the laboratory report as well?
Yes, unaltered, alongside the interpretation. The two documents are never merged. The laboratory's accredited report is the record of what was measured; ours is the reading of it. You should be able to take the first to any doctor in the country and have it stand on its own.
Can I do this outside Bengaluru?
Not yet. The measurements and the collection are done by our own team, and the value of this assessment rests on both being done correctly and identically every time. We open a new city when we can run it to the same standard there, not before. Message us and we will tell you when.
Who reads my report?
A General Physician from the IRASTO team — MBBS, registered medical practitioner. The same physician who reads it makes the call, and their name and registration number are printed on your report. Your health data is used only for this assessment and your care.
Book
Find out what your numbers actually say.
Message us on WhatsApp with your area in Bengaluru and a morning that suits you. We will send the preparation note and confirm the slot.