Early Warning Services

EARLY WARNING SERVICES

Know What's Coming. Not Just What's Here.

Standard tests tell you what's already wrong. These panels tell you what's 5–10 years away — while there's still time to act. Designed for South Asian biology, not Western reference ranges.

⚕ CLINICAL DECISION SUPPORT — For qualified clinicians only. Not a diagnostic tool. All results require physician review.

The 3-Tier Metabolic Panel

TIER 1 — FOUNDATION

Tests every Indian adult over 30 should have but doesn't

₹4,999 – ₹5,999

Corporate: ₹3,500 – ₹4,000

ApoB · Lp(a) · hs-CRP · Fasting Insulin · HOMA-IR · HbA1c · Standard Lipid Panel · Homocysteine

After this panel, you'll know:

Am I secretly heading for an early heart attack even though my usual tests are 'normal'?
Am I already insulin-resistant — prone to type-2 diabetes, fatty liver, or PCOS?
Do I have a genetic cholesterol problem (Lp(a)) I should manage for life?

TIER 2 — DEEP CARDIOMETABOLIC

For the patient who wants the full picture

₹8,999 – ₹10,999

Corporate: ₹6,500 – ₹7,500

Everything in Tier 1 + ApoA1 · sdLDL · Lp-PLA2 · Vitamin D · TSH · Ferritin · GGT · Uric Acid · Fasting Glucose

After this panel, you'll know:

Is my cholesterol pattern dangerous or relatively benign?
Is my liver already fatty even if ultrasound is normal?
Is my thyroid, vitamin D, or iron silently pushing my weight in the wrong direction?

TIER 3 — LONGEVITY & PRECISION

For the proactive patient and longevity-focused professional

₹17,999 – ₹22,999

Corporate: ₹13,000 – ₹15,000

Everything in Tier 2 + NMR LipoProfile · Omega-3 Index · Cystatin C · TMAO · Cortisol · Testosterone/SHBG · CBC + Iron Studies

After this panel, you'll know:

If I carry on like this, how likely am I to have a heart event in the next 10–15 years?
Is my gut microbiome, stress, and hormone balance silently shortening my healthspan?
Do I have any organ bottleneck that will limit what my doctor can do later?

Add-On Watch Modules

Attach specialist panels to any tier

🎗️

Cancer Watch

What it tells you: Whether specific organs are sending early danger signals warranting earlier scanning — not a cancer diagnosis, but a flag for further investigation.

PSA (men 45+) · CA-125 (women 40+) · CEA · AFP · HE4 · CA 19-9

₹3,500 – ₹4,500

🦴

Bone Watch

What it tells you: If your bones are quietly thinning and heading toward fractures — long before they break.

DEXA · Vitamin D · Calcium · PINP · β-CTX

₹2,800 – ₹3,500

🦿

Skeleton Watch

What it tells you: How old your bones AND joints really are — whether you're drifting toward arthritis and falls.

Bone Watch + ESR/CRP · RF · Anti-CCP · Functional posture assessment

₹4,200 – ₹5,200

🧠

Spine Watch

What it tells you: If your neck and back are silently ageing toward disc disease or nerve compression — before chronic pain.

Spine X-ray · MRI (high-risk) · DEXA spine · Neurological screen · Core strength assessment

₹5,500 – ₹7,000

How Surface 2 Interprets Your Results

🦴Bone Watch × Surface 2: Transforms DEXA + bone markers into a Bone Digital Twin — predicts your fracture risk trajectory and tells you whether your current supplements are actually working.
🦿Skeleton Watch × Surface 2: Builds a whole-frame risk map linking bone density, joint health, inflammation markers, and movement ability — so you can delay or avoid arthritis.
🧠Spine Watch × Surface 2: Turns spine scan reports into plain-English staging and a ranked plan — lifestyle, physio, injections, or surgical referral — based on your specific anatomy.
🎗️Cancer Watch × Surface 2: Cross-references marker results against population-specific risk models and flags which results need a follow-up scan vs which can be monitored.

Full BioRisk Marker Reference

Every marker across all tiers and add-on modules — what it tests, what a result means, and what Surface 2 does with it.

Marker	What it measures	Plain-language outcome	Surface 2 role
ApoB	Number of bad cholesterol particles hitting artery walls — not just total cholesterol	Your pipes are quietly getting clogged even if your LDL looks normal	Cross-references with Lp(a) and HOMA-IR to detect the 'danger triad' pattern; generates compound cardiovascular risk score calibrated for South Asian thresholds
Lp(a)	A mostly genetic 'extra bad' cholesterol particle	You may be born with higher lifetime risk of heart attack, stroke, and aortic valve disease — one test, for life	Flags for lifelong monitoring; adjusts overall risk output; links to structural biology data on Lp(a) protein variants
hs-CRP	Hidden inflammation in blood vessels	Your blood vessels are quietly 'simmering' — plaque is more likely to crack and cause a heart attack	Combines with ApoB and sdLDL to detect inflamed-plaque risk pattern; triggers 'high inflammation' flag in risk report
Fasting Insulin	How hard the body is working to handle sugar right now	The earliest warning sign before diabetes — your pancreas is overworking even if your sugar looks fine	Uses insulin + glucose to compute HOMA-IR score; identifies pre-diabetic trajectory with Indian-population calibration
HOMA-IR	Insulin resistance score (insulin + glucose combined)	You are on the road to type-2 diabetes, fatty liver, and PCOS/PMOS-type problems — even years before fasting sugar becomes abnormal	Anchors metabolic risk output; flags increased risk for PCOS, fatty liver, and central obesity patterns
HbA1c	Average blood sugar over the last 3 months	Confirms that insulin resistance has already started damaging the system — moving you into pre-diabetes or diabetes	Combines with HOMA-IR and fasting insulin to stage metabolic progression
Standard Lipid Panel	Traditional cholesterol picture (Total, LDL, HDL, TG, non-HDL)	Helpful but by itself can miss high-risk Indians who have normal LDL but bad ApoB, sdLDL, or insulin resistance	Used as baseline; Surface 2 explicitly flags when LDL appears normal but ApoB/sdLDL reveal hidden risk
Homocysteine	Chemical stress on blood vessel walls — B-vitamin status	High homocysteine means your blood vessels are under more chemical stress — raising stroke and heart attack risk	Included in compound vascular risk score; triggers B-vitamin sufficiency flag

ApoB

Your pipes are quietly getting clogged even if your LDL looks normal

Measures:Number of bad cholesterol particles hitting artery walls — not just total cholesterol

Surface 2 role:Cross-references with Lp(a) and HOMA-IR to detect the 'danger triad' pattern; generates compound cardiovascular risk score calibrated for South Asian thresholds

Lp(a)

You may be born with higher lifetime risk of heart attack, stroke, and aortic valve disease — one test, for life

Measures:A mostly genetic 'extra bad' cholesterol particle

Surface 2 role:Flags for lifelong monitoring; adjusts overall risk output; links to structural biology data on Lp(a) protein variants

hs-CRP

Your blood vessels are quietly 'simmering' — plaque is more likely to crack and cause a heart attack

Measures:Hidden inflammation in blood vessels

Surface 2 role:Combines with ApoB and sdLDL to detect inflamed-plaque risk pattern; triggers 'high inflammation' flag in risk report

Fasting Insulin

The earliest warning sign before diabetes — your pancreas is overworking even if your sugar looks fine

Measures:How hard the body is working to handle sugar right now

Surface 2 role:Uses insulin + glucose to compute HOMA-IR score; identifies pre-diabetic trajectory with Indian-population calibration

HOMA-IR

You are on the road to type-2 diabetes, fatty liver, and PCOS/PMOS-type problems — even years before fasting sugar becomes abnormal

Measures:Insulin resistance score (insulin + glucose combined)

Surface 2 role:Anchors metabolic risk output; flags increased risk for PCOS, fatty liver, and central obesity patterns

HbA1c

Confirms that insulin resistance has already started damaging the system — moving you into pre-diabetes or diabetes

Measures:Average blood sugar over the last 3 months

Surface 2 role:Combines with HOMA-IR and fasting insulin to stage metabolic progression

Standard Lipid Panel

Helpful but by itself can miss high-risk Indians who have normal LDL but bad ApoB, sdLDL, or insulin resistance

Measures:Traditional cholesterol picture (Total, LDL, HDL, TG, non-HDL)

Surface 2 role:Used as baseline; Surface 2 explicitly flags when LDL appears normal but ApoB/sdLDL reveal hidden risk

Homocysteine

High homocysteine means your blood vessels are under more chemical stress — raising stroke and heart attack risk

Measures:Chemical stress on blood vessel walls — B-vitamin status

Surface 2 role:Included in compound vascular risk score; triggers B-vitamin sufficiency flag