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This article not only brings out the fact that unnecessary testings or request for non-specific tests are done with a view to protect from unnecessary litigation and promote judicious use of diagnostic testing. Sub clinical hypothyroidism is one such condition where based on few symptoms thyroid function test is done.Elevated TSH forms the basis for initiating therapy, Routine medical check ups results in subjecting to a wide variety of clinico - pathological investigations. For example lipid profile is one such test that is recommended for identifying dyslipidemia which is considered as one of the biomarkers of metabolic syndrome. Metabolic syndrome is one such condition which may lead to the precipitation of non-communicable diseases including diabetes mellitus. It is therefore necessary to have a proper relationship between the clinician, lab consultant and lab technical staff. Lab medicine is one such area that requires proper recognition and its place in the field of medicine.