Blood Tests

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Biomarkers:

  • IgE level per allergen
  • Group IgE allergen levels
  • Cross-reactive allergen families
  • Total IgE levels (kU/L)
  • 117 extracts & 178 molecular allergens
  • 50+ unique molecular allergens

Individual Allergens Included:

GRASS POLLENS

Bahia grass, Bermuda grass, Common reed, Perennial ryegrass, Rye, Timothy grass

MOULDS & YEASTS

Alternaria alternataAspergillus fumigatus, Baker’s yeast, Cladosporium herbarumMalassezia sympodialisPenicilium chrysogenum

FRUIT

Apple, Banana, Blueberry, Cherry, Fig, Grape, Kiwi, Mango, Melon, Orange, Papaya, Peach, Pear, Strawberry

EGG

Egg white, Egg yolk 

MILK

Camel’s milk, Cow’s milk, Goat’s milk, Mare’s milk, Sheep’s milk

TREE POLLENS

Acacia, Alder, Arizona cypress, Ash, Beech pollen, Cottonwood, Cypress, Date Palm, Elm, Hazel, London plane tree, Mountain cedar, Mulberry tree, Olive, Paper mulberry, Silver birch, Sugi pollen, Tree of heaven, Walnut, Weeping fig

INSECTS & VENOMS

American Cockroach, Bee, Common wasp venom, Fire Ant, German Cockroach, Honey bee venom, Long-headed wasp venom, Paper wasp venom

LEGUMES & NUTS

Almond, Brazil nut, Cashew, Chickpea, Hazel nut, Lentil, Macadamia, Pea, Peanut, Pecan, Pistachio, Soy, Walnut, White bean

FISH & SEAFOOD

Anisakis simplex, Atlantic cod, Atlantic herring, Atlantic mackerel, Black tiger shrimp, Brown shrimp, Carp, Common mussel, Crab, Lobster, Northern prawn, Oyster, Salmon, Scallop, Shrimp mix, Squid, Swordfish, Thornback ray, Tuna, Venus clam

WEED POLLENS

Annual mercury pollen, Cannabis (CBD), Hemp, Lamb’s quarter, Mugwort, Nettle, Pigweed, Ragweed, Ribwort, Russian thistle, Wall pellitory

PETS & ANIMALS

Cat, Cattle, Djungarian hamster, Dog, Goat, Guinea pig, Horse, Mouse, Pig, Rabbit, Rat, Sheep

SPICES

Anise, Caraway, Mustard, Oregano, Paprika, Parsley

MEAT

Beef, Chicken, Horse, House cricket, Lamb, Mealworm, Migratory locust, Pork, Rabbit, Turkey

MITES

Acarus siro, American house dust mite, Blomia tropicalis, European house dust mite, Glycyphagus domesticusLepidoglyphus destructorTyrophagus putrescentiae

CEREALS & SEEDS

Barley, Buckwheat, Corn flour, Corn, cereal, Cultivated rye, Fenugreek seed, Lupine seed, Millet, Oat, Poppy seed, Pumpkin seed, Quinoa, Rice, Sesame, Spelt, Sunflower seed, Wheat flour

VEGETABLES

Avocado, Carrot, Celery, Garlic, Onion, Potato, Tomato

OTHER

CCD, Ficus & Hops, Latex, Pigeon tick

About the test:

This test can check for close to 300 relevant allergen sources (except drug allergens, such as penicillin). We have the most comprehensive panel in the UK which also tests for molecular allergens, which allows for a comprehensive understanding of allergic cross-reactions and a risk assessment of food allergies (to allow for tailor-made dietary recommendations). Likewise, allergen-specific immunotherapy can be directed against the main triggers of symptoms (available for pollen, house dust mites and insect venoms). This test looks for elevated levels of IgE which causes Type I allergies.

Biomarkers:

Iron Studies

  • Ferritin
  • Iron
  • Total Iron Binding Capacity
  • Transferrin Saturation
  • Unsaturated Iron Binding Capacity

Vitamin

  • Vitamin B12
  • Folate (Vitamin B9)

Blood Cells

Full Blood Count (with 5 part White Cell Differential)

About the test:

Anaemia is a shortage of red blood cells and/or haemoglobin. It is a common cause of tiredness and can also lead to lack of energy, feeling faint, becoming easily breathless. This test will give information on several common causes of anaemia. It includes tests for iron levels including ferritin, a full blood count, vitamin B12 and folate (vitamin B9) levels.

Profile details

DHEAs
FSH
Testosterone
Free Androgen Index
LH
SHBG

About the test:

Measuring testosterone levels with your sex hormone-binding globulin (SHBG),  show how much active (free) testosterone is in your bloodstream. Follicle cell stimulating hormone (FSH), luteinising hormone (LH) and prolactin levels, which control testosterone production by the testicles, are also measured.

See here for more information: https://www.baus.org.uk/patients/conditions/7/male_menopause_androgen_deficiency_in_the_ageing_male/

 

An AMH test is often used to check a woman’s ability to produce eggs that can be fertilised for pregnancy. A woman’s ovaries can make thousands of eggs during her childbearing years. The number declines as a woman gets older.

AMH levels can help show how many potential egg cells a woman has left (the ovarian reserve).

This test is used to see if one has auto-antibodies (which attack your cells) to help diagnose several autoimmune conditions, including lupus, rheumatoid arthritis, and Sjögren’s syndrome.

Checks whether you are pregnant or not. Blood tests can detect pregnancy hormones at lower levels than a urine test so this test can help you confirm your pregnancy at the earliest possible date. This test looks for the presence of the pregnancy hormone beta-HCG. It also checks the quantitative levels of this hormone in your blood which can sometimes be used to determine what stage your pregnancy is at.

Blood group testing is a method to tell what type of blood you have. Your blood type is based on which proteins are on your red blood cells and this is either type A, B, AB or O.

A test is also done to see whether you have Rhesus (Rh) factor on the surface of your red blood cells which is either positive or negative.

Profile details

Adjusted Calcium, Alanine Transaminase, Albumin, Alkaline Phosphatase, Aspartate Aminotransferase, Bicarbonate, Calcium, Chloride, Creatinine, Gamma Glutamyl Transferase, Globulin, estimated Glomerular Filtration Rate (eGFR), Potassium, Sodium, Total Bilirubin, Total Protein, Urea, Vitamin D (25-OH)

Turn around time: 1 day

The BNP (NT-pro BNP) test measures the levels of B-type natriuretic peptide (BNP) or its precursor, N-terminal pro-B-type natriuretic peptide (NT-pro BNP), in the blood. BNP is a hormone released by the heart in response to increased pressure and stress on the heart muscle.

This test is primarily used to diagnose and monitor heart failure. Elevated levels of BNP or NT-pro BNP indicate the presence of heart failure, as the hormone is released when the heart is not pumping effectively. It helps in assessing the severity of heart failure and guiding treatment decisions.

In addition to heart failure, the BNP (NT-pro BNP) test may also contribute to the diagnosis of other cardiovascular conditions such as myocardial infarction (heart attack), atrial fibrillation, and pulmonary hypertension. It can help differentiate between cardiac and non-cardiac causes of shortness of breath.

Turnaround time: 1 day

Inflammation is a process by which your body’s white blood cells protect you from infection by bacteria and viruses. Checking for inflammation can help identify a wide range of conditions.

hsCRP is a test which measures a protein which increases in the blood during inflammation.

hsCRP tests are also used predict the risk of heart conditions such as a heart attack.

Biomarkers:

  • HDL Percentage
  • HDL (High-Density Lipoprotein)
  • LDL (Low-Density Lipoprotein)
  • Non-HDL Cholesterol
  • Total Cholesterol
  • Total Cholesterol: HDL Ratio
  • Triglyceride

Description:

This test is a very comprehensive profile analysing 7 parameters including total cholesterol, triglyceridesHDL “good”, LDL “bad” levels, and the ratios and percentages between them.

Over 40% of adults have high cholesterol levels and it is a very signficant risk factor for heart attacks and strokes. 

The only way to find out if you have high cholesterol is through a blood test. 

Most high cholesterol is due to a diet high in saturated fats which are in particularly high levels in animal fats. Some cholesterol is essential but we tend to get far to much.

Your genes contribute a lot to your cholesterol levels too but you will never know without taking a blood test.

About 1 in 250 people have very high cholesterol levels caused by a genetic condition called familial hypercholesterolaemia. This sadly often results in many family members dying far too early of heart attacks. It can be treated and will take more than dietary changes alone, but knowing if you have it is of course essential.

Knowing allows you to take control and make the changes you need to make to ensure you have the best chance of a long and health life.

Cortisol is a hormone produced by the adrenal glands that plays a critical role in regulating stress response, metabolism, and immune function. Testing cortisol levels is necessary to evaluate adrenal function, diagnose hormonal disorders, or monitor response to stress. Cortisol testing helps assess and manage conditions such as adrenal insufficiency, Cushing’s syndrome, or stress-related disorders.

Take this test at around 9 am to measure your cortisol levels close to waking up.

Individual Biomarkers: Cytomegalovirus Antibodies IgG, Cytomegalovirus Antibodies IgM

Description:

The test measures the presence of Cytomegalovirus (CMV) antibodies in the blood. CMV is a common virus that can cause mild to severe illness, especially in individuals with weakened immune systems.

The presence of IgG antibodies indicates a past or previous CMV infection, while the presence of IgM antibodies suggests a recent or current CMV infection.

The test can contribute to the diagnosis of various health conditions related to CMV, including:

1. Congenital CMV infection: In pregnant women, the test can help determine if they have been previously infected with CMV, which is important as primary CMV infection during pregnancy can lead to congenital CMV infection in the fetus.

2. Immunocompromised individuals: CMV can cause severe illness in people with weakened immune systems, such as those with HIV/AIDS, organ transplant recipients, or individuals undergoing chemotherapy. The test can aid in diagnosing CMV infection in these individuals.

3. Mononucleosis-like illness: CMV infection can sometimes present with symptoms similar to infectious mononucleosis (mono). The test can help differentiate between CMV and other causes of mono-like symptoms.

4. Transfusion-associated CMV infection: The test may be used to screen blood donors for CMV antibodies to prevent transfusion-associated CMV infection in recipients, particularly in vulnerable populations like premature infants or immunocompromised individuals.

Individual Biomarkers: Gonorrhoea (Urine), Chlamydia (Urine)

Description:

The test measures the presence of Chlamydia and Gonorrhoea in the urine sample. It is used to diagnose these sexually transmitted infections (STIs) in both males and females. Chlamydia and Gonorrhoea can cause various health conditions such as pelvic inflammatory disease (PID), urethritis, cervicitis, and infertility. It is important to note that if the person is female, the test may also help in identifying the risk of developing complications like ectopic pregnancy or chronic pelvic pain.

Turnaround time: 2 days 

Individual Biomarkers: Dihydrotestosterone

Description:

Dihydrotestosterone (DHT) is a hormone that is derived from testosterone. It is primarily responsible for the development and maintenance of male sexual characteristics.

The measurement of DHT levels can be used to assess and diagnose certain health conditions. In males, elevated DHT levels may contribute to the diagnosis of conditions such as benign prostatic hyperplasia (BPH), prostate cancer, and androgenic alopecia (male pattern baldness). In females, DHT levels are typically lower, and its measurement is not commonly used for diagnostic purposes. However, in certain cases, excessive DHT production in females may be associated with conditions like polycystic ovary syndrome (PCOS) or hirsutism (excessive hair growth).

Turnaround time: 7 days 

Individual Biomarkers: Dengue Virus Serology, Dengue Virus IgG Index, Dengue Virus Antibodies IgG & IgM, Dengue Virus Antibody IgM Index, Dengue virus INS1 Antigen Index

Description:

The Dengue Virus Serology test measures the presence of antibodies in the blood that are produced in response to the dengue virus. This test can contribute to the diagnosis of dengue fever, a viral infection that is transmitted by mosquitoes and can cause symptoms such as fever, headache, joint pain, and rash. 

Antibodies can be detected 3–5 days after the onset of the disease, and they persist for 2–3 months. It is believed that IgG antibody usually appears 8–10 days after primary infection

Turnaround time: 5 days

Biomarkers:

Cholesterol

  • HDL Percentage
  • HDL (High-Density Lipoprotein)
  • LDL (Low-Density Lipoprotein)
  • Non-HDL Cholesterol
  • Total Cholesterol
  • Total Cholesterol : HDL Ratio
  • Triglyceride

Diabetes

  • HbA1c (Glycosylated Haemoglobin)

Thyroid

  • Thyroid Stimulating Hormone (TSH)

Hormones

  • Free Testosterone Calculation
  • Prolactin
  • Testosterone

Prostate

  • Total Prostate Specific Antigen (PSA)

Description:

This comprehensive profile checks for health indicators which can contribute to erectile dysfunction and male impotence. 

It is estimated that 48% of men experience difficulty in getting or maintaining an erection on at least some occasions. While the majority of the time there are psychological causes for this, it is vital to exclude physical causes as these causes may be due to a serious underlying illness – and can often be treated to reduce the effects of impotency.

The main categories of causes are problems with circulation and hormonal.

This profile checks for all the major causes of circulatory problems and checks the relevant hormones.

TestosteroneSHBG and Prolactin hormone levels, and Thyroid Stimulating Hormone

Diabetes can cause circulation problems as well as nerve damage so Glucose and HbA1c levels are included along with a full cholesterol profile

Prostate Specific Antigen level checks for indications of possible problems with the prostate which can also result in impotence.

Turnaround time: 1 day

Individual Biomarkers: Epstein-Barr Virus Antibodies IgM, COMMENTS, Epstein-Barr Virus Antibodies IgG, VCA IgG

Description:

This test measures the presence of Epstein-Barr virus antibodies IgG and IgM in the blood.

The presence of IgG antibodies indicates a past infection with the virus, while the presence of IgM antibodies indicates a current or recent infection.

This test may contribute to the diagnosis of infectious mononucleosis, chronic fatigue syndrome, and certain types of cancer, such as Burkitt’s lymphoma and nasopharyngeal carcinoma

Turnaround time: 2 days

Individual Biomarkers: Chlamydia, Gonorrhoea, Hepatitis C Antibody, Syphilis (Treponoma) IgG/IgM, HIV 1 & 2 Antibodies + p24 Antigen, Hepatitis B Surface antigen

Description:

Sexually transmitted infections are very common in young people and increasingly common throughout the lives of any sexually active adult, and testing is the only way to be confident you are safe.

infections tested for are chlamydiagonorrhoeaHIVHepatitis B, Hepatitis C and syphilis which are the commonest sexually transmitted infections.

It is estimated that 1 in 10 sexually active young people have a chlamydia infection.

By far the majority of women do not have any symptoms at all for the infections being tested and if they do, the symptoms are often so mild as to be ignored.

Despite the lack of symptoms the potential for serious harm is very high with all the conditions tested for. They can cause infertility, pelvic inflammatory disease, liver failure and unfortunately, even death.

Many people choose to test when starting a serious relationship or at regular intervals.

Testing is essential to keep you safe.

Turnaround time: 3 days

Individual Biomarkers: Gonorrhoea (Urine), Chlamydia (Urine), Hepatitis C Antibody, Syphilis (Treponoma) IgG/IgM, HIV 1 & 2 Antibodies + p24 Antigen, Hepatitis B Surface antigen

Description:

Sexually transmitted infections are very common in young people and increasingly common throughout the lives of any sexually active adult. Testing is the only way to be confident you and your partner(s) are safe.

infections tested for are chlamydiagonorrhoeaHIVHepatitis B, Hepatitis C and syphilis which are the commonest sexually transmitted infections.

It is estimated that 1 in 10 sexually active young people have a chlamydia infection.

Many men do not have any symptoms at all for the infections being tested although in some there is pain on urination, discharge and other symptoms.

Whether there are symptotms or not, the potential for serious harm is very high with all the conditions tested for. They can cause infertility, very painful prostatitis and  epidydymitis, liver failure and unfortunately, even death.

Many people choose to test when starting a serious relationship or at regular intervals.

Testing is essential to keep you safe.

Turnaround time: 3 days

 

Individual Biomarkers: Oestradiol (E2), Follicular Stimulating Hormone, Luteinizing Hormone, Prolactin, Testosterone

Description:

The Female Hormone Profile is a test that analyses the levels of specific hormones in a woman’s body that help regulate various functions in the body, including the menstrual cycle, fertility, and overall health. 

This test specifically focuses on hormones that are important for female reproductive health, such as oestrogenluteinising hormonefollicle stimulating hormone and prolactin.

By measuring these hormone levels, this profile can give valuable information about your hormonal balance and overall reproductive health. 

It can help identify any hormonal imbalances that may be causing irregular periods, fertility issues, or other reproductive problems. 

Additionally, this test can also be used to monitor hormone levels during hormone replacement therapy or to assess the effectiveness of certain medications.

Turnaround time: 1 day

Ferritin is a blood protein that is used to store iron. Iron is used for the transportation of oxygen in the blood. It is measured to understand how much iron the body stores. Ferritin tests are used to diagnose anaemia and liver disease.

Individual Biomarkers: Basophils, Basophils percent, Eosinophils, Eosinophils percent, Haematocrit, Haemoglobin, Lymphocytes, Lymphocytes percent, Mean Cell Haemoglobin, Mean Cell Haemoglobin Concentration, Mean Cell Volume (MCV), Mean Platelet Volume, Monocytes, Monocytes percent, Neutrophils, Neutrophils percent, Platelet Count, Red Cell Count, Red Cell Distribution Width, White Cell Count

Description:

The Full Blood Count (with 5 part White Cell Differential) test measures the levels of different components in the blood, including red blood cells, white blood cells, and platelets. It provides information about the overall health of the blood and can help diagnose various health conditions.

This test can contribute to the diagnosis of anemia, which is a condition characterized by low levels of red blood cells or hemoglobin. It can also help identify infections, as the white blood cell count and differential can indicate the presence of an infection and the type of white blood cells involved.

Turnaround time: 1 day

Individual Biomarkers: Albumin, Alkaline Phosphatase, Alanine Transaminase, Gamma Glutamyl Transferase, Total Bilirubin, Cholesterol – Total, High-Density Lipoprotein (HDL) Cholesterol, Low Density Lipoprotein, Total Cholesterol : HDL Ratio, Non-HDL-Cholesterol, Triglyceride, Urea, Creatinine, estimated Glomerular Filtration Rate (eGFR), HbA1c (Glycosylated Haemoglobin), Iron, Calcium, Adjusted Calcium, Urate (Uric acid)

Description:

This blood test provides you with a comprehensive check-up of your general health giving you vital information about a wide range of very important health conditions. Having a blood test today can add years of health and wellness to your life. The conditions tested for very often take many years for symptoms to develop and some do not show any symptoms at all, but if not tested for, in the meantime, untreated, damage is being done.

This test will tell you if you have diabetes (HbA1c) – there are over 1 million people with diabetes who do not know they have it. Finding out will enable you to make the lifestyle changes and start treatments that will significantly lengthen your life and improve how you feel every day. 

It includes a full cholesterol profile analysing over 5 parameters. Over 40% of adults have high cholesterol levels which is a very signficant risk factor for heart attacks and strokes. The only way to detect if you have high cholesterol is through a blood test. It will enable you to make the changes you need to reduce your risk of some of the most common causes of death.

Your Iron levels are checked. Iron is essential to maintain blood health.

This profile also checks your liver function. Your liver is probably the most complex and vital organs in your body. It does such a wide range of things including digesting all your food and removing toxins and poisons – like alcohol. Finding that your liver is being stressed can make a huge difference to its (and your) long term health and wellness.

Included is a kidney function test. Your kidney is also a vital organ. Checking that it is working properly is done primarily by blood tests which will give you the opportunity to get treatment early if any is needed.

It checks your bone health with calcium which is vital for bones along with many other essential bodily functions, and checks your muscle health with creatine kinase which can show if you have damaged muscles.

Lastly it checks for gout which can be altered dramatically with lifestyle and treatment and can cause a lot of misery if ignored.

Turnaround time: 1 day

Individual Biomarkers: Glucose

Turnaround time: 1 day

Description:

This laboratory test is called a glucose test. It measures the level of glucose (sugar) in a person’s blood.

Someone may have this test done for various reasons, including:
 

  • Diabetes: It helps in diagnosing and monitoring diabetes by measuring blood sugar levels.
  • Hypoglycemia: It helps in determining if a person has low blood sugar levels, which can cause symptoms like dizziness, confusion, and fainting.
  • Hyperglycemia: It helps in identifying high blood sugar levels, which can be a sign of uncontrolled diabetes or other medical conditions.
  • Gestational diabetes: Pregnant women may undergo this test to check for gestational diabetes, a temporary form of diabetes that can develop during pregnancy.
  • Monitoring treatment: People with diabetes may have regular glucose tests to monitor the effectiveness of their treatment plan and make necessary adjustments.
  • Preoperative evaluation: Glucose tests may be performed before surgery to ensure blood sugar levels are within a safe range.
  • Screening: Glucose tests may be part of routine health check-ups or screenings to identify potential diabetes or prediabetes.

Individual Biomarkers: Haemoglobin Electrophoresis (Thallassaemia Screen), Haemoglobin A2, Haemoglobin A0, Haemoglobin phenotype, Haemoglobin, Haematocrit, Red Cell Count, Mean Cell Volume (MCV), Mean Cell Haemoglobin

Description:

The Haemoglobin Electrophoresis test measures the different types of hemoglobin present in the blood. It is primarily used to screen for thalassemia, a group of inherited blood disorders that affect the production of hemoglobin. Thalassemia can result in anemia and other complications.

Turnaround time: 1 day

Individual Biomarkers: HbA1c (Glycosylated Haemoglobin)

Description:

Undiagnosed, untreated diabetes mellitus will shorten your life by years and cause a lot of misery in the meantime. 

Diabetes results in excess glucose (sugar) in the blood which damages small blood vessels. This in turn damages virtually every other organ and system in the body. 

Insulin, which is produced by the pancreas, takes sugar out of the blood and deposits it inside our cells where it is supposed to be.

Type 2 diabetes accounts for 90% of diabetes and is caused by the body not responding to insulin in the way it should. This type is caused by a combination of lifestyle and genetic factors and is notoriously difficult to diagnose from symptoms, and very often is present for several years betore treatment starts.

Type 1 diabetes is 10% of diabetes cases. This is caused by the body attacking its own pancreas due to an autoimmune process and stopping it from producing any insulin.

Diabetes can be treated but you need to know whether you have it of not. By far the best way to check whether you have diabetes or not is with a blood test. It can take on average up to 2 years before people find they have Type 2 diabetes from symptoms and a lot of damage is being quietly done to the body in that time that could be avoided if they knew.

There are over a million people in the UK who do not know they already have Type 2 diabetes and are steadily damaging their bodies without knowing about it.

Over 3.9 million people do know they have diabetes and need their HbA1c levels checked every few months to monitor how they are managing their condition.

This is a potentially life-saving test. 

Not knowing you have diabetes, or not managing the diabetes you do know about will shorten your life but on the other hand, knowing, treating and monitoring will go along to improving your wellness and longevity.

What is prediabetes?

Prediabetes means that your blood sugars are higher than usual, but not high enough for you to be diagnosed with type 2 diabetes. It also means that you are at high risk of developing type 2 diabetes. You are unlikely to be experiencing any symptoms with prediabetes.

HbA1c levels between 42mmol/mol (6%) – 47mmol/mol (6.4%) is considered the prediabetes range.

Biomarkers:

Cholesterol

  • HDL Percentage
  • HDL (High-Density Lipoprotein)
  • LDL (Low-Density Lipoprotein)
  • Non-HDL Cholesterol
  • Total Cholesterol
  • Total Cholesterol : HDL Ratio
  • Triglyceride

Inflammation

  • High Sensitivity C-Reactive Protein (CRP)

Diabetes

HbA1c (Glycosylated Haemoglobin)

About the test:

This test includes a range of tests that have been shown to be very important indicators of risks to your heart’s health, including a full cholesterol profile and tests for inflammation. It also includes a test for diabetes which shows you how well your body controls your blood sugar.

A hepatitis B IgG immunity blood test indicates whether a person is protected against the hepatitis B virus. The test is normally carried out after receiving a course of hepatitis B vaccines.

Biomarkers:

  • Hepatitis B Core Antibodies
  • Hepatitis B Immunity
  • Hepatitis B Surface Antigen

About the test:

A detailed profile which checks not only for a current hepatitis B infection but to differentiate between immunity due to a previous infection or a vaccination.

Hepatitis B Surface Antigen (HBsAg) are produced in the body by the hepatitis B virus. It is a virus which causes a liver infection and is spread from contact with the blood and bodily fluids of an infected person. HBsAg tests are used to diagnose if a person is currently infectious.

Hepatitis C Antibodies (HCAg) are produced by the immune system after exposure to hepatitis C. Hepatitis C is a virus which causes a liver infection and is spread from contact with the blood of an infected person. HCAg tests are used to determine whether a person has previously been exposed to hepatitis C.

Individual Biomarkers: HIV 1 & 2 Antibodies + p24 Antigen

Description:

This test is used to detect the presence of antibodies against HIV types 1 and 2, as well as the p24 antigen, which is a protein produced by the HIV virus during the early stages of infection.

Someone would have this test done if they suspect they may have been exposed to HIV or if they are at a higher risk of contracting the virus. It is commonly used as a screening test for HIV infection, as it can detect the presence of antibodies and the p24 antigen within a few weeks to a few months after exposure. Early detection of HIV is crucial for timely medical intervention and to prevent the transmission of the virus to others.

Turnaround time: 1 day

Biomarkers:

  • Ferritin
  • Iron
  • Total Iron Binding Capacity
  • Transferrin Saturation
  • Unsaturated Iron Binding Capacity

This profile checks levels of iron. Low iron can cause anaemia, a common issue causing a list of problems starting with fatigue, weakness and coldness which can then progress to more serious conditions.

We also test for how well the body can absorb iron which may be reduced in conditions affecting the liver.

Biomarkers:

  • Creatinine
  • Glomerular Filtration Rate
  • Urea

Your kidneys play a vital role in keeping your body functioning including the removal of waste products, releasing hormones to regulate blood pressure and controlling the production of red blood cells. A healthy kidney function is vital to your overall health and wellbeing.

Biomarkers:

  • Alanine Transaminase (ALT)
  • Albumin
  • Alkaline Phosphate (ALP)
  • Aspartate Aminotransferase (AST)
  • Gamma-Glutamyl Transferase (GGT)
  • Globulin
  • Total Bilirubin
  • Total Protein

The liver is responsible for many of the bodies essential functions such as regulating blood sugar levels, fighting infections and detoxifying your blood. Good liver function is vital to your overall health and wellbeing.

Magnesium is a mineral found mainly in the bone, but it can also be seen in the blood. It is used for energy production, muscle contraction and for maintaining strong bones. The body regulates the magnesium levels by regulating the amount being absorbed from the intestines and the amount being excreted in the urine. Magnesium tests are used to investigate the severity of kidney problems as well as diagnosing and monitoring gastrointestinal disorders.

Biomarkers:

Liver Function

  • Albumin

Hormones

  • DHEA-Sulphate
  • Follicular Stimulating Hormone (FSH)
  • Free Androgen Index
  • Free Testosterone Calculation
  • Luteinizing Hormone (LH)
  • Oestradiol
  • Prolactin
  • Sex Hormone Binding Globulin (SHBG)
  • Testosterone

About the test:

This profile checks for the full range of male hormones which is very useful for giving information about male fertility and other hormone related issues.

It also covers hormones relevant to sports and testosterone supplementation.

Individual Biomarkers: Follicular Stimulating Hormone, Luteinizing Hormone, Oestradiol (E2), Thyroid Stimulating Hormone, Testosterone

Description:

The Menopause Hormones Profile is a test that measures the levels of Oestradiol, Luteinising Hormone and Follicle Stumlating Hormone to confirm if you are in the menopause.

It also includes Thyroid Stimulating Hormone as it is not uncommon that thyroid problems can cause similar symptoms as the menopause.

Menopause is a natural process that occurs in women as they age, typically between the ages of 45 and 55. The ovaries stop producing eggs and the levels of hormones such as oestrogen and progesterone, decrease.

It is the big drop in oestradiol that causes most of the symptoms of menopause with may include: 

  • hot flushes, when you have sudden feelings of hot or cold in your face, neck and chest which can make you dizzy
  • changes to your mood, like low mood, anxiety, mood swings and low self-esteem
  • problems with memory or concentration (brain fog)
  • difficulty sleeping, which may be a result of night sweats and make you feel tired and irritable during the day
  • palpitations, when your heartbeats suddenly become more noticeable
  • headaches and migraines that are worse than usual
  • muscle aches and joint pains
  • changed body shape and weight gain
  • skin changes including dry and itchy skin
  • reduced sex drive
  • vaginal dryness and pain, itching or discomfort during sex
  • recurrent urinary tract infections (UTIs)
  • sensitive teeth, painful gums or other mouth problems

Periods may become irregular, heavier before stoping altogether.

Thankfully, Hormone Replacement Therapy can help most women with many of the symptoms and it is worth speaking to a doctor about this.

Turnaround time: 1 day

Oestradiol is a form of oestrogen and the main female hormone produced by non-pregnant women. The hormone has an important role in the development of female physical features and reproductive functions.

Oestradiol tests are used for the evaluation of ovarian function.

It can also be used to diagnose the cause of early and delayed puberty in girls as well as used to monitor hormone replacement therapy in women during after menopause.

Biomarkers:

Liver Function

  • Alanine transaminase (ALT)
  • Alkaline Phosphatase (ALP)
  • Aspartate aminotransferase (AST)
  • Gamma GT (GGT)
  • Globulin
  • Total Bilirubin
  • Total Protein

Kidney Function

  • Creatinine
  • Glomerular Filtration Rate
  • Urea

Cholesterol

  • HDL Percentage
  • HDL (High-Density Lipoprotein)
  • LDL (Low-Density Lipoprotein)
  • Non-HDL Cholesterol
  • Total Cholesterol
  • Total Cholesterol : HDL Ratio
  • Triglyceride

Diabetes

  • HbA1c (Glycosylated Haemoglobin)

Iron

  • Iron
  • Total Iron Binding Capacity
  • Transferrin Saturation
  • Unsaturated Iron Binding Capacity

Muscle & Bone

  • Adjusted calcium
  • Calcium
  • Creatine Kinase
  • Gout
  • Urate (Uric Acid)

Blood Cells

  • Full Blood Count (with 5 part White Cell Differential)

About the test:

Comprehensive check of your liver & kidney function, your muscle & bone health, gout, iron levels, diabetes (HbA1c), your full cholesterol profile and full blood count.

It provides an excellent baseline health check. It helps you to proactively manage your health and identify/monitor many underlying or pre-existing conditions throughout your body.

Checks your progesterone levels which can confirm whether you have ovulated or not. It needs to be taken about 21 days into your cycle. Analysis of progesterone levels show a large spike in the latter half of your cycle if successful ovulation has occurred.

Prolactin is a hormone produced by the pituitary gland in the brain. The main role of prolactin is to promote lactation (breast milk production) in women during pregnancy and after childbirth.

A prolactin test is used to diagnose infertility in both men and women as well as menstrual problems and erectile dysfunction.

Biomarkers:

  • Free Prostate Specific Antigen
  • Free Prostate Specific Antigen
  • Total Prostate Specific Antigen (PSA)

This profile checks the levels of Prostate Specific Antigen (PSA).

A high PSA can indicate problems with the prostate gland.

Total Prostate Specific Antigen (PSA) is the total amount of prostate specific antigen being produced by the cells in the prostate gland.

This test is used to detect and monitor the treatment response of prostate cancer.

Biomarkers:

Liver Function

  • Alanine transaminase
  • Albumin
  • Alkaline Phosphatase
  • Aspartate aminotransferase
  • Gamma GT
  • Globulin
  • Total Bilirubin
  • Total Protein

Kidney Function

  • Creatinine
  • Glomerular Filtration Rate
  • Urea

Cholesterol

  • HDL Percentage
  • HDL (High-Density Lipoprotein)
  • LDL (Low-Density Lipoprotein)
  • Non-HDL Cholesterol
  • Total Cholesterol
  • Total Cholesterol : HDL Ratio
  • Triglyceride

Inflammation

  • High Sensitivity C-Reactive Protein (CRP)

Iron Studies

  • Ferritin
  • Iron
  • Total Iron Binding Capacity
  • Transferrin Saturation
  • Unsaturated Iron Binding Capacity

Muscle & Bone

  • Adjusted Calcium
  • Calcium
  • Creatinine Kinase
  • Gout
  • Urate (Uric Acid)

Vitamins

  • Vitamin D
  • Vitamin B12

Hormones

  • Testosterone

Blood Cells

  • Full Blood Count(with 5 part White Cell Differential)

About the test:

This test is for anyone wanting information about their fitness for sports – either before starting a programme, or to monitor progress during one.

It includes all the essential biomarkers that are of interest to a sports person to ensure you are operating at peak condition and includes cholesterol, inflammation, vitamins and testosterone.

Biomarkers:

Liver Function

  • Alanine transaminase
  • Albumin
  • Alkaline Phosphatase
  • Aspartate aminotransferase
  • Gamma GT
  • Globulin
  • Total Bilirubin
  • Total Protein

Thyroid Function

  • Free T4 (thyroxine)
  • Thyroid Stimulating Hormone (TSH)

Hormones

  • DHEA-Sulphate
  • Follicular Stimulating Hormone (FSH)
  • Free Androgen Index
  • Free Testosterone Calculation
  • Luteinizing Hormone (LH)
  • Oestradiol
  • Prolactin
  • Sex Hormone Binding Globulin (SHBG)
  • Testosterone

About the test:

This profile is for anyone wanting information about their hormones and related systems that may be affected by their sporting activities or supplements.

                                                                                                                

Biomarkers:

  • Hepatitis B surface antigen
  • Hepatitis C antibodies
  • HIV 1 & 2 antibodies, p24 antigen
  • Syphilis IgM/IgG

About the test:

This blood test covers a wide range of common blood-bourne infections and provides you with a fast and simple way to check up on your sexual health.

Syphilis IgM/IgG are produced by the immune system during and after exposure to syphilis. IgM are antibodies that are the first form of response to syphilis are used to indicate current infection.

IgG are antibodies that are produced after exposure to syphilis are used as an indicator of long-term immunity that the body creates.

Testosterone is the main sex hormone in males. The high levels of testosterone that men have compared to women are responsible for the development of virtually all the physical differences between the sexes. In adult males it controls sex drive, maintains muscle mass and helps make sperm.

Understanding your testosterone level may help if you are experiencing low sex drive, infertility, erectile dysfunction and more.

Testosterone levels should also be checked regularly by anyone using testosterone supplements for any reason.

Biomarkers:

  • Free Testosterone Calculation
  • Sex Hormone Binding Globulin (SHBG)
  • Testosterone

Understanding your testosterone levels may help if you are experiencing low sex drive, infertility, erectile dysfunction and more. Testosterone levels should also be checked regularly by anyone using testosterone supplements for any reason.

This is the enhanced testosterone test which includes albumin, sex hormone binding globulin (SHBG) and a free testosterone calculation will give you a very good indication of the levels of testosterone in your body.

Biomarkers:

  • Free T4 (thyroxine)
  • Thyroid Stimulating Hormone (TSH)

This Thyroid Function Profile checks the general function of your thyroid gland. It tests for the level of thyroid stimulating hormone (TSH) and free T4 (thyroxine). It will give you a very good indication of whether your thyroid is functioning normally or not, which can lead to tiredness, mood problems and weight issues.

Biomarkers:

  • Antithyroglobulin Antibodies
  • Thyroid Peroxidase Antibodies
  • Free T3 (triiodothyronine)
  • Free T4 (thyroxine)
  • Thyroid Stimulating Hormone (TSH)

About the test:

Thyroid disorders are common but often remain undiagnosed.

This test checks the function of your thyroid gland. It tests for the level of Thyroid Stimulating

Hormone (TSH) and Free T4 (Thyroxine). It will give you a very good indication of whether your thyroid is functioning normally or not, which can lead to tiredness, mood problems and weight issues.

Biomarkers:

  • Free T4 (thyroxine)
  • Free T3 (triiodothyronine)
  • Thyroid Stimulating Hormone (TSH)

Biomarkers:

Iron Studies

  • Ferritin
  • Iron
  • Total Iron Binding Capacity
  • Transferrin Saturation
  • Unsaturated Iron Binding Capacity

Vitamin

  • Vitamin D

Thyroid Function

  • Free T4 (thyroxine)
  • Thyroid Stimulating Hormone (TSH)

Blood Cells

  • Full Blood Count (with 5 part White Cell Differential)

About the test:

Designed to discover clues in your blood as to why you may be feeling unusually tired or fatigued. It will give you information on several common things that doctors look for in blood tests that may give physical reasons for tiredness. It includes a full blood count and tests for vitamin D, iron levels including ferritin; and thyroid function tests.

Vitamin B12 is essential for your health and wellbeing and performs several important functions in the body, including keeping the nervous system healthy. Understanding your level is important as low levels of vitamin B12 can have severe effects on blood and overall health. A Vitamin B12 test is particularly important for those on a plant-based diet.

Vitamin D is essential for your health and wellbeing. It helps regulate the amount of calcium and phosphate in the body which are needed to keep bones, teeth and muscles healthy. Understanding your vitamin D levels is very important for anyone living in the UK. Up to a quarter of the population is low in vitamin D at the end of winter. Low levels can cause a long list of health problems including fatigue, bone & muscle pain, depression and more.

Biomarkers:

Liver Function

  • Albumin
  • Globulin
  • Total Protein
  • Alkaline Phosphatase (ALP)
  • Alanine transaminase (ALT)
  • Aspartate aminotransferase (AST)
  • Gamma GT
  • Total Bilirubin

Cholesterol

  • HDL Percentage
  • HDL (High-Density Lipoprotein)
  • LDL (Low-Density Lipoprotein)
  • Non-HDL Cholesterol
  • Total Cholesterol
  • Total Cholesterol : HDL Ratio
  • Triglyceride

Kidney Function

  • Creatinine
  • Glomerular Filtration Rate
  • Urea

Inflammation

  • High Sensitivity C-Reactive Protein (CRP)

Diabetes

  • HbA1c (Glycosylated Haemoglobin)

Iron Studies

  • Ferritin
  • Iron
  • Total Iron Binding Capacity
  • Transferrin Saturation
  • Unsaturated Iron Binding Capacity

Muscle & Bone

  • Adjusted Calcium
  • Calcium
  • Creatine Kinase

Gout

  • Urate (Uric Acid)

Minerals

  • Magnesium

Vitamins

  • Folate (Vitamin B9)
  • Vitamin B12
  • Vitamin D

Thyroid Function

  • Free T4 (thyroxine)
  • Thyroid Stimulating Hormone (TSH)

Hormones

  • Testosterone

Blood Cells

  • Full Blood Count (with 5 part White Cell Differential)

About the test:

This comprehensive profile is perfect for any man wishing to have a full body check-up and screening for potential underlying diseases or conditions.

It provides key information on your kidney, liver, heart & thyroid health and blood sugar; plus iron, calcium & testosterone hormone levels. It can tell whether you are anaemic, have a current infection and even if you are suffering from any underlying inflammation.

It also includes a full blood count and vitamin profile.

Biomarkers:

Liver Function

  • Albumin
  • Globulin
  • Total Protein
  • Alkaline Phosphatase (ALP)
  • Alanine transaminase (ALT)
  • Aspartate aminotransferase (AST)
  • Gamma GT
  • Total Bilirubin

Cholesterol

  • HDL Percentage
  • HDL (High-Density Lipoprotein)
  • LDL (Low-Density Lipoprotein)
  • Non-HDL Cholesterol
  • Total Cholesterol
  • Total Cholesterol : HDL Ratio
  • Triglyceride

Kidney Function

  • Creatinine
  • Glomerular Filtration Rate
  • Urea

Inflammation

  • High Sensitivity C-Reactive Protein (CRP)

Diabetes

  • HbA1c (Glycosylated Haemoglobin)

Iron Studies

  • Ferritin
  • Iron
  • Total Iron Binding Capacity
  • Transferrin Saturation
  • Unsaturated Iron Binding Capacity

Muscle & Bone

  • Adjusted Calcium
  • Calcium
  • Creatine Kinase

Gout

  • Urate (Uric Acid)

Minerals

  • Magnesium 

Vitamins

  • Folate (Vitamin B9)
  • Vitamin B12
  • Vitamin D

Thyroid Function

  • Free T4 (thyroxine)
  • Thyroid Stimulating Hormone (TSH)

Hormones

  • Follicular Stimulating Hormone (FSH)
  • Luteinizing Hormone (LH)
  • Oestradiol

Blood Cells

  • Full Blood Count (with 5 part White Cell Differential)

About the test:

This comprehensive profile is perfect for any woman wishing to have a full body check and screening for potential underlying diseases or conditions.

It provides key information on your kidney, liver, heart & thyroid health and blood sugar; plus iron, calcium & vital female hormone levels related to fertility. It can tell whether you are anaemic, have a current infection and even if you are suffering from any underlying inflammation. It also includes a full blood count and vitamin profile.

Zinc is an essential component in many cellular processes and is also a co-factor in many enzymes. Zinc deficiency is very common worldwide and can affect the skin and gastrointestinal tract, brain & central nervous system, immune, skeletal, and reproductive systems. Zinc tests are popular for people on plant-based diets.

This test measures your immunity to the varicella zoster virus which causes chickenpox and shingles.

  • Endomysial IgA
  • Gliadin deamidated lgG
  • Total IgA
  • Tissue Transglutaminase (IgA)

Coeliac Disease (CD) is an immune-mediated disease of the intestines that is triggered by the ingestion of gluten in genetically susceptible individuals. Gluten is the major protein component of wheat, rye, and barley. 

Note: If a person has been on a gluten-free diet for 6-12 months, approximately 80% will lose their antibody response. After 5 years this increases to >90%.

Therefore, for diagnosis, you should continue to eat foods that contain gluten for several weeks prior to testing. If you are monitoring your coeliac disease no preparation is necessary.

Individual Biomarkers: Hepatitis A Immunity (IgG/IgM)

Description:

The Hepatitis A Immunity (IgG/IgM) test measures the levels of IgG and IgM antibodies in the blood to determine the immunity status against Hepatitis A virus.

This test helps diagnose the presence of Hepatitis A infection and assesses the immune response to the virus. It can also determine if a person has been previously exposed to the virus or has received the Hepatitis A vaccine.

Turnaround time:

A blood test to check whether you have immunity to measles mumps and rubella.

Individual Biomarkers: Mumps Antibodies (IgG) Immunity

Description:

The test measures the level of Mumps Antibodies (IgG) in the blood, which indicates the presence of immunity against the mumps virus. This test is used to determine if a person has been previously infected with the mumps virus or has received the mumps vaccine.

Turnaround time: 1 day

Non-invasive prenatal testing (NIPT) screens for the presence of specific chromosome disorders in the developing fetus.  The test analyses fragments of cell-free DNA in maternal plasma that have been released from both maternal and placental cells.

By analysing the proportions of cell-free DNA fragments derived from different chromosomes or chromosome regions, NIPT can screen for the presence or absence of specific chromosome disorders.

NIPT is more accurate than first trimester maternal serum screening and ultrasound in identifying pregnancies with or without these disorders.

Our NIPT test is done by the reputable TDL Genetics which uses the NIPT assay VeriSeq NIPT Solution v2, which is manufactured by Illumina and is processed at TDL in London.

In addition, NIPT can also assess fetal sex. This is optional (no additional cost).

 

When to perform NIPT

NIPT should not be performed before a gestational age of 10 weeks. However, it is suitable at any time after that, preferably while there is sufficient time for further investigation or decision-making (should this be required).  

An ultrasound scan is required prior to NIPT to confirm dates and fetal viability, and to check for twins.  Performing first trimester screening before NIPT may provide supplementary information regarding the status of the fetus.

Who is eligible for NIPT? Eligible patients:

  • Women who are at least ten weeks pregnant
  • Women with singleton or twin pregnancies
  • Women with IVF pregnancies and non-IVF pregnancies NIPT is not suitable for patients with:
  • Recent maternal blood transfusion (within the last 4 months)
  • Maternal mosaicism
  • Maternal prior organ transplant/stem cell transplant
  • Maternal copy number variations
  • Chromosomal copy number variations
  • Fetoplacental mosaicism/ confined placental mosaicism
  • Maternal autoimmune disease excluding IVIg treatments
  • Maternal neoplasms (benign and malignant)
  • Pregnancies with fetal demise/vanishing twin Patients with a twin pregnancy are not eligible for the sex chromosome aneuploidy component of the screen.

Reporting results

Results will be ready within 2–4 business days upon receipt of sample in the laboratory.

Example report

A high probability NIPT result should always be
confirmed by amniocentesis or CVS before making
any decision regarding subsequent management
of the pregnancy.

Find out more about NIPT on the TDL website:
www.tdlpathology.com/noninvasive-prenatal-testing/

The Rabies Antibody test measures the presence and levels of antibodies against the rabies virus in the blood. This test is used to determine if a person has developed immunity against rabies, either through vaccination or previous exposure to the virus.

Turnaround time: 20 days

Description:

This test measures the level of Rubella Antibody (IgG) in the blood, which indicates whether a person has immunity to the Rubella virus. Rubella is a viral infection that can cause a mild fever and rash, but can also lead to serious complications in pregnant women, such as miscarriage, stillbirth, or birth defects in the baby.

This test is important for women who are planning to become pregnant or are already pregnant, as Rubella can be transmitted to the fetus and cause serious harm. If a woman is not immune to Rubella, she may need to receive a vaccine before becoming pregnant to protect herself and her baby.

Individual Biomarkers: HIV Rapid Expert HIV-1 RNA (Qualitative) – early detection from 10 days

Description:

This test measures the presence of HIV-1 RNA in the blood, specifically for early detection of HIV infection. It is used to diagnose HIV infection in individuals who may have been exposed to the virus from 10 days prior to the test

Turnaround time:  1 day

Self-Collected HPV DNA with individual reporting of all subtypes 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, 68.

The value of HPV DNA testing in cervical cancer screening and disease detection has been proven over and over again. Self-collection of specimens for HPV testing is not intended to replace existing patient management pathways but allows for:

  • Those who wish to test following a change of sexual partner
  • Option for identifying individual high risk DNA subtypes 
  • Personal preference to self-collect vaginal samples
  • An acceptable option for women who avoid having regular cervical smears
  • Self-collection for HPV increases acceptability and coverage rate of cervical cancer prevention

For more information see: TDL Self-Collection HPV Test | The Doctors Laboratory (tdlpathology.com)

Stockholm3 is a blood test that helps to predict risk of clinically significant prostate cancer in men aged 45–75 years with a PSA level of at least 1.5 ng/ml and no previous diagnosis of prostate cancer.

Stockholm3 combines genetic markers, proteins and clinical data in an algorithm to help identify clinically significant prostate cancer. It allows for screening in primary or secondary care settings and is equivalent across diverse ethnicities.

Key characteristics of Stockholm3

  • Increased early detection – increased sensitivity
  • Increased specificity reduces over testing, unnecessary biopsies by 50% and treatment
  • Higher accuracy compared to PSA, PSAD and prostate cancer risk calculator
  • Can distinguish between aggressive and benign tumours in a way that PSA testing cannot
  • Validated in combination with MRI and in multiple ethnicities
  • Shown to detect clinically significant prostate cancers in PSA levels of 1.5–2.9 ng/ml
  • Reduces healthcare costs

Turnaround Time: up to 2 weeks.

Lab: TDL

This blood test is an interferon gamma release assay (IGRA) which determine from an individual’s immune response whether they have been infected (currently or previously) with TB. QuantiFERON-TB Gold can be used as an alternative to the Mantoux Test and is particularly useful if you previously had the BCG vaccination – the Mantoux test may not be reliable in these cases.
Turnaround time: 3 days.

Includes: Urea, Creatinine, eGFR, Sodium, Potassium, Chloride, Bicarbonate

This test measures the concentration of antibodies (IgG and/or IgM) specific to yellow fever virus (YFV), a mosquito-borne flavivirus that can cause a severe and potentially fatal illness characterized by fever, jaundice, hemorrhage, and organ failure, in serum, using enzyme immunoassay (EIA), immunofluorescence assay (IFA), or plaque reduction neutralization test (PRNT) methods, to help diagnose acute or recent YFV infection, determine the immune status of individuals with respect to YFV vaccination, and guide decisions about vaccination, travel, and public health measures in endemic or epidemic areas.

Turnaround time: 10 days

This blood test detects the Zika virus and looks at two different antibodies (Zika virus abs IgM EIA & Zika virus abs IgG EIA), one for current infection and one for previous infection.

This test is useful for anyone who has visited a country that is affected by Zika and is worried about potential infection.

You need to wait at least 7-10 days after you return to allow antibodies to be detected in your blood before taking this test.

Turnaround: Up to 14 days

Public Health England advice for women returning form a country or area with risk for Zika virus transmission.

020 7435 7075