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Advanced Fitness Blood Test
Advanced Home Fitness Test
Advanced Home Blood Test Kit

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  • indicate training and performance to advance your fitness
  • overall fitness health check

Advanced Fitness Blood Test

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Take a close look at the biomarkers that can help you maximise your training and performance to advance your fitness.

Is it for you?

Do you enjoy working out and want to see if there are any aspects of your health that may be improved? Would you like to confirm that your hormone levels are ideal for building muscle and strength? Or do you experience fatigue, lack of drive, and prolonged recuperation times? This exam is for you if you desire an overall fitness health check that gives you insights into your sporting performance.

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Hormones (2 Biomarkers)

Every bodily function, including development, metabolism, reproduction, and sleep cycles, is controlled by hormones.

Your mood and energy levels, as well as your fertility and libido, can all be negatively impacted by even a slight hormonal imbalance.

Chemical messengers known as hormones are produced in your glands and delivered into your bloodstream. Your body receives instructions from them on how to control your appetite, growth, mood, and reproduction.

In general, they maintain the body's equilibrium and functionality. Hormone imbalances are frequently treated with hormone replacement therapy or by altering one's lifestyle. Throughout the day and for women during the menstrual cycle, hormone levels change.

Testosterone

A hormone called testosterone is responsible for male features. It plays a part in controlling bone mass, fat distribution, muscular mass, strength, the creation of red blood cells, and the production of sperm in men.

It also helps to regulate sex drive. Men's testicles and, to a much lesser extent, women's ovaries both produce testosterone.

Although lower than normal amounts of testosterone can occur at any age and can result in low libido, erectile dysfunction, difficulties gaining and retaining muscular mass, and lack of energy, testosterone levels in males naturally fall after the age of 30.

Even though testosterone levels in women are significantly lower than in men, it is still vital for the same reasons—it affects libido, how fat and muscle are distributed, and how red blood cells are formed.

Because reference ranges are dependent on the population being tested, they will all somewhat vary between laboratories. 95% of men will fall inside the usual range, which has been determined.

We follow the British Society for Sexual Medicine's (BSSM) recommendations for greater consistency, which state that low testosterone can be diagnosed when levels are consistently below the reference range and that levels below 12 nmol/L may also be considered low, particularly in men who also experience symptoms of low testosterone or who have low levels of free testosterone.

Testosterone/Cortisol

A measure that holds promise for determining how effectively athletes are recovering from rigorous training is the testosterone/cortisol (T:C) ratio.

Testosterone is an anabolic hormone that promotes the production of red blood cells, increases aerobic metabolism in muscles, and aids in muscular growth. When combined with testosterone, the catabolic hormone cortisol inhibits protein synthesis and silences anabolic signalling.

Compared to either metric alone, the T:C ratio is more responsive to the demands of training. To determine how well you are recuperating, you can trend the data over time.

Proteins (3 Biomarker)

Proteins are essential for muscle growth as well as the operation of cells and tissues. Blood proteins are measured to assist in the diagnosis of various illnesses, such as liver or kidney disease.

It is common practise to analyse proteins to determine how much of a specific hormone is bound to a protein or free and thus available to your cells. Proteins also transport other chemicals, such as hormones, throughout the blood.

Dehydration is a common cause of elevated proteins, but they can also be a sign of other health issues. A significant protein deficiency may be a sign of malnutrition or malabsorption.

Albumin

A protein called albumin is mainly produced in the liver. It aids in generating the osmotic pressure necessary to keep water in the blood. It is crucial for tissue growth and repair and aids in the transportation of nutrients, medicines, and other chemicals via the blood.

By evaluating albumin levels in the blood, we can determine how much hormone is available to your tissues. Albumin also transports hormones throughout the body.

Globulin

The term "globulin" refers to a variety of proteins that the liver and immune system create. While certain globulins transport metals like iron in the blood, others bind with haemoglobin.

In addition, there is a specific class of globulin called an immunoglobulin, which is another name for an antibody and aids in the body's defence against infection.

Total Protein

The total protein in your blood is the sum of the proteins albumin and globulin. Among their many jobs, albumin and globulin keep blood in vessels, deliver nutrients, and combat infection.

Abnormal levels may indicate a liver or renal problem as well as malnutrition.

Diabetes (1 Biomarker)

Type 2 diabetes is a metabolic condition that affects people of all ages more frequently. In the UK, up to one-third of persons are at risk of developing diabetes due to prediabetes. It is brought about by the interaction of our genes and our way of life.

Being overweight, eating poorly, and not exercising all increase the risk of having diabetes. Early detection of diabetes is crucial because, even if your blood sugar has risen and you are at the prediabetic stage, you can still lower it by changing your lifestyle.

Once you have been diagnosed with diabetes, it is crucial to carefully control your blood glucose levels in order to prevent many of the serious complications that can harm your nerves, blood vessels, kidneys, and eyes.

Diabetes is a key contributor to shortened life expectancy and is a known risk factor for cancer, cardiovascular disease, and other illnesses.

HbA1c

Glycated haemoglobin, commonly known as haemoglobin A1c (HbA1c), is a longer-term indicator of blood glucose levels than a straightforward blood glucose test.

Your red blood cells' ability to attach glucose to haemoglobin plus the fact that these cells have an average lifespan of 12 to 16 weeks give us a decent idea of the typical quantity of sugar in your blood over the course of three months.

Inflammation (1 Biomarker)

When your immune system is triggered to purge your body of external invaders or irritants and to guard against tissue damage, inflammation results.

Inflammation frequently manifests as heat, redness, swelling, and discomfort. An acute or persistent inflammation might exist. Infection or injury are common causes of acute inflammation, which appears for a few days before going away.

Long-term diseases including arthritis, inflammatory bowel disease, or asthma can lead to chronic inflammation. Certain proteins that are elevated in the blood as a result of inflammation can be tested to determine the level of inflammation and, in some cases, its underlying cause.

CRP-HS

The C-Reactive Protein (CRP) is a marker of inflammation that is used to determine whether there is inflammation in the body but not where it is situated.

A test known as High Sensitivity CRP (CRP-hs) is used to find low-level inflammation that may harm blood vessels and cause a heart attack or stroke. There is a great deal of inflammation at the site of a significant injury. The swelling around a twisted ankle is easy to picture. Your CRP-hs will increase with any damage of this nature.

But frequent exercisers also run the danger of developing chronic low-level inflammation, which can harm their performance.

We draw this picture using CRP-hs, CK, and your complete blood count (see the articles on the liver and complete blood count). When you are rested for the test, inflammatory markers like CRP-hs provide the most insight; otherwise, they may be increased from recent exercise.

Vitamins (3 Biomarker)

Your body requires vitamins as necessary nutrients to function properly. They must come from the food you consume because you cannot manufacture them yourself. There are two categories of vitamins: fat-soluble and water-soluble. Oily foods, whether animal- or plant-based, contain fat-soluble vitamins like vitamins A, D, E, and K.

You don't need to eat them every day because your body stores them in fatty tissue and the liver.You must consume meals containing these nutrients more regularly because the majority of water-based vitamins, such as vitamin C, are not stored in the body.

A balanced diet should provide you with all the vitamins you require. But occasionally, dietary decisions or medical issues might make us vitamin deficient.

Vitamin D

Together with calcium, vitamin D is essential for bone maintenance. It is crucial for both protein synthesis and muscle function.

Other non-musculoskeletal advantages, such as immunological regulation, defence against chronic diseases, and improved sports performance, have also been emphasised by more recent study.

Maintaining adequate amounts of vitamin D is crucial for athletes. When your skin is exposed to sunshine, it can produce vitamin D.

This is challenging in the UK, especially during the winter. Even if they exercise outside, people in the UK frequently have low vitamin D levels.

Vitamin B12 -Active

The generation of red blood cells, which transport oxygen throughout the body, depends on vitamin B12.

Additionally essential for metabolism and the nervous system, vitamin B12 deficiency can harm nerves over time.

Although plant milks are increasingly frequently enriched with vitamin B12, vitamin B12 is still nearly exclusively found in meals derived from animals.

Folate - Serum

A coenzyme in the metabolism of amino acids is folate, a B vitamin. Additionally, it is necessary for the synthesis of purines and pyrimidines, which are necessary for the production of red blood cells and DNA.

Make sure your folate levels are normal if you're thinking about getting pregnant because folate is also crucial during the first trimester of pregnancy.

This vitamin helps athletes perform better by controlling energy metabolism by modifying the production and breakdown of carbohydrates, fats, proteins, and other bioactive molecules. It also works in conjunction with other B vitamins, such as vitamin B12.

Iron Status (4  Biomarker)

We need iron for a number of basic functions, including the production of new red blood cells, the transportation of oxygen throughout the body, and the development of our immune systems.
Haemoglobin, a protein in our red blood cells, contains the majority of the iron in our bodies. A lesser portion is kept in the ferritin protein, which regulates the release of iron when levels are too high or low.
In order to identify anaemia or iron overload, iron status tests examine the overall quantity of iron in the blood (haemochromatosis).
They examine the amount of iron stored in your body as well as your body's capacity to absorb iron.

Ferritin

A complex globular protein called ferritin is used to store iron in an inactive form. The ferritin releases its iron for usage as your iron reserves get depleted.

You will run out of iron if your ferritin levels drop, and your ability to make red blood cells in your bone marrow will also suffer.

Thus, ferritin provides a reliable indication of your iron reserves. Ferritin can rise at times of infection, inflammation, or trauma because it is an acute phase protein as well.

Iron

Iron is essential for the activities that are essential for life, let alone athletic performance, such as oxygen transport, DNA synthesis, and oxidative phosphorylation. Red blood cells include the oxygen-transporting haemoglobin, which contains roughly 2.1g, or about half of the body's total iron content. A further gramme or so can be found in the oxygen-transporting myoglobin of muscles and in macrophages, which are white blood cells. The liver is where extra iron is kept. You won't be able to breathe as efficiently at the cellular level if you have low iron levels, which will make you feel more tired and tyre more quickly.This will affect athletes' performance, VO2 Max, energy efficiency, ability to train at their maximum capacity every day, maximum lactate level, and rate of exhaustion. Approximately 5% of your iron comes from food, and the remaining 95% comes from the breakdown and turnover of your red blood cells. The two primary forms of iron in your diet are Fe2+, which is present in meat and dairy products, and Fe3+, which is more difficult to absorb and is present in plant-based foods. Tests for iron status examine a variety of iron levels, which when combined can provide information about your iron metabolism and its implications for you.

TIBC

The total iron-binding capacity (TIBC) of your body is a gauge of how well it transports iron through the blood.

Transferrin Saturation

The primary blood protein that binds to iron and carries it throughout the body is called transferrin, which is produced in the liver.

This examination gauges the degree to which iron has "saturated" this protein.


Liver Health (4 Biomarkers)

One of your body's most vital organs, the liver performs a variety of tasks including converting food into energy, eliminating waste and toxins, and producing and regulating some hormones.

Through overeating, drinking alcohol, and contracting viral hepatitis, your liver can become inflamed and gradually harmed. Although your liver has extraordinary regeneration capabilities, liver disease is irreversible once inflammation has resulted in scarring (cirrhosis).

Blood tests evaluate the levels of several enzymes, and if they are elevated, it may be a sign that your liver is inflamed.

ALT

The liver produces the enzyme alanine transferase (ALT), which can suggest liver damage brought on by medications, alcohol, or viruses (hepatitis).

GGT

The liver enzyme gamma GT, sometimes referred to as gamma-glutamyl transferase (GGT), is increased in conditions affecting the liver and bile ducts.

To differentiate between liver and bone diseases, it is utilised in conjunction with ALP. As it is elevated in 75% of heavy drinkers, gamma GT is also used to diagnose alcohol consumption.

ALP

An enzyme called alkaline phosphatase (ALP) is mostly present in the liver and bones. Its measurement can reveal whether a person has any active liver, gallbladder, or bone conditions.

Bilirubin

Haemoglobin from red blood cells breaks down, producing bilirubin as a byproduct. Through the liver, the gallbladder stores and concentrates it before secreting it into the intestine.

Your body eliminates it through faeces and urine. Due to red blood cells disintegrating beneath the skin, bilirubin is what gives bruises their occasionally yellow colour.

Cholesterol Status (6 Biomarkers)

A fatty molecule called cholesterol is present in the blood and is crucial for the proper functioning of the body's cells.

But having too much cholesterol in your blood can seriously harm your health since it makes you more likely to experience a heart attack or stroke.

Numerous variables increase the risk of cardiovascular disease, and we continue to learn more about the intricate biochemical mechanisms that trigger a heart attack.

However, even then, it is not so straightforward because there are various forms of cholesterol, some of which are more dangerous than others. High levels of cholesterol have long been recognised to increase your risk.

In addition to coming from the food we eat, cholesterol is also produced in the liver. Diet, family history, obesity, and inactivity all have a negative effect on cholesterol levels.

Total Cholesterol

In the organism, cholesterol is a necessary fat (lipid). Even though it has a terrible reputation, it performs a number of crucial tasks, such as creating cell membranes and a number of necessary hormones. In addition to coming from the food we eat, cholesterol is also produced in the liver.

The amount of both good (HDL) and bad (total) cholesterol in your blood is measured (LDL, VLDL and non HDL).When carbohydrate energy sources are scarce or for endurance activities, fats serve as the main energy source.

Medium-chain fatty acids in particular are used extensively. By examining the levels of the various forms of cholesterol, we can gain information into your health and cardiovascular risk.

Cholesterol distributes fatty acids throughout the body (i.e. the buildup of cholesterol in blood vessels leading to blood vessel narrowing, heart attack and stroke).The liver controls the amount of cholesterol in the body; it produces and eliminates it, and it also produces different lipoproteins that carry cholesterol throughout the body. It is these that the cholesterol test measures.

LDL Cholesterol 

Low density lipoprotein, often known as LDL cholesterol, is a lipid and protein molecule that carries triglycerides, cholesterol, and other fats to various bodily regions.

When fatty deposits build up inside artery walls due to an excess of LDL cholesterol, sometimes known as "bad cholesterol," this could result in atherosclerosis and heart disease.Through food and exercise,

your cholesterol levels can be dramatically reduced. Likewise, if you can raise your levels, you may be able to avoid developing significant, potentially fatal illnesses in the future. Results for HDL and LDL (and non-HDL) can be used as benchmarks and improvement targets.

Regular exercise, especially cardio and weight training, will help lower LDL and raise HDL. Cholesterol levels will also be optimised by a Mediterranean diet that is heavy in vegetables and oily fish and low in meat and dairy.

Non-HDL Cholesterol

All of the cholesterol molecules that are not HDL (or "good" cholesterol") are referred to as non-HDL cholesterol.

Therefore, it includes all of the potentially dangerous and non-protective cholesterol in your blood. As a result, it is thought to be a more accurate indicator of cardiovascular risk than LDL cholesterol and total cholesterol. Less than 4 mmol/L of non-HDL cholesterol is advised.

Through food and exercise, your cholesterol levels can be dramatically reduced. Likewise, if you can raise your levels, you may be able to avoid developing significant, potentially fatal illnesses in the future.Results for HDL and LDL (and non-HDL) can be used as benchmarks and improvement targets. Regular exercise, especially cardio and weight training, will help lower LDL and raise HDL.

Cholesterol levels will also be optimised by a Mediterranean diet that is heavy in vegetables and oily fish and low in meat and dairy.

HDL Cholesterol

High Density Lipoprotein, often known as HDL cholesterol, is a molecule that transfers cholesterol from the bloodstream to the liver, where it is broken down and expelled from the body as bile.

The term "good cholesterol" refers to HDL cholesterol. Through food and exercise, your cholesterol levels can be dramatically reduced. Likewise, if you can raise your levels, you may be able to avoid developing significant, potentially fatal illnesses in the future.Results for HDL and LDL (and non-HDL) can be used as benchmarks and improvement targets.

Regular exercise, especially cardio and weight training, will help lower LDL and raise HDL. Cholesterol levels will also be optimised by a Mediterranean diet that is heavy in vegetables and oily fish and low in meat and dairy.

Total Cholesterol/HDL

By dividing your total cholesterol value by your HDL cholesterol level, you can get your cholesterol/HDL ratio.

It serves as a gauge of cardiovascular risk since it provides useful information about the percentage of "good" cholesterol in your total cholesterol (i.e. high-density lipoprotein, HDL).

The cholesterol/HDL ratio is used by heart disease risk calculators (like QRisk) to estimate your risk of suffering a heart attack.

Triglycerides

Triglycerides are a type of lipid that move through the bloodstream. They are transported in the bloodstream by chylomicrons and VLDLs, two types of lipoproteins (very low density lipoproteins).

Following a meal, extra calories are converted by your body into triglycerides, which are subsequently carried to cells where they are stored as fat. Triglycerides are then released by your body when it needs energy.

Kidney Health (3 Biomarkers)

Waste materials and extra fluid are taken out of your blood by your kidneys.

Examining the levels of waste products in the blood as well as the levels of electrolytes, which control fluid in the body, can be used to gauge how effectively they are performing their duties.

Early kidney disease signs are usually nonexistent, so it's crucial to keep an eye on kidney function, particularly if you have diabetes, high blood pressure, or a close relative who has the condition.

Creatinine

The regular breakdown of muscles produces the chemical waste molecule creatinine. Therefore, athletes are capable of higher levels than the normal person.

Since creatinine is excreted by the kidneys, it can be used to diagnose renal disease and is a reliable indicator of kidney function.

Urea

When proteins are broken down in the liver, the body excretes urea as waste. After being created, urea is delivered to the kidneys, where it is removed from the blood and eliminated from the body as urine.

Thus, monitoring urea levels in the blood can provide insight into the health of the liver and kidneys. It is crucial to remember that findings may still come out as normal even if one kidney is seriously damaged but the other is in fine working order.

EGFR

The estimated glomerular filtration rate (eGFR), which calculates how much blood is filtered through the kidneys, measures how well the kidneys are functioning. The kidneys' glomeruli are microscopic filters that remove waste materials.

Kidney function may be hampered if these filters do not operate adequately. Your age, gender, ethnicity, and serum creatinine levels are used to compute your estimated glomerular filtration rate, or eGFR.

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