The Gold package takes everything covered in the Bronze and Silver, including cardiovascular health, liver and kidney function, blood sugar, blood count, iron levels, vitamins and inflammation, and adds a detailed look at the systems that govern how your body performs, recovers and regulates itself day to day.
At 70 biomarkers, you will find out how your hormones are balanced, how well your thyroid is functioning, how your body is managing stress at a physiological level, and how efficiently you are recovering from physical exertion. You will also receive one of the most detailed cardiovascular risk profiles available in private healthcare, going well beyond standard cholesterol testing to give you a genuinely comprehensive picture of your heart health.
This is the test for anyone who trains regularly, feels that their energy or performance has declined, suspects a hormonal imbalance, or simply wants the most thorough understanding of their health at this level.
Haemoglobin is the protein in red blood cells that carries oxygen around the body. Low levels can indicate anaemia, fatigue or nutritional deficiencies, while high levels may suggest dehydration or certain blood conditions.
Haematocrit measures the proportion of your blood that is made up of red blood cells. It works alongside haemoglobin to assess how well your blood is delivering oxygen to your tissues.
The total number of red blood cells in your blood. Too few can mean anaemia; too many may indicate a condition causing your bone marrow to overproduce cells.
White blood cells are your immune system's frontline defenders. An elevated count can point to infection or inflammation, while a low count may suggest immune suppression.
Platelets are responsible for blood clotting. Low levels may increase your risk of bleeding, while high levels can raise the risk of clots forming where they should not.
MCV measures the average size of your red blood cells. Abnormally large or small cells can help identify the type of anaemia you may have and point to nutritional deficiencies such as low B12 or folate.
MCH tells us the average amount of haemoglobin contained within each red blood cell. It helps further classify the type and cause of anaemia.
MCHC measures the concentration of haemoglobin within red blood cells. It is used alongside MCV and MCH to build a detailed picture of red blood cell health.
MPV reflects the average size of your platelets. Larger platelets are more active and can indicate platelet turnover issues or early signs of clotting disorders.
RDW measures the variation in size of your red blood cells. A wide variation can indicate mixed nutritional deficiencies including iron, B12 or folate.
The most abundant type of white blood cell, neutrophils are first responders to bacterial infections. Elevated levels typically indicate active infection or inflammation.
Lymphocytes are key to your immune response, particularly against viruses. Low levels can indicate immune suppression, while high levels may point to viral infection or certain blood disorders.
Monocytes help clear debris and fight infection. Elevated levels may indicate chronic inflammation, infection or certain bone marrow conditions.
Eosinophils are involved in allergic responses and fighting parasitic infections. Raised levels are commonly associated with allergies, asthma or sensitivities.
The rarest white blood cell, basophils play a role in allergic reactions and inflammation. Abnormal levels are uncommon but can indicate immune or blood conditions.
The overall level of cholesterol in your blood, encompassing all types. Elevated total cholesterol is associated with an increased risk of heart disease and stroke.
Often referred to as the harmful form of cholesterol, LDL can build up in artery walls and increase the risk of heart disease. This is one of the most important markers for cardiovascular risk.
HDL is the protective form of cholesterol that helps transport excess cholesterol away from the arteries and back to the liver. Higher levels are generally associated with better heart health.
Triglycerides are the most common type of fat found in the blood. Elevated levels, particularly when combined with low HDL, significantly increase cardiovascular risk and can also indicate poor diet or metabolic issues.
A calculated ratio that compares total cholesterol to protective HDL. It is widely used as a summary measure of cardiovascular risk and provides more meaningful insight than total cholesterol alone.
Calculated by subtracting HDL from total cholesterol, non-HDL captures all potentially harmful cholesterol fractions in one figure. It is increasingly regarded as a more accurate cardiovascular risk predictor than LDL alone.
Blood glucose measures the amount of sugar circulating in your bloodstream at the time of the test. Elevated fasting glucose is a key indicator of insulin resistance, pre-diabetes or diabetes.
HbA1c reflects your average blood sugar levels over the past two to three months. It is the gold standard test for diagnosing type 2 diabetes and monitoring blood sugar control in those already diagnosed.
ALT is an enzyme found predominantly in the liver. Elevated levels are a sensitive and specific indicator of liver cell damage, and are commonly raised in conditions such as fatty liver disease, hepatitis and alcohol-related liver disease.
AST is another liver enzyme that rises when liver cells are damaged. It is also found in muscle tissue, so elevated AST alongside other markers helps distinguish between liver and muscle conditions.
GGT is particularly sensitive to alcohol consumption and liver stress. Raised levels may indicate alcohol-related liver damage, fatty liver disease or bile duct problems.
ALP is produced in the liver, bones and bile ducts. Elevated levels may point to liver or bile duct disease, or in some cases bone conditions, making it a useful broad screening marker.
Bilirubin is a waste product formed when red blood cells break down. The liver processes and excretes it. Elevated bilirubin can indicate liver disease, bile duct obstruction or increased red blood cell destruction.
Albumin is the main protein produced by the liver and is a good indicator of long-term liver health and nutritional status. Low levels can suggest chronic liver disease, malnutrition or inflammation.
Creatinine is a waste product produced by muscle metabolism and filtered out by the kidneys. Elevated levels suggest the kidneys may not be filtering effectively.
eGFR is calculated from creatinine levels and gives an estimate of how well your kidneys are filtering your blood per minute. It is the primary measure used to detect and monitor kidney disease.
Urea is another waste product filtered by the kidneys. Elevated urea alongside raised creatinine strengthens the case for reduced kidney function and can also indicate dehydration or high protein intake.
Sodium is an essential electrolyte that regulates fluid balance and nerve function. Abnormal levels can indicate kidney problems, dehydration, hormonal imbalances or issues with fluid regulation.
Potassium is critical for heart and muscle function. Abnormal potassium levels, whether too high or too low, can have serious implications for heart rhythm and are closely monitored in kidney disease.
Chloride works alongside sodium to maintain fluid balance and acid-base equilibrium in the body. Abnormal levels can indicate kidney dysfunction or metabolic disorders.
Phosphate is involved in bone health, energy production and cell function. The kidneys play a key role in regulating phosphate levels, so abnormalities often arise in kidney disease.
Ferritin is the protein that stores iron in your body and is the most reliable indicator of your iron reserves. Low ferritin is one of the most common causes of persistent fatigue, even when standard blood counts appear normal.
Serum iron measures the amount of iron currently circulating in your blood. It is assessed alongside ferritin and TIBC to build a full picture of how your body is absorbing, transporting and storing iron.
TIBC measures the blood's capacity to bind and transport iron. A high TIBC typically indicates iron deficiency, as the body increases its capacity in an attempt to capture more iron.
Transferrin is the protein responsible for transporting iron through the bloodstream. Measuring transferrin helps assess iron metabolism and distinguish between different types of iron deficiency.
This calculated value shows what percentage of transferrin is currently carrying iron. Low saturation indicates iron deficiency, while high saturation may point to iron overload conditions such as haemochromatosis.
Vitamin D is essential for bone health, immune function and mood regulation. Deficiency is widespread in the UK due to limited sunlight exposure and is linked to fatigue, low mood, weakened immunity and bone loss.
B12 is essential for nerve function, red blood cell production and DNA synthesis. Deficiency, which is common in those who follow plant-based diets or have absorption issues, can cause fatigue, neurological symptoms and anaemia.
Folate is a B vitamin that plays a critical role in DNA production, red blood cell formation and nervous system health. Low levels are associated with anaemia and, in pregnancy, with an increased risk of neural tube defects.
CRP is produced by the liver in response to inflammation. The high-sensitivity version of this test can detect low levels of chronic inflammation that standard CRP tests might miss, and is strongly linked to cardiovascular risk and other inflammatory conditions.
Calcium is essential for bone strength, muscle function and nerve signalling. The adjusted figure corrects for albumin levels, giving a more accurate reading of the calcium actually available to the body. Abnormal levels can indicate bone disorders, vitamin D deficiency or parathyroid issues.
Testosterone is the primary male sex hormone, though it plays important roles in both men and women. It governs energy, libido, muscle mass, bone density and mood. Low levels are increasingly common and often go undiagnosed.
SHBG is a protein that binds to testosterone and other sex hormones, making them inactive. Measuring SHBG alongside testosterone helps determine how much hormone is actually available to the body's tissues.
FAI is a calculated ratio of total testosterone to SHBG that estimates the level of biologically active testosterone. It provides a more clinically meaningful picture of androgen status than total testosterone alone.
Calculated from total testosterone, SHBG and albumin, free testosterone represents the fraction of testosterone not bound to proteins and therefore available for use by the body's cells and tissues.
Cortisol is the body's primary stress hormone, produced by the adrenal glands. Chronically elevated cortisol can impair immunity, disrupt sleep, increase fat storage and contribute to hormonal imbalances. Low cortisol can indicate adrenal insufficiency.
DHEA-S is a hormone produced by the adrenal glands and is a precursor to both testosterone and oestrogen. It tends to decline with age and is used as a marker of adrenal function and overall hormonal vitality.
TSH is produced by the pituitary gland and signals the thyroid to produce hormones. It is the first-line test for thyroid function. Elevated TSH suggests an underactive thyroid; low TSH may indicate an overactive thyroid.
T4 is the main hormone produced by the thyroid gland. Measuring the free, unbound fraction gives a direct indication of thyroid hormone output and helps distinguish between different types of thyroid dysfunction.
T3 is the active form of thyroid hormone and has the greatest effect on metabolism, energy and mood. Some people convert T4 to T3 poorly, which can cause symptoms even when TSH and T4 appear normal.
CK is an enzyme released into the blood when muscle tissue is damaged. It is a key marker for monitoring training load, recovery and the risk of overtraining. Persistently elevated CK suggests muscles are not recovering adequately between sessions.
CK-MB is a specific form of creatine kinase found predominantly in heart muscle. Elevated levels can indicate cardiac muscle stress, making it a valuable marker for athletes pushing at high intensities or those with cardiac concerns.
Myoglobin is a protein that stores oxygen in muscle cells. It is released into the bloodstream when muscle fibres are damaged during intense exercise. Very high levels can indicate a condition called rhabdomyolysis, which can be dangerous if left undetected.
Apo A1 is the main protein component of HDL cholesterol. It plays a key role in reverse cholesterol transport, helping remove excess cholesterol from artery walls. Higher levels are associated with reduced cardiovascular risk.
Apo B is found on all potentially harmful cholesterol particles including LDL. It is considered one of the most accurate markers of cardiovascular risk because each harmful particle carries exactly one Apo B molecule, giving a true particle count.
This ratio compares harmful to protective cholesterol transport proteins and is regarded by many cardiologists as a more precise cardiovascular risk indicator than traditional cholesterol ratios.
A composite score calculated from multiple cardiovascular markers that provides an integrated assessment of your overall heart disease risk, enabling a more nuanced risk stratification than any single marker alone.
Magnesium is involved in over 300 enzymatic processes including energy production, muscle contraction, nerve function and protein synthesis. Deficiency is common, particularly in active individuals, and is linked to muscle cramps, fatigue and poor sleep.
Uric acid is a waste product formed when the body breaks down purines from food and cell turnover. Elevated levels can lead to gout and have been linked to cardiovascular disease, kidney stones and metabolic syndrome.
TAS measures the overall capacity of your blood to neutralise harmful free radicals. Low antioxidant status is associated with increased oxidative stress, which plays a role in ageing, inflammation and chronic disease.