Complete Metabolic Panel
Comprehensive metabolic panel: electrolytes, kidney, liver, glucose, HbA1c, and protein.
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Included Markers
16 markersA metabolic panel covering electrolytes, kidney and liver function, glucose, HbA1c, and protein markers. This panel provides data about how the body processes nutrients, maintains fluid balance, and regulates blood sugar.
Why this test?
Metabolic function encompasses how the body handles electrolytes, filters waste, processes nutrients, and regulates blood sugar. Changes in these areas can develop gradually. This panel measures markers across these systems, providing data that may support a conversation with a healthcare provider about metabolic health.
Who is this test for?
This test may be relevant for women who:
- Want a detailed view of metabolic function
- Have a family history of diabetes, kidney disease, or liver conditions
- Experience symptoms such as fatigue, changes in urination, or unexplained thirst
- Want to assess blood sugar regulation alongside organ function
What is tested?
This panel measures 16 markers:
- Electrolytes: Sodium, Potassium, Chloride, Calcium, Bicarbonate
- Kidney: Creatinine, eGFR, Urea (BUN)
- Liver: ALT, AST, ALP, Bilirubin (Total), Albumin
- Blood sugar: Glucose (Fasting), HbA1c
- Protein: Total Protein
What can this test tell you?
Electrolyte levels reflect fluid balance and cellular function. Kidney markers (creatinine, eGFR, urea) indicate how well the kidneys filter waste. Liver markers (ALT, AST, ALP, bilirubin, albumin) can reflect liver function and health. Glucose and HbA1c together provide both a current and longer-term view of blood sugar regulation. Abnormal patterns across these markers may warrant further investigation with a healthcare provider.
How is the sample collected?
The test requires a blood draw at a certified sample point (afnamepunt). There are over 750 locations across the Netherlands. Since fasting is required, scheduling a morning appointment is recommended.
When is this test useful?
This test may be considered when:
- You want a detailed look at metabolic function
- You have risk factors for diabetes or kidney or liver conditions
- You experience symptoms that may be related to metabolic imbalance
- You want data to discuss with your healthcare provider
What do the results mean?
Each marker is shown with your value and the reference range. Results are typically interpreted in groups (electrolytes together, liver markers together, etc.) rather than in isolation. Elevated glucose or HbA1c may suggest blood sugar regulation warrants further attention. Abnormal kidney or liver values may indicate changes worth discussing with your healthcare provider. Results should be interpreted in context by a qualified professional.
Preparation
Fasting is required for 8 to 12 hours before the blood draw (water is permitted). This ensures accurate glucose readings and consistent results across the panel.
What happens after the results?
Your results are typically available within a few working days. Each marker is presented with your value, the reference range, and an explanation. These results can be discussed with your healthcare provider to determine whether further evaluation may be appropriate.
Frequently Asked Questions
From order to report in 4 steps
A hormone test without referral: test when you want, not only when symptoms are severe. No waiting list, just order and go.
Choose your hormone test
Browse our hormone panels and pick what you want tested. Compare markers and prices, or build a custom test.
Receive your lab referral
Within 2-3 hours you'll receive an email from ZorgDomein with a barcode. Orders outside business hours are processed the next business day.
Get tested at a lab near you
Show the barcode on your phone and bring a valid ID. Done in under 15 minutes.
Receive your report from the doctor
A BIG-registered physician reviews your hormone values and writes a personal report. On your dashboard within a few business days.
Choose your hormone test
Browse our hormone panels and pick what you want tested. Compare markers and prices, or build a custom test.
Receive your lab referral
Within 2-3 hours you'll receive an email from ZorgDomein with a barcode. Orders outside business hours are processed the next business day.
Get tested at a lab near you
Show the barcode on your phone and bring a valid ID. Done in under 15 minutes.
Receive your report from the doctor
A BIG-registered physician reviews your hormone values and writes a personal report. On your dashboard within a few business days.
Always a location near you
With more than 650+ certified phlebotomy points across the Netherlands.
What We Test
This test includes 16 biomarkers to give you a comprehensive health picture.
HbA1c (glycated haemoglobin) reflects your average blood sugar levels over the past 2-3 months. It is the gold standard for long-term blood sugar monitoring and diabetes management.
Learn moreALT (alanine aminotransferase) is a liver enzyme that serves as a key indicator of liver health. Elevated levels may suggest liver cell damage and can be associated with various liver conditions.
Learn moreCalcium is the most abundant mineral in the body, essential for strong bones and teeth, muscle contraction, nerve signalling, and blood clotting. Most calcium is stored in bones and teeth, with a small amount circulating in the blood.
Learn moreAlkaline Phosphatase (ALP) is an enzyme found in the liver, bones, kidneys, and digestive system. ALP levels can help evaluate liver health, bone disorders, and bile duct function.
Learn moreAST (aspartate aminotransferase) is an enzyme found in the liver, heart, and muscle cells. Elevated levels may indicate liver damage, but because AST is present in multiple tissues, results are best interpreted alongside other liver markers such as ALT.
Learn moreTotal bilirubin measures the combined amount of direct and indirect bilirubin in your blood. Bilirubin is a waste product formed during the normal breakdown of red blood cells, and elevated levels may indicate liver disease, bile duct problems, or increased red blood cell destruction.
Learn moreBUN (blood urea nitrogen) measures the amount of urea nitrogen in your blood, a waste product formed when the body breaks down protein. It is primarily used to evaluate kidney function and can be influenced by diet, hydration status, and liver health.
Learn moreCreatinine is a waste product generated by normal muscle metabolism that is filtered out of the blood by the kidneys. It is widely regarded as the gold standard marker for evaluating kidney function, as consistent production makes it a reliable indicator of filtration efficiency.
Learn moreeGFR (estimated glomerular filtration rate) is a calculated measure of how effectively your kidneys filter waste from the blood. It is the gold standard for diagnosing and staging chronic kidney disease and is derived from blood creatinine or cystatin C levels along with demographic factors.
Learn moreFasting glucose measures the level of sugar (glucose) in your blood after an overnight fast. It is one of the primary tests used to screen for and monitor diabetes and pre-diabetes.
Learn moreBicarbonate is an electrolyte that helps maintain the body's acid-base balance. It acts as a buffer in the blood, neutralising excess acids and helping to keep your pH within a healthy range.
Learn moreChloride is an essential electrolyte that helps maintain fluid balance, blood pressure, and the body's acid-base equilibrium. It works closely with sodium and potassium to regulate these vital functions.
Learn moreSodium is a vital electrolyte that regulates fluid balance, blood pressure, and nerve and muscle function. It is the primary cation in extracellular fluid and is closely regulated by the kidneys.
Learn morePotassium is an essential electrolyte and mineral that helps regulate heartbeat, muscle contractions, nerve signals, and fluid balance. It is one of the most important minerals for cardiovascular health.
Learn moreAlbumin is the most abundant protein in the blood, produced by the liver. It maintains fluid balance, transports hormones and nutrients, and serves as an indicator of liver and kidney function.
Learn moreTotal protein measures the combined amount of albumin and globulins in your blood. These proteins play essential roles in maintaining fluid balance, fighting infections, transporting substances, and supporting tissue repair.
Learn moreHbA1c (Glycated Hemoglobin)
MetabolicHbA1c (glycated haemoglobin) reflects your average blood sugar levels over the past 2-3 months. It is the gold standard for long-term blood sugar monitoring and diabetes management.
HbA1c provides a long-term view of blood sugar control, unlike fasting glucose which reflects a single point in time. It is essential for diabetes diagnosis and management. Consult your healthcare provider.
ALT (Alanine Aminotransferase)
LiverALT (alanine aminotransferase) is a liver enzyme that serves as a key indicator of liver health. Elevated levels may suggest liver cell damage and can be associated with various liver conditions.
ALT levels provide important insight into liver function. Elevated levels may indicate conditions such as hepatitis, fatty liver disease, or medication-related liver damage. Early detection of elevated ALT can help identify liver problems before symptoms develop, allowing for timely intervention and lifestyle modifications.
Calcium
MineralsCalcium is the most abundant mineral in the body, essential for strong bones and teeth, muscle contraction, nerve signalling, and blood clotting. Most calcium is stored in bones and teeth, with a small amount circulating in the blood.
Calcium balance is critical for bone health, heart function, and muscle contraction. Abnormal levels may be associated with bone disorders, parathyroid conditions, or kidney problems. Consult your healthcare provider for personalised advice.
ALP (Alkaline Phosphatase)
LiverAlkaline Phosphatase (ALP) is an enzyme found in the liver, bones, kidneys, and digestive system. ALP levels can help evaluate liver health, bone disorders, and bile duct function.
ALP is a useful screening marker for liver and bone conditions. Elevated levels may indicate bile duct obstruction, liver disease, or bone disorders. Consult your healthcare provider for interpretation.
AST (Aspartate Aminotransferase)
LiverAST (aspartate aminotransferase) is an enzyme found in the liver, heart, and muscle cells. Elevated levels may indicate liver damage, but because AST is present in multiple tissues, results are best interpreted alongside other liver markers such as ALT.
AST levels provide important information about the health of your liver, heart, and muscles. Elevated levels may be associated with conditions such as hepatitis, cirrhosis, heart attack, or muscle injury. When evaluated alongside ALT, the AST:ALT ratio can help your healthcare provider identify the underlying cause of liver enzyme elevation. An AST:ALT ratio greater than 2:1, for instance, may suggest alcohol-related liver damage.
Bilirubin (Total)
LiverTotal bilirubin measures the combined amount of direct and indirect bilirubin in your blood. Bilirubin is a waste product formed during the normal breakdown of red blood cells, and elevated levels may indicate liver disease, bile duct problems, or increased red blood cell destruction.
Total bilirubin is a fundamental marker for assessing liver function and diagnosing the cause of jaundice. By comparing total bilirubin with direct bilirubin, healthcare providers can determine whether elevation is due to liver disease, bile duct obstruction, or haemolysis. Mild elevations may occur in common and generally harmless conditions such as Gilbert syndrome, which affects approximately 5-10% of the population. However, significant elevations warrant further investigation to rule out serious underlying conditions.
Urea (BUN)
KidneyBUN (blood urea nitrogen) measures the amount of urea nitrogen in your blood, a waste product formed when the body breaks down protein. It is primarily used to evaluate kidney function and can be influenced by diet, hydration status, and liver health.
BUN is a valuable marker for assessing how effectively your kidneys are filtering waste from your blood. Elevated levels may indicate that the kidneys are not functioning optimally, which can be associated with dehydration, kidney disease, or other underlying conditions. Monitoring BUN alongside other kidney markers such as creatinine and eGFR provides a more comprehensive picture of renal health and helps detect potential problems early.
Creatinine
KidneyCreatinine is a waste product generated by normal muscle metabolism that is filtered out of the blood by the kidneys. It is widely regarded as the gold standard marker for evaluating kidney function, as consistent production makes it a reliable indicator of filtration efficiency.
Creatinine is central to assessing kidney health. It is used to calculate the estimated glomerular filtration rate (eGFR), which is the primary measure for staging chronic kidney disease. Early detection of rising creatinine levels can prompt timely intervention, helping to slow the progression of kidney damage. Monitoring creatinine is also important for adjusting medication dosages, as many drugs are cleared by the kidneys.
eGFR (Estimated Glomerular Filtration Rate)
KidneyeGFR (estimated glomerular filtration rate) is a calculated measure of how effectively your kidneys filter waste from the blood. It is the gold standard for diagnosing and staging chronic kidney disease and is derived from blood creatinine or cystatin C levels along with demographic factors.
eGFR is the most important single measure for assessing overall kidney function. It is used internationally to diagnose chronic kidney disease, determine its stage, and guide treatment decisions. Regular eGFR monitoring allows early detection of kidney function decline, often before symptoms appear. This is critical because early intervention can significantly slow the progression of kidney disease and reduce the risk of complications such as cardiovascular disease.
Glucose (Fasting)
MetabolicFasting glucose measures the level of sugar (glucose) in your blood after an overnight fast. It is one of the primary tests used to screen for and monitor diabetes and pre-diabetes.
Fasting glucose is a cornerstone of metabolic health assessment. Elevated levels may indicate pre-diabetes or diabetes, while very low levels can also be clinically significant. Consult your healthcare provider for interpretation.
Bicarbonate
MineralsBicarbonate is an electrolyte that helps maintain the body's acid-base balance. It acts as a buffer in the blood, neutralising excess acids and helping to keep your pH within a healthy range.
Proper bicarbonate levels are essential for maintaining blood pH. Imbalances may indicate respiratory or metabolic conditions and can affect organ function. Consult your healthcare provider for interpretation of your results.
Chloride
MineralsChloride is an essential electrolyte that helps maintain fluid balance, blood pressure, and the body's acid-base equilibrium. It works closely with sodium and potassium to regulate these vital functions.
Chloride imbalances can indicate dehydration, kidney disease, or acid-base disturbances. Maintaining proper chloride levels is important for overall metabolic health. Consult your healthcare provider for result interpretation.
Sodium
MineralsSodium is a vital electrolyte that regulates fluid balance, blood pressure, and nerve and muscle function. It is the primary cation in extracellular fluid and is closely regulated by the kidneys.
Sodium balance is essential for proper nerve transmission, muscle contraction, and blood pressure regulation. Significant imbalances can affect brain function and require medical attention. Consult your healthcare provider for guidance.
Potassium
MineralsPotassium is an essential electrolyte and mineral that helps regulate heartbeat, muscle contractions, nerve signals, and fluid balance. It is one of the most important minerals for cardiovascular health.
Potassium is critical for maintaining heart rhythm, blood pressure regulation, and proper muscle function. Both low and high levels can be dangerous and may require medical attention. Consult your healthcare provider for interpretation.
Albumin
LiverAlbumin is the most abundant protein in the blood, produced by the liver. It maintains fluid balance, transports hormones and nutrients, and serves as an indicator of liver and kidney function.
Albumin is important for maintaining blood volume, transporting substances, and reflecting overall health status. Low levels may indicate liver disease, kidney disease, or malnutrition. Consult your healthcare provider.
Total Protein
OtherTotal protein measures the combined amount of albumin and globulins in your blood. These proteins play essential roles in maintaining fluid balance, fighting infections, transporting substances, and supporting tissue repair.
Total protein levels provide a general overview of your nutritional status, liver function, kidney function, and immune system activity. Abnormal levels may prompt your healthcare provider to investigate specific protein fractions further.
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