Order a complete metabolic panel with 18 markers
Comprehensive metabolic panel: electrolytes, kidney, liver, glucose, HbA1c, and protein.
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Biomarkers Included
18 biomarkersHbA1c (Glycated Hemoglobin), ALT (Alanine Aminotransferase), Calcium, ALP (Alkaline Phosphatase), AST (Aspartate Aminotransferase), Bilirubin (Total), Urea (BUN), Creatinine, eGFR (Estimated Glomerular Filtration Rate), Glucose (Fasting), Bicarbonate, Chloride, Sodium, Potassium, Albumin, Total Protein, Bilirubin (Direct), Bilirubin (Indirect)
Your metabolism underpins nearly every process in your body. This complete metabolic panel measures sixteen metabolic markers in one go: your electrolyte balance, your kidney filtration, your liver enzymes, your blood sugar regulation and your protein status.
You order online, need no referral and get your blood drawn at a sample point near you. It is a blood test without a referral, with results within a few working days including an assessment by a doctor.
Why this test?
Some metabolic shifts are not immediately noticeable from symptoms. This complete metabolic panel measures your electrolytes, your kidney values, your liver enzymes, your glucose and HbA1c and your protein levels, so you get a broad metabolic overview in one go.
Together, these markers can help reveal patterns you would not notice from symptoms alone. That is not a diagnosis, but a structured set of data you can discuss with a doctor.
Who is this test for?
This test may suit men who:
- want a broad metabolic overview beyond a standard lipid panel
- are monitoring their kidney or liver function over time
- are curious about their blood sugar regulation, especially with metabolic conditions in the family
- want a structured set of metabolic data to discuss with a doctor
If you are looking for a general blood test that covers several systems at once, this panel fits that well.
What is tested?
This complete metabolic panel measures sixteen biomarkers, across five groups:
- Electrolytes: sodium, potassium, chloride, calcium and bicarbonate (mmol/l), which play a role in your fluid balance, nerve function and muscle contraction.
- Kidney markers: creatinine (umol/l), eGFR (ml/min) and urea (mmol/l), which give insight into how your kidneys filter waste.
- Liver enzymes: ALT, AST and ALP (u/l) and total bilirubin (umol/l), which can be linked to liver stress.
- Glucose metabolism: fasting glucose (mmol/l) and HbA1c (mmol/mol), which together give an immediate and a longer view of your blood sugar.
- Protein: albumin and total protein (g/l), related to your nutritional status and liver function.
You can read more about your blood sugar on the page about fasting glucose. If you want to look at your kidney or liver values separately, the kidney function test and liver function test are specifically aimed at those.
What can this test tell you?
The interplay between these markers can be informative. Altered electrolytes alongside kidney markers may, for example, point to a change in your kidney function. Elevated liver enzymes combined with altered protein levels could point towards liver-related factors.
Fasting glucose and HbA1c together give both an immediate and a longer-term view of your blood sugar regulation, which can be more informative than either value alone. Reviewing these markers together with a doctor can give you a broader view.
How is the sample collected?
For this test, blood is drawn at a certified sample point. There are 700+ locations across the Netherlands, which you choose yourself after ordering. You do not need to see your GP first: it is a blood test without a GP, where you pick a time that suits you.
The draw is done by trained staff and usually takes 10 to 15 minutes. After that, your blood goes to the lab, where your sixteen values are determined.
When is this test useful?
This panel can be useful when you want a broad metabolic overview, when monitoring known kidney or liver values, or when symptoms such as fatigue, changes in urination or unexplained nausea prompt a closer look at your underlying metabolic function.
Note: this is a metabolic panel and not a complete blood count. It does not measure blood cells such as hemoglobin or white blood cells. If you instead want to look at your blood sugar, insulin and lipids together, the metabolic health check fits that better.
What do the results mean?
Each marker is shown with its reference range. Metabolic panels often contain values that interact with each other, so individual results are most meaningful when you view them together.
A single measurement provides a data point, not a definitive answer. A doctor can help determine whether any patterns or combinations of values warrant further evaluation.
What happens after the results?
Your results are available in your personal dashboard within a few working days, with the measured value alongside the reference range for each marker. Given the interconnected nature of metabolic markers, it helps to review your results together with a doctor.
Every blood test result includes a professional assessment from a BIG-registered doctor. For treatment decisions, discuss your results with your GP.
Frequently Asked Questions
Yes, fast for 8 to 12 hours for reliable fasting glucose values. Drinking water is fine during the fasting period.
No. This is a complete metabolic panel with chemistry markers such as electrolytes, kidney and liver values, glucose and protein. It does not measure blood cells, so it is not a complete blood count.
This panel emphasises electrolytes, kidney and liver values, glucose and protein. The metabolic health check focuses more on blood sugar, insulin and lipids.
No, you order this blood test without a referral and can share the results with your GP afterwards.
From order to report in 4 steps
No referral needed. No waiting list. Just order and go.
Choose your blood test
Pick a testosterone check, hormone panel, or prostate screening. Or build a custom test with exactly the markers you want.
Receive your lab referral
Within 1 business day you'll receive an email from ZorgDomein with a barcode. Orders outside business hours are processed from 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 assesses your results and writes a personal report. On your dashboard within a few business days.
Choose your blood test
Pick a testosterone check, hormone panel, or prostate screening. Or build a custom test with exactly the markers you want.
Receive your lab referral
Within 1 business day you'll receive an email from ZorgDomein with a barcode. Orders outside business hours are processed from 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 assesses your results and writes a personal report. On your dashboard within a few business days.
Always a location near you
With 700+ certified phlebotomy points across the Netherlands.
What We Test
This panel includes 18 biomarkers, each tested at a certified laboratory using medical-grade equipment.
| No. | Biomarker | Unit | Turnaround |
|---|---|---|---|
| 01 | HbA1c (Glycated Hemoglobin) 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. | mmol/mol | 2 days |
| 02 | ALT (Alanine Aminotransferase) Your ALT value shows how much alanine aminotransferase is in your blood. This enzyme sits mainly in the liver. That makes ALT the most liver-specific of the routine enzymes. When it reaches the blood, liver cells have been damaged. In adult men the reference range runs to 45 u/l, and in women to 34 u/l. A mildly raised result is common and has several causes. Fatty liver leads that list, well ahead of alcohol and hepatitis. | u/l | 1 day |
| 03 | Calcium Calcium 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. | mmol/l | 5 days |
| 04 | ALP (Alkaline Phosphatase) Alkaline phosphatase, usually shortened to ALP on a report, is an enzyme found in almost every tissue. Two sources account for nearly all of what reaches the blood. The first is the liver, and within it mainly the cells lining the small bile ducts. The second is bone, where the enzyme is released as new bone tissue is built. A raised result therefore does not yet say where the rise came from. That question is not answered by this one number. It is answered by the values beside it, by your age and by your situation. | u/l | 1 day |
| 05 | AST (Aspartate Aminotransferase) Your AST value shows how much aspartate aminotransferase is circulating in your blood. It is an enzyme that leaks out whenever cells are damaged. AST sits in the liver, but equally in skeletal muscle, heart muscle, kidneys, brain and red blood cells. That is why a raised AST is not, on its own, a liver value. A hard training session the day before explains the result more often than liver disease does. The reference range runs up to 35 u/l in men and 31 u/l in women. What the number means only becomes clear alongside ALT, gamma-GT and CK. | u/l | 1 day |
| 06 | Bilirubin (Total) Total 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. | umol/l | 4 days |
| 07 | Urea (BUN) BUN (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. | mmol/l | 5 days |
| 08 | Creatinine Creatinine is a waste product that is continuously produced in your muscles. The kidneys filter it out of the blood and remove it in urine. The blood creatinine level is therefore a core number for kidney function. In Dutch it is written both as creatinine and as kreatinine. Because production depends on your muscle mass, the same figure reads differently per person. A raised creatinine does not automatically point to a kidney problem. This page explains what high and low values can mean. It also covers the everyday things that shift the result temporarily. | umol/l | 1 day |
| 09 | eGFR (Estimated Glomerular Filtration Rate) eGFR (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. | ml/min/1,73m² | 1 day |
| 10 | Glucose (Fasting) Fasting 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. | mmol/l | 1 day |
| 11 | Bicarbonate Bicarbonate 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. | mmol/l | 4 days |
| 12 | Chloride Chloride 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. | mmol/l | 4 days |
| 13 | Sodium Sodium 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. | mmol/l | 2 days |
| 14 | Potassium Potassium 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. | mmol/l | 2 days |
| 15 | Albumin Albumin 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. | g/l | 2 days |
| 16 | Total Protein Total 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. | g/l | 5 days |
| 17 | Bilirubin (Direct) Direct (conjugated) bilirubin is the water-soluble form of bilirubin that has been processed by the liver. Elevated levels may indicate bile duct obstruction or liver disease and are an important component of liver function assessment. | umol/l | 2 days |
| 18 | Bilirubin (Indirect) Indirect bilirubin is the part of your bilirubin that your liver has not yet processed. The value is not measured separately but calculated: your total bilirubin minus your direct bilirubin, in the same unit. That split helps to show where an abnormal total is coming from. This page explains what your indirect bilirubin result can mean. | umol/l | — |
| Your result arrives once the slowest test is finished: 5 days. This is indicative; turnaround varies per laboratory. | |||
Preparation
-
No hard training beforehand
RequiredNo heavy training, long endurance sessions or anything that leaves you out of breath in the 48 hours before the draw. Normal walking is fine.
-
Come fasting
RequiredFrom 22:00 the evening before, eat and drink nothing except water. That is at least 8 hours. Skip coffee, tea, chewing gum and smoking that morning. Plan the draw before 10:00.
- Water is always fine. Drink as usual beforehand, it makes the draw easier.
- Take your usual medication, unless your own doctor told you otherwise.
Extend this panel
Tests from the same field, run on the same sample. Same draw, no second appointment.
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