Order a fatigue blood test and check your energy
Investigate some common causes of fatigue: CBC, thyroid, iron, vitamins, glucose, and HbA1c.
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Biomarkers Included
9 biomarkersHbA1c (Glycated Hemoglobin), TSH (Thyroid Stimulating Hormone), Glucose (Fasting), Free T4 (Thyroxine), Vitamin B12, Vitamin D (25-OH), Free T3 (Triiodothyronine), Ferritin, Basic Blood Count
Have you been tired for a while without being able to put your finger on why? Fatigue can come from many directions: your thyroid, your iron stores, your vitamins or your blood sugar.
This fatigue blood test measures nine markers in one go that are often linked to your energy. You order online, need no referral and receive your results within a few working days, including an assessment from a BIG-registered doctor.
Why this test?
Tiredness is hard to read from symptoms alone, because so many systems can play a part. This fatigue blood test therefore looks more broadly: at your thyroid function, your iron status, your blood count, two vitamins and your blood sugar.
By measuring these markers together, you can spot patterns that a single test might miss. It is not a diagnosis, but a snapshot you can discuss with a doctor alongside your symptoms. For many men, a measurement like this feels like a concrete first step towards understanding where their energy has gone.
Who is this test for?
This test may suit men who:
- have been tired for a long time, even after enough sleep and rest
- notice their physical or mental performance dropping without a clear reason
- want to check whether a nutritional deficiency or metabolic factor could be involved
- prefer a targeted panel over testing individual markers one by one
A test like this can also be handy if you simply want to know where you stand.
What is tested?
This test measures nine biomarkers in your blood, across five areas:
- Complete blood count (CBC): your red and white blood cells, haemoglobin, haematocrit and platelets. May reveal anaemia or other factors associated with fatigue.
- Thyroid: TSH, free T3 and free T4. Your thyroid can influence your energy, your metabolism and your mood.
- Iron: ferritin, which reflects your iron stores. These may be low before your blood count shows anything.
- Vitamins: vitamin B12 and vitamin D (25-OH). Low levels of either can be associated with fatigue.
- Blood sugar: fasting glucose and HbA1c. How your blood sugar is regulated may play a part in how stable your energy is through the day.
You can read more about individual markers on the pages about ferritin and vitamin B12.
What can this test tell you?
Your results may say something about which areas could be contributing to how tired you feel. Low ferritin alongside a normal blood count could, for example, point to early iron depletion, before anaemia is present.
Thyroid markers outside the expected range may suggest your thyroid is playing a part in low energy. Suboptimal vitamin D or B12 levels can also be associated with tiredness, as can swings in your blood sugar. By viewing the results as a whole, a doctor can recognise patterns that a single test would not show. It remains a snapshot, not a diagnosis.
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: this is a blood test without a referral, and you pick a location and time that suit you. The draw is done by trained staff and usually takes only a few minutes. Your blood then goes to the lab, where your values are determined.
When is this test useful?
This fatigue blood test can be useful when your tiredness persists and is not easily explained by things like sleep deprivation or hard training. When fatigue comes with difficulty concentrating, muscle weakness or mood changes, a test like this can help you check whether measurable factors are involved.
If you specifically want to know whether anaemia is at play, the more focused anaemia workup may fit better. This test deliberately looks more broadly across several systems.
What do the results mean?
Each marker appears with its reference range. Because fatigue can involve several overlapping factors, the most useful insights often come from looking at the results as a whole.
A value outside the reference range does not automatically mean something is wrong. What counts as a healthy value varies by lab, age and time of sampling. A doctor can help interpret which findings may contribute to your symptoms and whether further investigation could be worthwhile.
What happens after the results?
Your results are available online within a few working days in your personal dashboard. You log in whenever it suits you and see each value alongside its reference range, with a clear explanation.
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. The panel includes TSH, free T3 and free T4, so your thyroid function is included alongside your iron, vitamins and blood sugar.
Yes, for a reliable fasting glucose you are asked to fast for 8 to 12 hours. Drinking water is fine, and a morning appointment is convenient.
This test looks broadly across thyroid, iron, vitamins and blood sugar. The anaemia workup focuses specifically on your red blood cells and iron status.
No. You order online yourself and choose a sample point near you, no referral required.
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 9 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 | TSH (Thyroid Stimulating Hormone) TSH is thyroid-stimulating hormone. The pituitary gland makes it, and uses it to drive your thyroid. At the laboratory that runs the test the usual adult range runs from 0.27 to 4.20 mE/L. A high TSH usually fits an underactive thyroid. A low value usually fits an overactive one. That direction feels inverted, and it is. TSH is the pituitary signal, not the thyroid hormone itself. Laboratories use slightly different limits from one another. Always read the reference value printed on your own result. And a single measurement is never a diagnosis. | mu/l | 2 days |
| 03 | 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 |
| 04 | Free T4 (Thyroxine) Free T4 (thyroxine) is the main hormone produced by the thyroid gland. It may serve as a precursor that your body converts into the more active T3. Healthcare providers often consider Free T4 a primary indicator of thyroid gland output. | pmol/l | 4 days |
| 05 | Vitamin B12 Vitamin B12 is considered essential for red blood cell formation, neurological function, and DNA synthesis. Deficiency may develop gradually and is sometimes associated with dietary patterns. Healthcare providers can help interpret your results. | pmol/l | 3 days |
| 06 | Vitamin D (25-OH) Vitamin D is a fat-soluble vitamin. Its main job is the absorption of calcium and phosphate from the gut. That makes it decisive for bone metabolism. The skin produces it under the influence of sunlight. Food and supplements supply a smaller share. | nmol/l | 3 days |
| 07 | Free T3 (Triiodothyronine) Free T3 (triiodothronine) is considered the most active thyroid hormone. It may play a key role in regulating metabolism, energy production, and body temperature. Healthcare providers often assess Free T3 alongside other thyroid markers for a comprehensive picture. | pmol/l | 4 days |
| 08 | Ferritin Ferritin is a protein that stores iron, so your ferritin level shows how large your iron reserve is. Serum iron only measures how much iron is circulating in your blood at that moment; ferritin describes the reserve behind it. That reserve empties before your haemoglobin falls, so a low ferritin can already cause symptoms while your blood count still looks normal. Ferritin also rises with inflammation, infection and liver strain, which is why it can only be read properly alongside a CRP. Commonly used reference values are 30 to 400 µg/l for men and 15 to 150 µg/l for women, but your own laboratory report is what counts. | ug/l | 2 days |
| 09 | Basic Blood Count A basic blood count measures three core values in your blood: hemoglobin, white blood cells and platelets. Together they say something about oxygen transport, immune defence and clotting. It is a simple baseline check, without the red-cell indices and white-cell differential of a complete blood count. | — | 2 days |
| Your result arrives once the slowest test is finished: 4 days. This is indicative; turnaround varies per laboratory. | |||
Preparation
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Been ill? Wait a little
RequiredHad a fever, an infection or a vaccination in the past 2 weeks? Wait with the draw until you are fully recovered. These values react to inflammation and would give a distorted picture.
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Pause biotin
RequiredDo you take a supplement with biotin (vitamin B8, common in hair, skin and nail supplements)? Stop it 72 hours before the draw. Biotin interferes with the measurement of these values.
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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.
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Timing worth knowing
Good to knowIf you repeat this test, pick the same time of day each time so the results compare.
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On levothyroxine? Worth knowing
Good to knowTell the staff at the draw when you took your tablet; for most values the timing makes no difference.
- 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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