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, usually within 2 working days of the blood draw, 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 650+ 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 usually online within 2 working days of the blood draw 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.
The test costs €196,-, including the blood draw. You pay it yourself and no draw fee comes on top.
No. What you request yourself falls outside the basic Dutch insurance. You pay yourself, and your deductible (eigen risico) is not touched.
Count on one business day, or a day more if you order after 17:00 or at the weekend. That is how long the referral email takes, and without a referral you are not drawn. Then you can simply walk in at some draw sites; at the rest you book an appointment. Every location states it.
Two things: the barcode from the ZorgDomein email and a valid ID. You show the barcode on your phone. If you have no BSN, the email has no barcode; print the referral form from the link then.
Take medication as usual unless your own doctor said otherwise. Some markers ask for no heavy training for 48 hours or no alcohol for 24 hours. The test and the instructions after your order tell you what applies to you.
You show your barcode and a valid ID, and the draw site takes blood. About a quarter of an hour in total.
Yes. Every result is assessed by a BIG-registered doctor, who explains your values in your account. Treatment you talk over with your GP.
At an independent, certified laboratory from the Caliberhealth network, spread across the Netherlands. That network also runs the draw sites; they are not owned by Caliberhealth. Reference values can differ a little per laboratory.
No. Your test does not pass your GP and does not go into your medical record. A healthcare provider gets your data only with your written consent, and it is never sold. Testing anonymously is not possible: a valid result needs your name, date of birth and a valid ID.
What We Test
| No. | Biomarker | Unit |
|---|---|---|
| 01 | HbA1c (Glycated Hemoglobin) | mmol/mol |
| 02 | TSH (Thyroid Stimulating Hormone) | mu/l |
| 03 | Glucose (Fasting) | mmol/l |
| 04 | Free T4 (Thyroxine) | pmol/l |
| 05 | Vitamin B12 | pmol/l |
| 06 | Vitamin D (25-OH) | nmol/l |
| 07 | Free T3 (Triiodothyronine) | pmol/l |
| 08 | Ferritin | ug/l |
| 09 | Basic Blood Count | — |
| Your results are usually in your Caliberhealth account within 2 working days of the blood draw. The laboratory states a longer turnaround for Free T3 (Triiodothyronine), Free T4 (Thyroxine), Vitamin B12 and Vitamin D (25-OH). | ||
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
Same draw, no second appointment.
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