Blood Testing in Germany

Advanced cardiovascular risk screening analyzing 10 biomarkers for heart attack, stroke, and atherosclerosis risk assessment. Venous blood sample with 12-hour fasting required. Same-day results available. Essential for: family history of heart disease, over age 40, smokers, diabetes, hypertension, high cholesterol, obesity, sedentary lifestyle. Identifies modifiable risk factors before cardiovascular events occur. Biomarkers tested: Lipid Panel - total cholesterol (overall risk), HDL cholesterol ("good" protective cholesterol, target >40 mg/dL men, >50 mg/dL women), LDL cholesterol ("bad" cholesterol causing arterial plaque, target <100 mg/dL, <70 mg/dL high-risk patients), triglycerides (fat metabolism, independent risk factor when elevated); Advanced Cardiovascular Markers - lipoprotein(a) [Lp(a)] (genetic cardiovascular risk factor unaffected by lifestyle, strong predictor of heart attack/stroke even with normal cholesterol, elevated levels >30 mg/dL require aggressive LDL management), homocysteine (amino acid, elevated levels (>15 µmol/L) damage arterial walls promoting atherosclerosis, linked to B vitamin deficiency); Blood Count - complete blood count (anemia affects oxygen delivery to heart, polycythemia increases blood viscosity and clot risk); Metabolism - fasting glucose (diabetes damages vessels accelerating atherosclerosis), HbA1c (long-term glucose control, diabetes/prediabetes screening); Kidney - creatinine (kidney disease accelerates cardiovascular disease). Panel provides comprehensive cardiovascular risk stratification beyond basic cholesterol testing. Lp(a) testing particularly valuable as this genetic risk factor often overlooked in standard screening but affects 20% of population. Homocysteine identifies treatable risk factor (lowered with B vitamins). Results guide: statin therapy initiation, aspirin therapy, blood pressure management, diabetes treatment, lifestyle modifications (diet, exercise, smoking cessation). Recommended frequency: baseline age 40, annually if high risk, every 3-5 years if low risk. GOÄ pricing €93.16.

Comprehensive anemia diagnostic panel investigating causes of fatigue, weakness, pallor, dizziness, and shortness of breath. Venous blood sample. Results within 3-5 days. Determines whether symptoms are caused by iron deficiency, vitamin deficiencies, chronic disease, or other blood disorders. Biomarkers tested: Complete Blood Count - Hemoglobin (oxygen-carrying protein, low levels define anemia), RBC (red blood cell count), MCV (mean corpuscular volume classifying anemia type: microcytic/normocytic/macrocytic), MCH, MCHC, hematocrit, reticulocytes (young RBCs indicating bone marrow response); Iron Metabolism - Serum Iron, Ferritin (iron stores, low indicates iron deficiency anemia most common type), Transferrin (iron transport protein), Transferrin Saturation (percentage of transferrin carrying iron); Vitamins - Vitamin B12 deficiency causes macrocytic anemia, neurological symptoms; Folate (Vitamin B9) deficiency causes macrocytic anemia, especially in pregnancy, malabsorption; Inflammation - CRP (C-reactive protein) detecting anemia of chronic disease/inflammation; Kidney Function - Creatinine, eGFR (chronic kidney disease causes anemia via reduced erythropoietin production). Price includes blood draw and 19% VAT. Results guide treatment: iron supplementation, vitamin replacement, treating underlying conditions. Symptoms of anemia include chronic fatigue, weakness, pale skin, cold hands/feet, brittle nails, hair loss, rapid heartbeat, difficulty concentrating. Common causes: iron deficiency (heavy menstruation, pregnancy, vegetarian diet), vitamin deficiency (vegan, malabsorption), chronic disease (kidney disease, cancer, autoimmune conditions).

Micronutrient and vitality panel combining a complete blood count with the most commonly deficient vitamins and minerals in Central European adults: ferritin, vitamin D, vitamin B12, magnesium, calcium, and zinc.

Cardiovascular risk panel with 10 biomarkers targeting atherosclerosis and heart attack risk. Covers standard lipids plus advanced markers including homocysteine, Lp(a), sdLDL, CRP, and HbA1c. At €99.39 all-in, a thorough cardiac risk assessment.

Performance-oriented blood panel designed for athletes and active individuals, covering haematology, metabolic health, thyroid function, and key micronutrients (vitamin D, ferritin, magnesium, calcium). Identifies the nutritional deficiencies, hormonal imbalances, and metabolic limitations that most commonly impair athletic performance and recovery. Approximately EUR 103 under GOAe 1.0x rates.

An athletic performance panel with 13 biomarkers spanning metabolic health, thyroid function, iron status, and key minerals. Includes complete blood count, lipid panel, fasting glucose, liver function, creatinine, vitamin D3, ferritin, magnesium, calcium, and TSH. Built for active individuals wanting to identify deficiencies that may be limiting performance or slowing recovery.

Comprehensive urine drug screening panel detecting 7 major drug classes plus creatinine validity check. Urine sample (20-30 mL) collected on-site or at home. Results typically within 24-48 hours. Used for: workplace drug testing, pre-employment screening, substance abuse monitoring, court-ordered testing, athletic doping control, rehabilitation program compliance, medical evaluation when intoxication suspected. Initial immunoassay screening followed by confirmation if positive. Substances tested: Amphetamines (speed, Adderall, methamphetamine) - detection window 2-5 days, stimulants causing euphoria, increased energy, appetite suppression, cardiovascular risks; Barbiturates (phenobarbital, secobarbital) - detection 2-4 days for short-acting, up to 3 weeks for long-acting, sedatives/hypnotics now rarely prescribed, high overdose risk; Benzodiazepines (Valium, Xanax, Ativan) - detection 3-7 days standard, up to 4-6 weeks for chronic use, prescription anti-anxiety/sedatives, high abuse potential; Cannabinoids (THC, marijuana) - detection highly variable, 3-7 days occasional use, 30+ days heavy chronic use due to fat storage, legal status varies by jurisdiction; Cocaine (crack, powder cocaine) - detection 2-4 days, powerful stimulant with cardiovascular and stroke risks; Methadone - detection 3-5 days, opioid agonist used for heroin addiction treatment, requires separate test from standard opiates; Opiates (heroin, morphine, codeine) - detection 2-4 days, narcotic analgesics with high addiction potential, respiratory depression risk; Creatinine - kidney marker used to validate urine sample (not diluted, not substituted), normal range 20-350 mg/dL, very low creatinine suggests sample tampering. Testing complies with German workplace drug testing regulations. Positive immunoassay results should be confirmed by GC-MS for legal/employment purposes. Price includes collection kit and shipping if applicable (up to €6.90). GOÄ 1.0 pricing; privately insured 1.15x. Results confidential unless required by court/employer.

Comprehensive metabolic health panel expanding the Klein profile with a full lipid breakdown (HDL, LDL, Lp(a)), expanded liver and kidney markers, electrolytes, albumin, and thyroid screening via TSH. Covers the biomarkers most commonly requested in preventive medicine.

Flagship comprehensive blood test analyzing 44 biomarkers - more than double a standard blood count. Venous blood sample. Results within 36-48 hours via app with color-coded assessments and evidence-based recommendations. Provides comprehensive health snapshot across multiple systems for preventive health monitoring and early disease detection. Biomarkers tested across 9 health zones: Blood - complete blood count including RBC, WBC, hemoglobin, hematocrit, platelets, MCV, MCH, MCHC, basophils, eosinophils, lymphocytes, monocytes, neutrophils (percentage and absolute counts); Heart & Cardiovascular - cholesterol (total, HDL, LDL, non-HDL), triglycerides, apolipoprotein B, lipoprotein(a), hs-CRP (high-sensitivity C-reactive protein for inflammation); Liver - ALT (alanine transaminase), AST (aspartate transaminase), GGT (gamma-glutamyltransferase), alkaline phosphatase, bilirubin, albumin, total protein; Kidneys - creatinine, eGFR (estimated glomerular filtration rate), cystatin C; Metabolism - fasting glucose, HbA1c (long-term blood sugar), insulin; Hormones - TSH (thyroid stimulating hormone), free T3, free T4; Minerals - calcium, potassium, sodium, iron, ferritin, transferrin, transferrin saturation; Vitamins - vitamin D3, vitamin B12, vitamin B9 (folate), holo-transcobalamin; Immunity - immunoglobulin G (IgG). AwarePro subscription discounts available (€79.75 with membership vs €125 regular). Most popular package for regular health tracking and longevity optimization.

Advanced cardiovascular disease risk assessment combining traditional lipid panel with genetic and nutritional risk factors. Blood sample after 12-hour fast. Results within 5-7 days. Evaluates risk for heart attack, stroke, and atherosclerosis beyond standard cholesterol testing. Biomarkers tested: Advanced Lipid Profile - Total Cholesterol, LDL Cholesterol ("bad" cholesterol contributing to plaque), HDL Cholesterol ("good" cholesterol removing plaque), Triglycerides (fat molecules indicating metabolic syndrome risk), Non-HDL Cholesterol (all atherogenic particles), Apolipoprotein B (Apo B) counting total atherogenic particles, more accurate than LDL for risk prediction, Lipoprotein(a) [Lp(a)] genetic cardiovascular risk factor independent of lifestyle, elevated levels (>30 mg/dL) triple heart attack risk, unaffected by diet/exercise, requires medication; Inflammation - hs-CRP (high-sensitivity C-reactive protein) indicating vascular inflammation, independent risk factor, levels >3 mg/L high cardiovascular risk; Metabolic Markers - Fasting Glucose, HbA1c screening for diabetes (major cardiovascular risk factor); Homocysteine - amino acid, elevated levels (>15 µmol/L) damage blood vessels, increase clotting risk, linked to B-vitamin deficiencies (B6, B12, folate). Price includes blood draw and 19% VAT. Results enable personalized risk stratification beyond traditional calculators. High Lp(a) requires aggressive LDL lowering. Elevated hs-CRP responds to anti-inflammatory interventions. Recommended for family history of early heart disease, existing cardiovascular disease, metabolic syndrome, establishing baseline risk score.

Female hormone assessment with AMH, LH, FSH, estradiol, progesterone, and TSH. At €128.23, includes AMH (anti-Müllerian hormone) for ovarian reserve assessment — a test that alone costs €50+ at most German labs.

Comprehensive health screen expanding the klein panel to a full CBC, complete lipid panel, liver and kidney function, HbA1c for diabetes risk, electrolytes, albumin, and thyroid. At €130.21 all-in, thorough annual coverage for adults with or without risk factors.

Extended thyroid panel adding TPO antibodies and TSH receptor antibodies (TRAK) to the core fT3/fT4/TSH trio. Enables aetiological classification of thyroid dysfunction — distinguishing Hashimoto thyroiditis from Graves disease and non-autoimmune causes.

A bone health panel measuring 6 markers: calcium, vitamin D3, osteocalcin, beta-crosslinks (urine), PTH (parathyroid hormone), and creatinine. Combines bone formation markers with resorption markers to assess whether bone is being lost faster than it is being rebuilt. PTH and vitamin D3 reveal whether calcium metabolism is properly regulated.

An eleven-biomarker panel combining comprehensive lipid analysis with metabolic and thyroid markers to assess cardiovascular risk and metabolic health. Includes advanced lipid markers such as apolipoproteins A1 and B, lipoprotein(a), and non-HDL cholesterol alongside HbA1c, HOMA index, and TSH. Fasting is required.

Comprehensive blood analysis for athletic performance optimization and physical capacity assessment. Venous blood sample after 12-hour fast. Results within 1 day via email. Designed for athletes, fitness enthusiasts, and anyone monitoring physical performance. Biomarkers tested: Hematology & Oxygen Transport - Complete Blood Count (großes Blutbild) with reticulocytes (young red blood cells indicating bone marrow activity), RBC, hemoglobin, hematocrit assessing oxygen-carrying capacity crucial for endurance; Iron Status - ferritin (iron storage) detecting iron deficiency before anemia develops, critical for athletes with high iron demand; Liver Enzymes - GPT/ALT, GOT/AST, GGT (gamma-glutamyltransferase) monitoring training stress, muscle damage, liver function; Kidney Function - creatinine, estimated GFR evaluating hydration status, protein metabolism, training impact on kidneys; Lipid Profile - total cholesterol, LDL, HDL, triglycerides, non-HDL cholesterol for cardiovascular health and metabolic efficiency; Thyroid - TSH excluding thyroid dysfunction affecting metabolic rate, energy levels, recovery; Minerals & Vitamins - Vitamin D3 (25-OH) essential for muscle strength, bone health, immune function, inflammation control; Magnesium for energy production (ATP synthesis), muscle function, cramping prevention, electrolyte balance; Calcium for muscle contraction, bone density, nerve signaling; Metabolic Health - HbA1c screening for diabetes risk and blood sugar regulation. Price includes blood draw and 19% VAT. Identifies performance-limiting factors, nutrient deficiencies, overtraining markers. Ideal for optimizing training, preventing injuries, monitoring recovery.

Male hormone panel assessing testosterone, free testosterone, SHBG, DHEA-S, oestradiol, LH, FSH, and prolactin. Indicated for symptoms of androgen deficiency, fertility concerns, or monitoring of hormone-related conditions in men.

Comprehensive athletic performance and recovery panel analyzing cardiovascular fitness, oxygen transport, energy metabolism, inflammation, and muscle health markers. Blood sample. Designed for athletes and fitness enthusiasts optimizing training, recovery, and performance. Results within 48 hours. Biomarkers tested: Cardiovascular & Oxygen Transport - complete blood count (RBC, hemoglobin, hematocrit) assessing oxygen-carrying capacity; ferritin and iron status for endurance performance; hs-CRP for inflammation/overtraining detection; Lipid Profile - cholesterol (total, HDL, LDL), triglycerides, apolipoprotein B for cardiovascular health; Metabolic Markers - fasting glucose, HbA1c, insulin for energy metabolism and glycogen storage; Liver Enzymes - ALT, AST, GGT monitoring training stress and muscle damage; Kidney Function - creatinine, eGFR for hydration status and protein metabolism; Electrolytes - sodium, potassium, calcium for muscle function, hydration, cramping prevention; Protein Status - albumin, total protein for muscle recovery and protein synthesis; Hormones - TSH, free T3, free T4 for metabolic rate and energy; testosterone for muscle building and recovery (especially important for male athletes); Vitamins - vitamin D3 for muscle strength, bone health, immune function; vitamin B12 for energy production and red blood cell formation. AwarePro price: €115 (21% discount). Ideal for endurance athletes, strength trainers, competitive athletes, or anyone with intensive training programs monitoring performance optimization and recovery.

Complete thyroid function assessment analyzing 6 biomarkers for hypothyroidism, hyperthyroidism, autoimmune thyroid disease (Hashimoto, Graves), and thyroid hormone resistance. Venous blood sample, no fasting required though morning collection preferred. Results within 2-3 days. Essential for: fatigue, weight changes, temperature sensitivity, mood disorders, hair loss, palpitations, tremor, anxiety, irregular periods, infertility, family history thyroid disease, monitoring thyroid medication. Thyroid disease affects 12% population, especially women. Biomarkers tested: TSH (thyroid stimulating hormone) - pituitary hormone regulating thyroid, most sensitive screening test, elevated TSH (>4-5 mIU/L) indicates hypothyroidism (thyroid underactive, not producing enough hormone so pituitary increases TSH), low TSH (<0.4 mIU/L) indicates hyperthyroidism (thyroid overactive, producing excess hormone so pituitary suppresses TSH), normal range 0.4-4.0 but optimal 1.0-2.5 mIU/L for symptom relief; Free T3 (triiodothyronine) - active thyroid hormone, T3 is 3-4x more potent than T4, ~20% produced directly by thyroid, ~80% converted from T4 in peripheral tissues (liver, kidney), low Free T3 despite normal TSH/T4 suggests conversion problems (stress, inflammation, nutrient deficiency, medications, liver/kidney disease), elevated T3 in hyperthyroidism causes rapid heart rate, weight loss, anxiety, tremor; Free T4 (thyroxine) - main thyroid hormone secreted by thyroid gland, converted to active T3 in tissues, low T4 with high TSH confirms primary hypothyroidism (thyroid gland failure), low T4 with low/normal TSH suggests central hypothyroidism (pituitary/hypothalamic dysfunction rare), elevated T4 indicates hyperthyroidism; TPO Antibodies (thyroid peroxidase antibodies) - autoantibodies attacking thyroid enzyme, positive TPO antibodies (>35 IU/mL) diagnostic for Hashimoto thyroiditis (autoimmune hypothyroidism, most common cause of hypothyroidism, progressive thyroid destruction), presence predicts future hypothyroidism even if currently euthyroid, associated with infertility, miscarriage; Thyroglobulin Antibodies (TG antibodies) - autoantibodies against thyroglobulin protein, elevated in Hashimoto thyroiditis (often alongside TPO antibodies), less specific than TPO but additive diagnostic value, can interfere with thyroglobulin tumor marker measurement in thyroid cancer follow-up; TSH-Receptor Antibodies (TRAK/TRAb) - autoantibodies stimulating TSH receptor causing unregulated thyroid hormone production, positive TRAK diagnostic for Graves disease (autoimmune hyperthyroidism, most common cause hyperthyroidism), levels correlate with disease activity and relapse risk, differentiate Graves from other hyperthyroidism causes (toxic nodular goiter, thyroiditis). Panel comprehensively evaluates: primary hypothyroidism (high TSH, low T4, often positive TPO/TG antibodies from Hashimoto), subclinical hypothyroidism (high TSH, normal T4, may benefit treatment if symptomatic or antibody-positive), hyperthyroidism (low TSH, high T4/T3, TRAK positive suggests Graves), autoimmune thyroid disease (positive antibodies guide treatment/monitoring), conversion problems (normal TSH/T4 but low T3 from selenium deficiency, inflammation, medications). Results guide: levothyroxine therapy initiation/dose adjustment (hypothyroidism target TSH 1-2.5), antithyroid medication (methimazole, PTU for hyperthyroidism), radioactive iodine or surgery consideration (Graves disease), selenium supplementation (reduces antibodies in Hashimoto), monitoring antibody-positive patients for progression. Complete panel superior to TSH-only screening revealing conversion issues, autoimmunity, differentiating hyper/hypothyroidism causes. Recommended: baseline if symptoms, annually with thyroid disease/positive antibodies, 6-8 weeks after medication changes. GOÄ pricing €147.47.

Comprehensive micronutrient panel analyzing vitamins, minerals, and nutritional status markers. Blood sample. Essential for detecting deficiencies, optimizing supplementation, supporting energy levels, immune function, and overall health. Particularly valuable for vegans, vegetarians, restrictive diets, or those with absorption issues. Results within 48 hours. Biomarkers tested: B Vitamins - vitamin B12 (energy, nervous system, red blood cells), holo-transcobalamin (active B12), vitamin B9/folate (cell division, DNA synthesis, pregnancy health), vitamin B2/riboflavin (energy metabolism), vitamin B6/pyridoxine (neurotransmitter synthesis, immune function); Fat-Soluble Vitamins - vitamin D3 (bone health, immunity, mood); Minerals - iron (oxygen transport, energy), ferritin (iron stores), transferrin and transferrin saturation (iron transport), magnesium in RBCs (muscle function, energy, stress response), selenium (antioxidant, thyroid function), zinc (immune function, wound healing, taste/smell); Electrolytes - calcium (bone health, muscle contraction), potassium (heart rhythm, muscle function), sodium (fluid balance); Additional Markers - complete blood count to assess nutrient-related anemia; albumin and total protein for protein status. AwarePro price: €119 (20% discount). Recommended for vegans/vegetarians (B12, iron risk), pregnant/planning pregnancy (folate), fatigue/low energy, hair loss, frequent infections, poor wound healing, restrictive diets, digestive disorders affecting absorption.

Entry-level preventive screening at SmartPraxis combining an extended blood panel with resting EKG, bioimpedance body composition analysis, and a vaccination status review. The blood panel covers liver enzymes, kidney function, thyroid TSH, and vitamin D. Vital signs including blood pressure, resting pulse, and oxygen saturation are recorded alongside the results.

Targeted nutritional assessment for vegetarians and vegans covering the micronutrients most commonly deficient in plant-based diets: vitamin B12, iron/ferritin, vitamin D, zinc, selenium, folate, and calcium. Includes a complete blood count for anaemia classification.

Comprehensive male hormone panel analyzing 7 key hormones regulating energy, libido, muscle mass, mood, fertility, and metabolic health. Venous blood sample collected morning (7-10 AM) when testosterone peaks. Results within 2-3 days. Essential for: low energy/fatigue, decreased libido, erectile dysfunction, difficulty building muscle, increased body fat, mood disorders, infertility, age over 40. Testosterone declines ~1% annually after age 30; symptomatic hypogonadism affects 20% men over 60. Biomarkers tested: Testosterone (total) - primary male sex hormone, normal range 300-1000 ng/dL, levels <300 ng/dL diagnostic for hypogonadism, affects muscle mass, bone density, libido, mood, energy, cognition, cardiovascular health, fat distribution, erythropoiesis; SHBG (sex hormone-binding globulin) - protein binding testosterone in blood, only unbound "free" testosterone bioavailable to tissues, high SHBG (from aging, hyperthyroidism, liver disease) reduces free testosterone despite normal total testosterone, low SHBG (obesity, hypothyroidism, insulin resistance) increases free testosterone, free testosterone calculated from total testosterone + SHBG using formula; FSH (follicle-stimulating hormone) - in men stimulates spermatogenesis (sperm production) in Sertoli cells of testes, elevated FSH with low testosterone indicates primary testicular failure (testes not responding to pituitary signals), normal/low FSH with low testosterone suggests secondary hypogonadism (pituitary/hypothalamic dysfunction); LH (luteinizing hormone) - stimulates testosterone production by testicular Leydig cells, interpretation parallels FSH (high LH+low testosterone = primary testicular problem, low LH+low testosterone = central hypogonadism from pituitary/hypothalamic causes); Prolactin - pituitary hormone, elevated prolactin (>20 ng/mL) suppresses GnRH release reducing LH/FSH and testosterone, causes hypogonadism, erectile dysfunction, gynecomastia, galactorrhea, caused by prolactinoma (pituitary tumor), medications (antipsychotics, metoclopramide), hypothyroidism; TSH (thyroid stimulating hormone) - hypothyroidism causes low testosterone, fatigue, weight gain, erectile dysfunction mimicking hypogonadism, hyperthyroidism increases SHBG reducing free testosterone; DHEA-S (dehydroepiandrosterone sulfate) - adrenal androgen precursor providing additional androgens beyond testicular testosterone, declines with age, low DHEA-S suggests adrenal insufficiency, provides substrate for peripheral testosterone conversion. Panel distinguishes: primary hypogonadism (testicular failure - high LH/FSH, low testosterone, causes: aging, chemotherapy, trauma, infection, genetic), secondary hypogonadism (pituitary/hypothalamic - low LH/FSH, low testosterone, causes: obesity, opioids, pituitary tumor, Kallmann syndrome), hyperprolactinemia (high prolactin suppressing axis), thyroid dysfunction. Results guide: testosterone replacement therapy (TRT) evaluation (if total testosterone <300 ng/dL with symptoms), fertility assessment (FSH/LH elevated suggests poor sperm production), thyroid treatment (if TSH abnormal), prolactinoma investigation (MRI if prolactin >50), lifestyle modifications (weight loss, sleep, stress, alcohol reduction increase testosterone). Important: TRT contraindicated if fertility desired (suppresses FSH/LH/spermatogenesis), prostate cancer, severe BPH, uncontrolled heart failure. Recommended: baseline age 40, annually if symptomatic or on TRT, repeat 3-6 months after TRT initiation to verify response and adjust dose. GOÄ pricing €150.82.

Antibody titre panel checking immune status for 8 vaccine-preventable diseases: tetanus, diphtheria, hepatitis A, hepatitis B, measles, mumps, rubella, and chickenpox (varicella). Determines whether vaccinations have produced lasting immunity or whether booster doses are needed. Especially useful when vaccination records are incomplete or missing.