Blood Testing in Germany

Comprehensive female reproductive hormone panel for women of childbearing age analyzing 10 hormones regulating menstrual cycles, fertility, ovulation, mood, metabolic health, and ovarian reserve. Venous blood sample with critical timing - ideally Day 3-5 of menstrual cycle for FSH/LH/estradiol/AMH (early follicular phase), Day 21 for progesterone (mid-luteal phase, or 7 days before expected period). Results within 3-5 days. Essential for: irregular periods, fertility issues, PCOS investigation, unexplained weight gain, mood disorders, low libido, PMS symptoms, perimenopause concerns, assessing ovarian reserve before fertility treatment. Biomarkers tested: FSH (follicle-stimulating hormone) - controls ovarian follicle maturation and egg development, Day 3 FSH levels predict ovarian reserve (low reserve if FSH >10-15 IU/L, approaching menopause if >25 IU/L), very high FSH (>40 IU/L) indicates ovarian failure/menopause, cyclic FSH rises select dominant follicle for ovulation; LH (luteinizing hormone) - triggers ovulation mid-cycle releasing mature egg, LH:FSH ratio diagnostic for PCOS (ratio >2:1 suggests PCOS with multiple small follicles and anovulation), absent LH surge indicates anovulation (no ovulation occurring); Estradiol (E2) - primary estrogen hormone, regulates menstrual cycle, maintains endometrium, bone density, cardiovascular health, brain function, libido, skin/hair quality, Day 3 levels should be low (<50-80 pg/mL for normal ovarian function, elevated Day 3 estradiol suggests diminished ovarian reserve or ovarian cyst), rises during follicular phase peaking just before ovulation, low estradiol causes irregular periods, hot flashes, vaginal dryness, bone loss; Progesterone - produced by corpus luteum after ovulation, maintains early pregnancy, balances estrogen, thickens endometrium for implantation, Day 21 progesterone confirms ovulation occurred (levels >10 ng/mL indicate ovulation, <10 ng/mL suggest anovulation or luteal phase defect causing infertility/miscarriage), low progesterone causes irregular bleeding, PMS, anxiety, insomnia; Testosterone - androgen affecting libido, energy, muscle mass, mood in women, mildly elevated testosterone common in PCOS (along with high LH:FSH ratio), very high testosterone suggests other androgen excess disorders; SHBG (sex hormone-binding globulin) - binds testosterone and estrogen, low SHBG (from insulin resistance, obesity, PCOS) increases free androgens worsening PCOS symptoms (acne, hirsutism, hair loss); Prolactin - elevated prolactin (>25 ng/mL) suppresses GnRH release causing anovulation, irregular periods, infertility, galactorrhea, caused by prolactinoma, medications, hypothyroidism, stress; TSH (thyroid stimulating hormone) - thyroid dysfunction causes menstrual irregularities, anovulation, infertility, both hypothyroidism (irregular heavy periods, weight gain) and hyperthyroidism (light/absent periods, weight loss) disrupt reproduction; DHEA-S (dehydroepiandrosterone sulfate) - adrenal androgen, elevated DHEA-S suggests adrenal androgen excess vs ovarian source, helpful differentiating PCOS from adrenal disorders; AMH (anti-Müllerian hormone) - gold standard ovarian reserve marker, produced by small follicles in ovaries, directly correlates with remaining egg supply, levels <1.0 ng/mL indicate low reserve, <0.5 ng/mL severely diminished, undetectable AMH suggests menopause imminent, unlike FSH/estradiol AMH does not fluctuate with menstrual cycle providing stable reserve assessment. Panel identifies: PCOS (high LH:FSH ratio, high testosterone/DHEA-S, low SHBG, anovulation), diminished ovarian reserve (high FSH, low AMH, high Day 3 estradiol), hypothalamic amenorrhea (low all hormones from stress/low weight/overexercise), hyperprolactinemia (high prolactin), thyroid dysfunction (abnormal TSH), luteal phase defect (low progesterone). Results guide: fertility treatment planning (AMH/FSH predict IVF response), PCOS management (metformin, spironolactone, OCP), ovulation induction (clomiphene, letrozole if anovulatory), progesterone supplementation (luteal phase support), thyroid treatment, prolactinoma investigation. Recommended: baseline fertility assessment late 30s/early 40s, investigating irregular cycles/infertility, every 6-12 months monitoring PCOS, annually perimenopause transition. GOÄ pricing €248.03. Most comprehensive female hormone panel available.

Comprehensive micronutrient panel covering blood vitamins, minerals, trace elements, and electrolytes in a single draw. An optional microbiome analysis can be added to correlate gut health with nutrient absorption. The panel identifies subclinical deficiencies in key nutrients that affect energy metabolism, immune function, cognitive performance, and tissue repair.

Comprehensive STI screening panel covering HIV, hepatitis B (HBsAg), hepatitis C (HCV antibodies), syphilis serology, and multiplex PCR for chlamydia, gonorrhoea, and other urogenital pathogens. Suitable as a routine sexual health check or new-relationship screen.

A fifteen-biomarker panel targeting the most common blood-level causes of persistent fatigue: iron status, thyroid function, blood sugar regulation, vitamin deficiencies, and inflammatory markers. Designed as a systematic first-line investigation for individuals experiencing unexplained tiredness, low energy, or reduced physical and mental performance.

A thirteen-biomarker nutritional status panel measuring the vitamins, minerals, and metabolic markers most commonly deficient in the central European population. Covers vitamin D, B12, folate, iron stores, magnesium, zinc, selenium, and additional markers to provide a comprehensive micronutrient snapshot.

Most comprehensive male health panel combining Long-Term Health base test with male-specific hormone analysis and additional advanced biomarkers. Blood sample. Analyzes 70+ biomarkers providing complete health overview for men focused on longevity, performance, and disease prevention. Results within 48 hours. Includes ALL biomarkers from: Long-Term Health package (44 biomarkers covering blood, heart, liver, kidneys, metabolism, minerals, vitamins, immunity) PLUS Male Hormones package (testosterone total/free, DHEA-S, SHBG, FSH, LH, prolactin, estradiol, thyroid hormones) PLUS Additional Advanced Markers: extended lipid panel, omega-3 index (EPA, DHA), advanced inflammation markers, comprehensive metabolic panel, expanded vitamin analysis (B2, B6, B9), expanded mineral profile (magnesium in RBCs, selenium, zinc), liver function expansion, kidney function markers, protein status, athletic performance markers. Provides most complete picture of male health across: cardiovascular disease risk; hormonal balance and optimization; metabolic health and diabetes risk; liver and kidney function; nutritional status; inflammation and immune function; athletic performance and recovery; aging and longevity biomarkers. AwarePro price: €239 (20% discount). Recommended for men over 35, athletes, those optimizing health/longevity, monitoring hormone optimization therapy, family history of heart disease or diabetes, or establishing comprehensive health baseline. Most cost-effective way to test maximum biomarkers - better value than ordering individual packages separately.

Comprehensive blood laboratory analysis performed as the diagnostic cornerstone of Elb-Aesthetic's longevity programme in Dresden. A physician interprets results at a dedicated second consultation, using the findings to build a personalised micronutrient and therapy plan. The panel is scoped to each patient's health goals, covering metabolic markers, micronutrients, hormones, and inflammation indicators relevant to preventive medicine and vitality optimisation.

The longevity blood panel at Longevity Center Nürnberg goes far beyond a standard blood count, covering metabolism and insulin sensitivity, inflammation and regeneration markers, full hormone axis analysis (testosterone, oestrogen, thyroid, cortisol), micronutrient status (vitamins, minerals, trace elements), cardiovascular risk profiling, mitochondrial function markers and optional epigenetic aging assessments, microbiome analysis and liquid biopsy.

Ultra-comprehensive micronutrient analysis adding 9 advanced markers to Basic profile for total 24 biomarkers. Total price €719.21 (€180.96 Basic + €538.25 additional). Venous blood sample, fasting required. Results within 5-7 days. Most complete nutritional assessment available for: chronic disease, malabsorption, optimal longevity, complex symptoms, therapeutic monitoring, precision nutrition optimization. All Basic profile markers PLUS: Advanced Antioxidants - total antioxidative capacity (TAC, measures overall antioxidant defense system beyond individual vitamins, low TAC indicates oxidative stress from inadequate antioxidant intake, chronic inflammation, excessive free radical production), glutathione (master intracellular antioxidant, detoxification, immune function, declines with age/stress/chronic disease, marker of cellular health); Energy Production - carnitine (transports fatty acids into mitochondria for energy production, essential for fat metabolism and endurance, deficiency causes muscle weakness, fatigue, cardiomyopathy), coenzyme Q10 (CoQ10, ubiquinone, electron transport chain component producing ATP, powerful antioxidant, heart health, declines with age and statin use causing muscle pain/weakness); Cardiovascular & Metabolic - fatty acid status (comprehensive profile of omega-3, omega-6, omega-9, saturated fats, trans fats, omega-3 index critical for cardiovascular/brain health, optimal EPA+DHA >8%, identifies fat metabolism disorders), copper (ceruloplasmin, iron metabolism, connective tissue formation, nervous system, excess or deficiency causes problems, must balance with zinc); Vitamins - biotin (vitamin B7/H, carbohydrate/fat/protein metabolism, hair/skin/nail health, high-dose biotin supplementation can falsely alter lab results), folate (vitamin B9, DNA synthesis, cell division, prevents neural tube defects in pregnancy, lowers homocysteine, different from folic acid supplement form, measures active natural folate); Thyroid - iodine (essential for thyroid hormone synthesis, deficiency causes hypothyroidism and goiter, 30% global population deficient, excess also problematic, optimal range narrow). Comprehensive profile provides: complete nutritional status assessment beyond standard testing, oxidative stress evaluation (TAC, glutathione), mitochondrial function assessment (CoQ10, carnitine), omega-3 status (inflammatory balance), trace mineral optimization (copper, iodine), B vitamin completion (biotin, folate beyond B12). Clinical applications: chronic fatigue investigation (CoQ10, carnitine, iron, thyroid), cardiovascular optimization (omega-3 index, homocysteine, antioxidants), cognitive decline prevention (omega-3, B vitamins, antioxidants), athletic performance (all of above plus amino acids, minerals), pregnancy preparation (folate, iodine, iron, omega-3), anti-aging/longevity protocols (comprehensive optimization). Results enable precision supplementation targeting actual deficiencies rather than guessing. Most cost-effective comprehensive micronutrient assessment compared to individual test pricing. Recommended: baseline health optimization, annually for longevity-focused individuals, therapeutic monitoring. GOÄ pricing.

Performance-focused medical assessment for athletes and active adults at AIVA Institut, built around spiroergometry (graded exercise testing with VO2/lactate analysis) and a comprehensive cardiometabolic workup. Designed to benchmark training capacity, identify performance ceilings, and surface preventable risk factors.

Comprehensive multiomics diagnostics at this Frankfurt longevity clinic integrate genomic, epigenomic and gut microbiome analysis to create a precision health baseline. Results feed into an AI-powered health engine that constructs a digital twin — a personalised model of the patient's current biological age and disease risk trajectory. This deep diagnostic layer underpins all subsequent longevity protocol recommendations.

Comprehensive longevity diagnostic program with 87 lab biomarkers and 25 functional examinations. Blood, urine samples. Foundation program for early disease detection and prevention. Biomarkers tested: Complete Blood Count (CBC) - red/white blood cells, hemoglobin, hematocrit, platelets, MCV, MCH, MCHC; Organ Functions - liver enzymes (AST, ALT, GGT, ALP), kidney function (creatinine, eGFR, BUN, urea); Lipid Metabolism - total cholesterol, LDL cholesterol, HDL cholesterol, triglycerides, ApoB (apolipoprotein B), oxidized LDL; Glucose Metabolism - fasting glucose, HbA1c (3-month blood sugar average), HOMA-Index (insulin resistance), fasting insulin; Thyroid Hormones - TSH (thyroid stimulating hormone), Free T3, Free T4; Inflammatory Markers - hs-CRP (high-sensitivity C-reactive protein), ESR (erythrocyte sedimentation rate); Cardiovascular - NT-proBNP (heart failure marker), blood pressure monitoring; Vitamins & Minerals - Vitamin D (25-OH), Ferritin (iron storage), electrolytes (sodium, potassium, calcium, magnesium); Tumor Markers - PSA (prostate-specific antigen for men), CA 125 (ovarian cancer marker for women); Additional Markers - uric acid, albumin, total protein, bilirubin, LDH. Includes personalized health report, prevention plan, on-demand physician support, and optional coaching sessions. Functional exams include cardiovascular assessment, body composition analysis, vital signs monitoring. Results delivered in visual, actionable format emphasizing prevention before symptom onset.

Advanced longevity diagnostic program with 120 lab biomarkers, 25+ functional examinations, whole-body MRI, and multi-cancer detection screening. Blood, urine, stool samples. Enhanced program building on Core® with advanced aging markers and comprehensive cancer screening. Biomarkers tested: ALL YEARS Core® biomarkers (87 markers) PLUS: Hormone Panel - DHEA-S (dehydroepiandrosterone sulfate, adrenal function), total testosterone, free testosterone, estradiol (E2), progesterone, SHBG (sex hormone binding globulin), LH (luteinizing hormone), FSH (follicle stimulating hormone), prolactin, cortisol (stress hormone); Advanced Vitamins - Vitamin B12 (methylmalonic acid), Vitamin A (retinol), Vitamin K2 (menaquinone), Vitamin E (tocopherol); Minerals - Selenium, Zinc, Copper, Iodine; Advanced Lipids - Lipoprotein(a) [Lp(a)], small dense LDL particles, remnant cholesterol; Growth Factors - IGF-1 (insulin-like growth factor), IGFBP-3 (binding protein); Cardiovascular Advanced - Lp-PLA2 (lipoprotein-associated phospholipase A2), Interleukin-6 (IL-6), Homocysteine (cardiovascular disease risk); Metabolic - Leptin (appetite regulation), adiponectin; Omega Fatty Acids - Omega-3 Index, Omega-6/Omega-3 ratio, EPA, DHA, AA. Additional Services: Whole-Body MRI - radiation-free imaging detecting tumors (70+ solid tumor types), vascular issues, metabolic liver disease, spinal problems; Liquid Biopsy - non-invasive multi-cancer early detection screening with 96-99% specificity, 65-89% sensitivity; Year-round concierge medical support; 1 physician check-in annually; Initial nutrition and performance coaching session. Most comprehensive mid-tier program for serious longevity optimization and cancer prevention.

Ultimate longevity diagnostic program with 230 lab biomarkers, 25+ functional examinations, whole-body MRI, multi-cancer detection, genomics, microbiomics, and epigenomics. Blood, urine, stool, saliva, living cell samples. Most comprehensive longevity program combining ALL diagnostic modalities. Biomarkers tested: ALL YEARS Evolve® biomarkers (120 markers) PLUS: Autoimmune Markers - ANA (antinuclear antibodies), RF (rheumatoid factor), anti-CCP, anti-TPO (thyroid peroxidase), anti-thyroglobulin, celiac disease markers (anti-tTG, anti-DGP); Infection Screening - Hepatitis B (HBsAg, anti-HBs, anti-HBc), Hepatitis C (anti-HCV), HIV (antibody/antigen test), EBV (Epstein-Barr virus), CMV (cytomegalovirus); Advanced Cytokines - TNF-alpha (tumor necrosis factor), IL-1beta, IL-8, IL-10, interferon-gamma; Oxidative Stress - TMAO (trimethylamine N-oxide), CoQ10 (coenzyme Q10), glutathione, 8-OHdG (DNA damage marker), malondialdehyde (MDA); Immunoglobulins - IgG subclasses (IgG1, IgG2, IgG3, IgG4), IgA, IgM, IgE; Amino Acids - essential amino acids profile (leucine, isoleucine, valine, lysine, methionine, phenylalanine, threonine, tryptophan), non-essential amino acids (arginine, glutamine, glycine, proline, tyrosine); Advanced Nutrients - Nicotinamide (NAD+ precursor), Vitamin B1 (thiamine), B2 (riboflavin), B6 (pyridoxine), B9 (folate), biotin, pantothenic acid; Heavy Metals - lead, mercury, cadmium, arsenic; Bone Health - osteocalcin, CTX (bone turnover marker), vitamin K status. Advanced Diagnostics: Medical Genomics - whole exome/genome sequencing analyzing 170+ disease risk genes (cancer susceptibility, cardiovascular disease, Alzheimer's, metabolic disorders), 150+ pharmacogenomics markers (drug metabolism, adverse reaction risks); Microbiomics - comprehensive gut bacteria and fungi analysis, diversity scores, pathogen detection, dysbiosis markers; Epigenomics - biological age assessment via DNA methylation patterns, epigenetic aging clocks, age acceleration metrics; YEARS Performance Battery - advanced functional testing; Biological Specimen Preservation - cryopreservation of 70 blood samples for future regenerative medicine applications. Premium Support: Year-round concierge support with 10-hour annual retainer; 3 physician check-ins annually; Monthly coaching sessions (nutrition, performance, lifestyle). Most advanced longevity program globally for comprehensive health optimization, disease prevention, and lifespan extension.