e-Pakiet fit & active maximum — Sports Performance Panel

Comprehensive 23-marker panel for athletes and active individuals covering metabolic health, hormones, vitamins, minerals, inflammation, liver function, kidney function, and iron status. At 849 PLN (~197 EUR) with blood draw included. The most extensive single-visit panel Diagnostyka offers for performance-focused health monitoring.

This panel is designed for athletes, recreational exercisers, and performance-oriented individuals who need comprehensive biomarker tracking. The 23-marker scope covers every system that training stress, recovery demands, and nutritional requirements impact. The Tricity area — Gdańsk, Sopot, and Gdynia — hosts a thriving endurance sports community centred on Baltic coastal running, open-water swimming, and the Ironman 70.3 Gdynia triathlon, making this panel highly relevant locally. The haematological core (CBC with ESR) monitors for exercise-induced anaemia — a common but frequently missed condition in endurance athletes. 'Sports anaemia' can be dilutional (plasma volume expansion) or true iron-deficiency anaemia from haemolysis, GI blood loss, and sweat iron losses. The iron panel (serum iron, ferritin, TIBC) provides complete iron status assessment. Ferritin below 30 ng/mL impairs exercise performance even without frank anaemia — many sports medicine guidelines recommend maintaining ferritin above 50 ng/mL for athletes. The metabolic panel includes fasting glucose, HbA1c, and fasting insulin with HOMA-IR — providing a complete picture of glucose metabolism and insulin sensitivity. Athletes typically have excellent insulin sensitivity, so any abnormality warrants investigation. The full lipidogram assesses cardiovascular risk, which remains relevant even in fit individuals. The hormonal component includes testosterone (critical for recovery, muscle protein synthesis, and bone density in both sexes), cortisol (the primary stress hormone — chronically elevated levels indicate overtraining), and TSH with fT4 for thyroid assessment. Relative energy deficiency in sport (RED-S) suppresses thyroid function, making these markers important for athletes with unexplained performance decline. The vitamin and mineral panel covers vitamin D3 (essential for bone health, muscle function, and immune regulation — particularly critical at Gdańsk's northern latitude where winter deficiency is near-universal), vitamin B12 and folic acid (required for red blood cell production and methylation), magnesium (depleted by sweat and critical for muscle contraction and energy metabolism), zinc (immune function, testosterone synthesis, wound healing), and selenium (antioxidant defence and thyroid function — notably deficient in Baltic region soils). Liver enzymes (AST, ALT, GGT) are included with an important caveat for athletes: intense exercise physiologically elevates AST and ALT for 24-72 hours post-exercise. CK (creatine kinase) would better assess muscle damage but is not in this panel. Athletes should avoid intense training for 48 hours before the blood draw for accurate liver enzyme interpretation. Creatinine with eGFR monitors kidney function — relevant for athletes using creatine supplements or high-protein diets. CRP and ESR screen for systemic inflammation, which in athletes may indicate overtraining, infection, or injury. At 849 PLN with blood draw included, this is the most expensive package in Diagnostyka's e-shop but provides extraordinary breadth. Equivalent comprehensive sports blood work at a Scandinavian sports medicine clinic would cost 1000-2000 EUR, or 800-1500 EUR in Germany. Athletes competing in Baltic region events can schedule blood draws around race weekends thanks to the Gdańsk location's Sunday morning hours.