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 engineered for athletes, recreational exercisers, and performance-oriented individuals who require comprehensive biomarker surveillance. The 23-marker breadth covers every physiological system that training stress, recovery capacity, and nutritional status affect. The haematological core (CBC with ESR) monitors for exercise-induced anaemia — a common but frequently overlooked condition in endurance athletes. 'Sports anaemia' may be dilutional (plasma volume expansion with training) or reflect true iron-deficiency anaemia driven by haemolysis, gastrointestinal blood loss, and sweat iron losses. The iron panel (serum iron, ferritin, TIBC) provides definitive iron status assessment. Ferritin below 30 ng/mL impairs exercise performance even without frank anaemia — many sports medicine authorities recommend maintaining ferritin above 50 ng/mL in competitive athletes. The metabolic component includes fasting glucose, HbA1c, and fasting insulin with HOMA-IR — delivering a complete picture of glucose metabolism and insulin sensitivity. Well-trained athletes typically exhibit excellent insulin sensitivity, so any abnormality warrants prompt investigation. The full lipidogram assesses cardiovascular risk, which remains clinically relevant even in highly fit individuals. The hormonal component covers testosterone (central to recovery, muscle protein synthesis, and bone density in both sexes), cortisol (the principal stress hormone — chronically elevated levels are a hallmark of overtraining syndrome), and TSH with fT4 for thyroid function. Relative energy deficiency in sport (RED-S) suppresses thyroid output, making these markers important for any athlete with unexplained performance decline or menstrual irregularities. The vitamin and mineral panel includes vitamin D3 (essential for bone health, muscle function, and immune competence), vitamin B12 and folic acid (required for red blood cell production and methylation pathways), magnesium (depleted by sweating and critical for muscle contraction and energy metabolism), zinc (immune function, testosterone synthesis, wound healing), and selenium (antioxidant defence and thyroid function). Liver enzymes (AST, ALT, GGT) are included with an important interpretive note for athletes: intense exercise physiologically elevates AST and ALT for 24-72 hours post-training. Athletes should avoid strenuous exercise for 48 hours before the blood draw for meaningful liver enzyme interpretation. Creatinine with eGFR monitors kidney function — particularly relevant for athletes using creatine supplements or following high-protein diets. CRP and ESR screen for systemic inflammation that may indicate overtraining, subclinical infection, or unresolved injury. At 849 PLN with blood draw included, this is Diagnostyka's most comprehensive package but delivers extraordinary diagnostic breadth. Equivalent sports-focused blood work at a German sports medicine clinic would cost 800-1500 EUR. Warsaw's position as Poland's capital — with Chopin Airport offering direct flights across Europe and the Marszałkowska location open six days a week including Sundays — makes it straightforward for travelling athletes to schedule comprehensive testing around competition or training camps.