Erschöpfungszustand (Chronic Fatigue & Exhaustion Panel)

Comprehensive fatigue diagnostic panel analyzing 10 biomarkers across multiple systems commonly causing chronic tiredness, exhaustion, low energy, and burnout. Venous blood sample with fasting preferred. Results within 3-5 days. Essential investigation when experiencing: persistent fatigue despite adequate sleep, morning exhaustion, inability to recover from exercise, brain fog, decreased motivation, burnout symptoms, unexplained weakness. Tests most common medical causes of fatigue. Biomarkers tested: Blood Count - large blood count (CBC with differential) detecting anemia (most common cause of fatigue - iron, B12, folate deficiency), chronic inflammation, infection, bone marrow disorders; Thyroid - TSH (thyroid stimulating hormone), hypothyroidism causes profound fatigue, weight gain, cold intolerance, depression, affects 5-10% of population especially women; Vitamins - vitamin D 25-OH (deficiency causes fatigue, muscle weakness, depression, immune dysfunction, extremely common in northern Europe with 40-80% population insufficient), holotranscobalamin (active B12, earliest marker of B12 deficiency causing fatigue, neurological symptoms, anemia, vegans/elderly at high risk), folate (vitamin B9, deficiency causes anemia, fatigue, poor concentration); Minerals - ferritin (iron stores, low ferritin causes fatigue even without anemia, women/vegetarians/athletes at risk), selenium (thyroid function, antioxidant, immune health, deficiency causes fatigue and susceptibility to illness); Hormones - cortisol (morning fasting sample ideal, low cortisol suggests adrenal insufficiency or HPA axis dysfunction from chronic stress, high cortisol indicates active stress response), parathyroid hormone (PTH, calcium/vitamin D metabolism, elevated with vitamin D deficiency causing fatigue and weakness); Metabolism - HbA1c (3-month glucose average, diabetes and prediabetes cause significant fatigue from poor glucose regulation). Comprehensive panel efficiently identifies treatable causes of fatigue: hypothyroidism (levothyroxine), vitamin D deficiency (supplementation), B12/folate deficiency (supplementation/injections), iron deficiency (supplementation, investigate cause), diabetes (lifestyle/medication). Most patients with chronic fatigue have 1-3 abnormal results providing actionable treatment. GOÄ 1.0 pricing; privately insured 1.15x. Recommend follow-up with GP or endocrinologist for treatment plan.

Sexual health screening tests detect sexually transmitted infections (STIs) that often present with no symptoms at all. Many STIs — including chlamydia, gonorrhea, syphilis, HIV, and hepatitis B/C — can be carried asymptomatically for months or years while still being transmissible and causing internal damage. Blood-based STI panels typically screen for HIV (antibody/antigen), syphilis (RPR/VDRL), and hepatitis B and C. Urine or swab tests are usually needed for chlamydia and gonorrhea. Early detection is crucial because most STIs are curable with antibiotics when caught early, and even viral STIs like HIV can be managed effectively with modern antiretroviral therapy when detected promptly.