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Sports Fitness & Athlete Health Check-Up

Type

Blood Testing

Biomarkers

9

Duration

1 hour

What's included

6 deliverables in this treatment

  • Venous blood draw (fasting) by qualified nurse
  • Full blood count with red cell indices (haematological baseline)
  • Iron studies: serum iron, TIBC, ferritin
  • Vitamin D 25-OH, magnesium, creatine kinase (CK)
  • Thyroid function (TSH, FT4)
  • Physician consultation in sports medicine context

A specialised blood and clinical assessment panel designed for active individuals and competitive athletes who want to optimise performance, avoid overtraining, and ensure their body is recovering adequately. The Sports Fitness check-up at Medianna Clinic combines standard safety markers with performance-relevant parameters — iron studies, ferritin, magnesium, Vitamin D, creatine kinase, thyroid function, and haematological markers — providing a detailed picture of an athlete's physiological baseline and any gaps that may be limiting performance or increasing injury risk.

About this treatment

Athletes and frequent exercisers are not immune to nutritional deficiencies — in fact, high training loads increase demand for iron, magnesium, vitamin D, and B vitamins, while simultaneously increasing losses through sweat, inflammation, and oxygen turnover. Overtraining syndrome, sports anaemia, and chronic muscle damage are all identifiable through targeted blood markers, yet standard check-ups rarely include the parameters most relevant to athletic…

Medianna Clinic's Sports Fitness panel assembles the markers with the strongest evidence base for sports medicine in general practice: haematological markers — full blood count with red cell indices, reticulocytes if anaemia suspected, providing a baseline for oxygen-carrying capacity, iron studies — serum iron, TIBC, ferritin (the most sensitive marker of iron stores; ferritin below 30 µg/L impairs endurance performance even without frank anaemia),…

Who benefits most

Good to know

Key markers
Ferritin, Vitamin D, CK, magnesium, iron, thyroid
Interpretation
Athletic reference ranges, not sedentary population norms
Preparation
Avoid intense training 48h before; fast 8–10h
No referral needed
Direct booking

Who is this for?

Endurance athletes, gym regulars, team sport players, performance plateau investigation, overtraining screening

Preparation required

Fast 8–10 hours. Avoid intense training for 48 hours before the appointment. Bring a training summary (weekly volume, disciplines) to help the physician interpret results.

Panel categories

Sports Performance Panel

Biomarkers tested

9
Cortisol µg/dL

The primary stress hormone, produced by the adrenal glands. Cortisol regulates metabolism, immune response, blood pressure, and the sleep-wake cycle. Chronically elevated cortisol from stress contributes to weight gain, immune suppression, and metabolic dysfunction.

Epi-Testosterone mg/day

Metabolite of testosterone.

Ferritin ng/mL

The primary iron storage protein. Ferritin reflects total body iron stores and is the first marker to drop in iron deficiency. However, ferritin also rises with inflammation, infection, and liver disease, which can mask true iron deficiency.

Iron (Fe) µg/dL

A mineral essential for oxygen transport (in hemoglobin), energy production, and immune function. Serum iron measures the amount circulating in blood, but ferritin and TIBC provide a more complete picture of iron status.

Magnesium mg/dL

Involved in over 300 enzymatic reactions including energy production, muscle function, and nerve signaling. Magnesium deficiency is common and associated with muscle cramps, anxiety, insomnia, and increased cardiovascular risk.

Nickel µg/L

A metal that causes allergic contact dermatitis in sensitised individuals. Occupational or dietary exposure to elevated nickel levels can affect the respiratory system and kidneys. Common sources include jewellery, coins, and certain foods.

Tin µg/L

A metal found in canned foods, solder, and industrial materials. While small amounts of inorganic tin are relatively non-toxic, high levels can cause gastrointestinal irritation. Organotin compounds are more toxic and affect the immune and nervous systems.

Vitamin B12 pg/mL

Essential for nerve function, DNA synthesis, and red blood cell formation. B12 deficiency can cause anemia, neuropathy, fatigue, and cognitive impairment. Common in vegans, vegetarians, older adults, and those taking metformin or acid-reducing medications.

Vitamin D (25-OHD) ng/mL

The best indicator of overall vitamin D status. Vitamin D is essential for calcium absorption, bone health, immune function, and mood regulation. Deficiency is extremely common, especially in northern latitudes, and linked to increased disease risk.

About the clinic

Reviews, team and credentials

Independent review links and clinic-reported team information.

Clinical team

The clinic is founded and led by Dr. Anna Chupina (CEO, Lead Physician). The GP team also includes Dr. Alexei Pashchenko, Dr. Olena Yermak, Dr. Natalie Červenková, Dr. Vladislava Legostaeva, Dr. Nina Dusílková, and Dr. Nina Fomina — all trained in general and internal medicine. Nursing care is provided by Miroslava and Daria Rodin. The practice is contracted with VZP, ZPMV, OZP, RBP, ZPŠ (ŠKODA), ČPZP, VoZP, and…

Languages: cs, uk, ru, en

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