Active Health Check

ACTIVE HEALTH CHECK

Understand Your Key Health Areas

Available in Marylebone, Soho & Liverpool Street London

Our active health check is our great value entry level health for both males and females check covering several key health areas including blood, kidney, liver, heart, lung and more. This is a great test for anyone who wants to understand their essential baseline health markers, highlighting any potential issues before they become problematic.

Your health check will be fully personalised based on the information you provide our doctors at the start of your consultation. In addition to a blood test your will also have full body biometric analysis, lung function testing, full 12-lead ECG heart tracing and urinalysis. Our doctors will also carry out any relevant examinations based on in depth discussions about your health during your appointment.

A personal account manager will also reach out to you after purchase to guide you every step of the way.

MRI scanning is also available. Learn More
Optional Cardiologist ECG Report
Free Prescription Arrangement
Private & NHS Referral Pathway
Free Fit Note if Required

At a Glance

50+

Data Points

6+

Non Blood Tests & Examinations

Personal Account Manager

Doctors Report & Consultation Included

Active Health Check

£189

Pay in 4 interest free instalments of £47.25

Pay in 3 interest free instalments of £63 with first Instalment after 1 month.

One-off purchase or subscribe every 3, 6 or 12 months

Give someone the gift of health. Once purchased we will send an electronic PDF Voucher which you can print out or email. The recipient can then use the voucher code when they book their appointment.

Need Help ? Speak to one of our team

Call 0800 098 2595

Live Chat

Whatsapp +447400202799

Prevention is The Best Medicine.

Our active health check is our great value entry level health for both males and females check covering several key health areas including blood, kidney, liver, heart, lung and more. This is a great test for anyone who wants to understand their essential baseline health markers, highlighting any potential issues before they become problematic.

What's Included

Personalised Doctors Report

When your results are ready you will be notified via email and you will be able to access them in your online dashboard.

Here you will be able to see a breakdown of your results along with trends if you have had previous testing with us. There will also be a detailed doctors report based on your results and if your package includes a doctors consultation to discuss your results then your account manager will then contact you to arrange a date and time that suits you. If you package does not include a doctors consultation and you would like to arrange this then you can do so directly from your dashboard.

If you selected that you would like a personalised results brochure at checkout then we aim to have this delivered to your address within 48 hours of receiving your results from our labs.

Allergy Evaluation

Full Body Biometrics

Weight

Your weight will be measured as part of your biometric data during your consultation.

Height

Your height will be measured as part of your biometric data during your consultation.

BMI

BMI stands for Body Mass Index. It is a numerical value of a person’s weight in relation to their height. BMI is a widely used method to categorize individuals into different weight status categories, such as underweight, normal weight, overweight, and obesity.

Here is a general interpretation of BMI categories:

Underweight: BMI less than 18.5
Normal weight: BMI between 18.5 and 24.9
Overweight: BMI between 25 and 29.9
Obesity: BMI 30 or greater

Body Fat Percentge

Body fat percentage is a measure of the proportion of your body weight that comes from fat. It is often considered a more accurate indicator of fitness and health than BMI because it directly assesses the amount of fat tissue in the body.

Visceral Fat

Visceral fat is the fat that surrounds the internal organs, such as the liver, pancreas, and intestines, as opposed to subcutaneous fat, which is found just beneath the skin. While some level of fat is necessary for normal bodily functions, excessive visceral fat has been associated with an increased risk of various health problems, including heart disease, diabetes, and certain cancers.

Muscle Mass Percentage

Muscle mass percentage refers to the proportion of your total body weight that is composed of muscle tissue. It is a component of body composition, which also includes fat mass, bone mass, and other non-living components.

The measurement of muscle mass percentage is often used in health and fitness assessments to evaluate the distribution of muscle and fat in the body. Higher muscle mass percentages are generally associated with greater strength, endurance, and overall fitness. Increasing muscle mass can also have positive effects on metabolism, as muscle tissue tends to burn more calories at rest compared to fat tissue.

Water Mass

The human body is composed of various elements, with water being a major component. The percentage of water in the body can vary based on factors such as age, sex, and overall health. On average, water makes up about 60% of an adult’s body weight.

Maintaining proper hydration is crucial for overall health, as water plays essential roles in various physiological functions, including temperature regulation, digestion, nutrient transport, and waste elimination.

Bone Mass

Bone mass refers to the amount of bone tissue present in the skeletal system. It is a critical component of body composition and is essential for providing structural support, protecting internal organs, and facilitating movement. Bone mass is a dynamic aspect of the body that can change over time due to factors such as growth, aging, and lifestyle.

Bone tissue is constantly undergoing a process called remodeling, where old bone is broken down (resorption), and new bone is formed (formation). This dynamic process helps maintain the strength and integrity of the skeletal system. Peak bone mass is typically reached in early adulthood, and maintaining bone health becomes crucial as individuals age.

Allergy Evaluation

Urinalysis

Bilirubin

Bilirubin is a yellowish pigment that is formed during the breakdown of red blood cells. It is produced in the liver and is excreted from the body through bile, which is eventually eliminated in the stool. Under normal circumstances, bilirubin is not usually present in significant amounts in the urine.

Elevated levels of urine bilirubin can indicate liver or bile duct issues. This may occur due to various reasons, including:

Liver Diseases: Conditions such as hepatitis, cirrhosis, or other liver diseases can lead to impaired bilirubin processing and excretion.
Bile Duct Obstruction: If the bile ducts are blocked or narrowed, bilirubin cannot be properly excreted, leading to increased levels in the blood and, subsequently, in the urine.
Hemolytic Anemia: Increased breakdown of red blood cells (hemolysis) can also lead to elevated bilirubin levels.

Glucose

Urine glucose refers to the presence of glucose (sugar) in the urine. Normally, the kidneys filter glucose from the blood and reabsorb it, preventing it from being excreted in the urine. Therefore, under normal circumstances, glucose should not be detectable in the urine.

When glucose is consistently found in the urine, it can be an indication of hyperglycemia, a condition characterized by high blood sugar levels. Elevated blood glucose levels can occur in diabetes mellitus or other conditions affecting insulin production or utilization.

Here are some possible reasons for the presence of glucose in urine:

Diabetes Mellitus: In diabetes, the body either does not produce enough insulin (Type 1 diabetes) or does not use insulin effectively (Type 2 diabetes). Insulin is essential for glucose uptake by cells. When insulin is deficient or not functioning properly, glucose builds up in the bloodstream and may spill into the urine.
Gestational Diabetes: Some pregnant women may develop gestational diabetes, a temporary form of diabetes during pregnancy, which can lead to elevated blood glucose levels and the presence of glucose in the urine.
Renal Glycosuria: This is a rare condition where the kidneys fail to reabsorb glucose effectively, leading to glucose in the urine even when blood glucose levels are normal.

Ketones

Urine ketones refer to the presence of ketone bodies in the urine. Ketones are substances produced during the breakdown of fat when the body is unable to access enough glucose for energy. This typically occurs during conditions of low carbohydrate availability, such as fasting, prolonged exercise, or in certain medical conditions like diabetes.

Nitrites

Urine nitrite testing is a diagnostic test used to detect the presence of nitrites in the urine. Nitrites are chemical compounds that can be formed in the urine as a result of bacterial action, specifically the reduction of nitrates to nitrites by certain bacteria.

The presence of nitrites in the urine is a potential indicator of a urinary tract infection (UTI), particularly a bacterial infection caused by gram-negative bacteria such as Escherichia coli (E. coli). These bacteria possess enzymes that can convert urinary nitrates, commonly derived from diet or medications, into nitrites.

Urine pH is a measure of the acidity or alkalinity of the urine. It is determined by the concentration of hydrogen ions in the urine. The pH scale ranges from 0 to 14, with 7 considered neutral. Values below 7 indicate acidity, and values above 7 indicate alkalinity.

Normal urine pH ranges from about 4.5 to 8.0, but the average is around 6.0. Various factors can influence urine pH, including diet, medications, and certain medical conditions. Here are some general guidelines:

Acidic Urine (pH < 7.0):
- Often associated with a diet high in protein and low in fruits and vegetables.
- Certain medical conditions, such as metabolic acidosis or respiratory acidosis, can also result in acidic urine.
Alkaline Urine (pH > 7.0):
- Can be associated with a diet high in fruits and vegetables.
- Certain medical conditions, such as urinary tract infections (UTIs), kidney diseases, or metabolic alkalosis, can result in alkaline urine.

It’s important to note that the normal range for urine pH is quite broad, and variations within this range are generally considered normal. However, extreme pH levels (very acidic or very alkaline) may be indicative of an underlying health issue and may warrant further investigation.

Protein

Urine protein testing is a diagnostic tool used to assess the amount of protein present in a person’s urine. Normally, only small amounts of protein are excreted in the urine. Increased levels of urine protein, known as proteinuria, may indicate underlying health issues.

Proteinuria can be associated with various conditions, and its detection can be an important diagnostic clue. Here are some common reasons for elevated urine protein levels:

Kidney Diseases: Conditions affecting the kidneys, such as glomerulonephritis, diabetic nephropathy, or kidney infections, can lead to increased protein in the urine.
Hypertension (High Blood Pressure): Uncontrolled high blood pressure can contribute to kidney damage and proteinuria.
Diabetes: Diabetes, especially when poorly controlled, can cause damage to the kidneys, resulting in proteinuria.
Urinary Tract Infections (UTIs): Infections affecting the urinary tract, including the kidneys, can lead to temporary proteinuria.
Preeclampsia: A condition that can occur during pregnancy, characterized by high blood pressure and proteinuria.
Certain Medications and Toxins: Some medications, toxins, and heavy metals can cause kidney damage and result in proteinuria.

Red Blood Cells

The presence of red blood cells (RBCs) in the urine is known as hematuria. Hematuria can be categorized into two types: microscopic hematuria, which is detected only under a microscope, and gross hematuria, which is visible to the naked eye.

Here are some potential causes and considerations related to the presence of red blood cells in the urine:

Urinary Tract Infections (UTIs): Infections of the urinary tract, including the bladder or kidneys, can lead to hematuria.
Kidney Stones: The passage of kidney stones through the urinary tract can cause irritation and bleeding, leading to hematuria.
Bladder or Kidney Infections: Infections of the bladder (cystitis) or kidneys (pyelonephritis) can result in hematuria.
Trauma or Injury: Injury to the urinary tract, such as from a fall or accident, can cause bleeding.
Enlarged Prostate: In men, an enlarged prostate can lead to hematuria.
Irritation or Inflammation: Conditions that cause irritation or inflammation of the urinary tract, such as interstitial cystitis, can result in hematuria.
Blood Disorders: Some blood disorders, such as sickle cell anemia, can cause hematuria.
Cancers: Both benign and malignant tumors in the urinary tract, including the bladder, kidneys, or prostate, can lead to hematuria.

Urobilinogen

Urobilinogen is a product of bilirubin metabolism in the intestines. Bilirubin is a yellow pigment that forms when red blood cells are broken down, and it is processed by the liver before being excreted into the intestines as part of bile. In the intestines, bilirubin undergoes further breakdown by bacteria, leading to the formation of urobilinogen.

Elevated urobilinogen levels might be seen in conditions where there is increased breakdown of red blood cells or altered bilirubin metabolism. Conditions such as liver disease, hemolytic anemia, or certain medications can affect urobilinogen levels.

White Blood Cells

The presence of white blood cells (WBCs) in the urine is known as pyuria. The detection of white blood cells in urine can be an indicator of inflammation or infection in the urinary tract or kidneys. White blood cells play a crucial role in the immune system and are typically not present in significant numbers in the urine under normal conditions.

Here are some common reasons for the presence of white blood cells in the urine:

Urinary Tract Infections (UTIs): Infections of the urinary tract, such as cystitis (bladder infection) or pyelonephritis (kidney infection), often lead to an increase in white blood cells in the urine.
Kidney Inflammation: Conditions causing inflammation of the kidneys, such as glomerulonephritis, may result in pyuria.
Interstitial Cystitis: A chronic condition characterized by inflammation of the bladder wall can cause increased white blood cells in the urine.
Sexually Transmitted Infections (STIs): Infections such as chlamydia or gonorrhea can lead to pyuria.
Kidney Stones: The presence of kidney stones can cause irritation and inflammation, leading to the release of white blood cells into the urine.
Prostatitis: Inflammation of the prostate gland in men can result in pyuria.

Heart Tracing (12-lead ECG)

A 12-lead electrocardiogram (ECG or EKG) is a diagnostic test that records the electrical activity of the heart from multiple angles, using 12 different leads. Each lead provides a unique perspective on the heart’s electrical activity, helping healthcare professionals assess the heart’s rhythm, rate, and various other aspects of cardiac function. It is a common and valuable tool in cardiology for diagnosing a variety of heart conditions.

By recording the electrical activity from these different angles, a 12-lead ECG can provide a comprehensive view of the heart’s depolarization and repolarization patterns, helping to identify abnormal rhythms, conduction abnormalities, and evidence of myocardial ischemia or infarction.

Your ECG will be reviewed by one of our doctors however you will have the option at checkout to have it reviewed by an expert cardiologist for a more comprehensive report.

Allergy Evaluation

Lung Function Testing

FEV1 (Best / Predicted)

FEV1 stands for Forced Expiratory Volume in one second. It is a measurement obtained from pulmonary function tests, which are commonly used to assess lung function. FEV1 represents the volume of air that a person can forcefully exhale in the first second of a forced expiration after taking a deep breath.

Here’s how FEV1 is typically measured and what it indicates:

Measurement Process: During a pulmonary function test, a person is asked to take a deep breath and then exhale as forcefully and quickly as possible into a spirometer, a device that measures the volume and flow of air. The spirometer records the amount of air exhaled in the first second, which is the FEV1.
Interpretation: FEV1 is expressed as a percentage of the predicted or expected value for a person of similar age, sex, height, and race with healthy lungs. The predicted values are determined based on population-based norms. A lower FEV1 percentage may suggest airflow obstruction, which is commonly associated with conditions such as chronic obstructive pulmonary disease (COPD), asthma, or other respiratory disorders.

FVC

FVC stands for Forced Vital Capacity. It is a measurement obtained from pulmonary function tests, which are commonly conducted to assess lung function. Forced Vital Capacity represents the maximum volume of air a person can forcefully and completely exhale after taking a deep breath.

Here’s how FVC is typically measured and interpreted:

Measurement Process: During a pulmonary function test, a person is asked to take a deep breath and then exhale as forcefully and quickly as possible into a spirometer, a device that measures the volume and flow of air. The spirometer records the total volume of air exhaled during this forced expiration, which is the Forced Vital Capacity.
Interpretation: FVC is expressed in liters (L) and is often considered alongside other pulmonary function parameters. The measured FVC is compared to the predicted or expected FVC for a person of similar age, sex, height, and race with healthy lungs. The predicted values are determined based on population-based norms.

FVC is a crucial parameter in assessing lung function and is useful for diagnosing and monitoring various respiratory conditions. Monitoring changes in FVC over time can help healthcare professionals evaluate the progression of lung diseases and the response to treatments.

FEV1/FVC (COPD Test)

The FEV1/FVC ratio is a key parameter derived from pulmonary function tests (PFTs) that assess lung function. It represents the ratio of the Forced Expiratory Volume in one second (FEV1) to the Forced Vital Capacity (FVC). These measurements are obtained using a spirometer during a forced expiratory maneuver.

This ratio is crucial for the assessment and classification of lung diseases. The FEV1/FVC ratio is used to distinguish between obstructive and restrictive lung disorders:

Normal Ratio: A normal FEV1/FVC ratio is typically around 70-80%, meaning that approximately 70-80% of the FVC should be exhaled in the first second. This ratio remains relatively stable with age in healthy individuals.
Obstructive Lung Diseases: In obstructive lung diseases, such as chronic obstructive pulmonary disease (COPD) or asthma, there is a reduction in the FEV1/FVC ratio. The airways become narrowed, making it more difficult to exhale air rapidly.
Restrictive Lung Diseases: In restrictive lung diseases, the overall lung capacity is reduced, but the ratio of FEV1 to FVC remains normal or even increased. Conditions such as interstitial lung disease or pulmonary fibrosis fall into this category.

Blood Pressure

Blood pressure is a crucial indicator of cardiovascular health. Persistently high blood pressure, known as hypertension, can strain the heart, damage arteries, and contribute to various health issues, including heart disease, stroke, and kidney problems. On the other hand, low blood pressure (hypotension) can also pose risks, leading to symptoms like dizziness, fainting, and insufficient blood flow to vital organs.

ABPI

ABPI stands for Ankle-Brachial Pressure Index. It is a non-invasive vascular test that assesses the blood flow in the arteries of the legs and arms. The test is commonly used to diagnose peripheral arterial disease (PAD), a condition where there is a buildup of fatty deposits in the arteries that supply blood to the legs and feet.

Blood Oxygen Saturations

Blood oxygen saturation, often abbreviated as SpO2, refers to the percentage of hemoglobin molecules in the arterial blood that are saturated with oxygen. This measurement provides information about how effectively oxygen is being transported from the lungs to the rest of the body.

A normal blood oxygen saturation level is typically around 95-100%. In certain individuals, a level of 90% or above may still be considered acceptable. Levels below 90% may indicate hypoxemia, a condition characterized by low oxygen levels in the blood, which can lead to inadequate oxygen supply to the body’s tissues and organs.

Full Blood Count

Haemoglobin

Haemoglobin is a critical protein in red blood cells responsible for transporting oxygen from the lungs to various tissues and organs in the body and for returning carbon dioxide, a waste product of metabolism, from those tissues back to the lungs for exhalation. Low levels are a common sign of anaemia.

Haematocrit

Haematocrit, measures the proportion of a person’s blood that is composed of red blood cells (erythrocytes) by volume. It is expressed as a percentage.

Hematocrit provides important information about the concentration of red blood cells in the blood and is a valuable part of a full blood count, which assesses the cellular components of the blood.

Red Blood Cells

The red blood cell count (RBC count) is a measure of the number of red blood cells (erythrocytes) in a given volume of blood. It is an important component of a full blood count blood count.

The RBC count is typically expressed as the number of red blood cells per microliter (μL) of blood. The normal range for adults is approximately 4.5 to 6.0 million RBCs per μL of blood. Values outside of this range may indicate an underlying medical condition:

Low RBC Count (Anemia): A lower-than-normal RBC count can be indicative of anemia, a condition in which there are not enough red blood cells to effectively transport oxygen throughout the body. Anemia can be caused by factors such as iron deficiency, vitamin deficiencies, chronic diseases, or blood loss.
High RBC Count (Polycythemia): An elevated RBC count may be a sign of polycythemia, a condition characterized by an excess of red blood cells in the blood. Polycythemia can result from chronic hypoxia (low oxygen levels), certain genetic mutations, or bone marrow disorders. It can lead to increased blood viscosity and a higher risk of blood clot formation.

Mean Cell Volume

MCV specifically measures the average volume, or size, of a single red blood cell (erythrocyte). It is typically expressed in femtoliters (fL), which is equal to one-trillionth of a liter.

MCV is a valuable component of the full blood count because it provides information about the size of red blood cells. This measurement helps in the classification and diagnosis of different types of anemias and other blood-related conditions. MCV values are classified into three main categories:

Microcytic: If the MCV is lower than the normal range, it suggests that the red blood cells are smaller than usual. This can be indicative of conditions like iron-deficiency anemia or certain types of thalassemia.
Normocytic: When the MCV falls within the normal range, it indicates that the red blood cells are of average size. Some anemias, chronic diseases, and bone marrow disorders can result in normocytic red blood cells.
Macrocytic: An elevated MCV suggests that the red blood cells are larger than normal. This can be seen in conditions such as megaloblastic anemias, which are often caused by deficiencies in vitamin B12 or folic acid.

In summary, Mean Cell Volume (MCV) is a critical parameter in a full blood count that helps healthcare professionals assess the size of red blood cells. It aids in the diagnosis and classification of various types of anemias and provides important information about the underlying causes of these conditions.

Red Cell Distribution

RCD measures the variation in the size of red blood cells (erythrocytes) in a blood sample and is typically expressed as a percentage.

RCD is useful in evaluating the heterogeneity in red blood cell size, which can provide valuable information about certain medical conditions, especially anemias. Specifically, it can help healthcare professionals determine if the red blood cells are more variable in size (anisocytosis) than the typical or if they are relatively uniform in size (isocytosis).

The RCD values are interpreted as follows:

Normal RCD: If RCD falls within the normal range, it suggests that the red blood cells have relatively consistent sizes, which is known as isocytosis.
High RCD: An elevated RCD indicates that there is a significant variation in the sizes of red blood cells, a condition known as anisocytosis. This can be seen in a range of medical conditions, including various types of anemia, nutritional deficiencies, and certain chronic diseases. It can provide important diagnostic information, as different underlying causes of anemias may result in distinct RCD patterns.

Mean Cell Hb

Mean Cell Hemoglobin (MCH) is a standard blood test used to assess the cellular components of the blood. MCH measures the average amount of hemoglobin within an individual red blood cell (erythrocyte). It is typically expressed in picograms (pg), which is equivalent to one-trillionth of a gram.

MCH provides information about the amount of hemoglobin carried by each red blood cell and is helpful in diagnosing and classifying different types of anemias, which are conditions characterized by a reduced number of red blood cells or a deficiency in hemoglobin. The MCH value, along with other parameters from the CBC, can help healthcare professionals determine the underlying cause of anemia.

The interpretation of MCH values is as follows:

Normal MCH: A normal MCH value falls within the expected range and indicates that red blood cells have an average amount of hemoglobin. The specific reference range may vary slightly depending on the laboratory.
Low MCH (Hypochromic): An MCH value below the normal range suggests that red blood cells have less hemoglobin than usual. This can be seen in microcytic anemias, where the red blood cells are smaller and paler due to conditions like iron-deficiency anemia.
High MCH (Hyperchromic): An elevated MCH value indicates that red blood cells carry more hemoglobin than average. This can be associated with certain types of macrocytic anemias, which are often caused by deficiencies in vitamin B12 or folic acid.

MCHC

Mean Corpuscular Hemoglobin Concentration (MCHC) is a blood test that assesses the cellular components of the blood. MCHC is used to determine the average concentration of hemoglobin within a given volume of red blood cells (erythrocytes).

MCHC is typically expressed as a percentage and provides important information about the density and color of hemoglobin within the red blood cells. This parameter can be useful in diagnosing and classifying various types of anemias and other blood-related conditions.

The interpretation of MCHC values is as follows:

Normal MCHC: A normal MCHC value falls within the expected range, indicating that the concentration of hemoglobin in red blood cells is typical. The specific reference range may vary slightly depending on the laboratory.
Low MCHC (Hypochromic): A decreased MCHC suggests that the concentration of hemoglobin within red blood cells is lower than normal. This can be seen in hypochromic anemias, such as iron-deficiency anemia, where the red blood cells are pale and contain less hemoglobin.
High MCHC (Hyperchromic): An elevated MCHC value indicates that the concentration of hemoglobin in red blood cells is higher than average. Hyperchromic conditions are relatively rare and can be associated with certain hereditary disorders or specific laboratory conditions.

Platelets

Platelets are small, colorless blood cells that play a crucial role in the process of blood clotting.

Platelets are involved in several important functions within the circulatory system:

Hemostasis: When a blood vessel is injured, platelets rapidly adhere to the site of the injury and aggregate together to form a plug, helping to stop bleeding. This process is the initial step in preventing excessive blood loss.
Blood Clotting: Platelets release various clotting factors and enzymes, which are essential for the coagulation process. These factors help form a fibrin meshwork that stabilizes the initial platelet plug and forms a more robust blood clot.
Immune Response: Platelets also have immune-related functions, as they can release molecules involved in inflammation and tissue repair.

Abnormal platelet counts can have clinical significance. Low platelet counts (thrombocytopenia) can lead to a higher risk of bleeding and bruising, while high platelet counts (thrombocytosis) can potentially result in excessive clot formation.

MPV

Mean Platelet Volume (MPV) specifically assesses the average volume or size of platelets in a blood sample.

Platelets are small, colorless blood cells that play a key role in blood clotting and the prevention of excessive bleeding. MPV measures the average size of these platelets. Higher MPV values indicate larger platelets, while lower values suggest smaller platelets.

Interpreting MPV values can provide important insights into various medical conditions:

High MPV: An elevated MPV indicates that the platelets in the blood are larger than usual. This can be seen in various conditions, including some forms of bone marrow disorders and inflammatory diseases. High MPV may suggest that the body is producing platelets more rapidly, possibly due to increased demand for clotting.
Low MPV: A decreased MPV suggests that the platelets are smaller than normal. This can be seen in conditions where platelet production is reduced, such as some types of leukemia, and may also be associated with certain medications or medical treatments.

White Blood Cells

WBC stands for White Blood Cells, which are a group of cells that make up a component of the blood. White blood cells are also known as leukocytes. Unlike red blood cells (which are primarily involved in transporting oxygen), white blood cells play a vital role in the immune system and defending the body against infections and diseases.

White blood cells are produced in the bone marrow and are essential for various immune functions, such as:

Infection Defense: White blood cells help the body recognize and fight off infections by attacking and destroying bacteria, viruses, and other pathogens.
Inflammation: They play a key role in the inflammatory response, which is part of the body’s natural defense mechanism against injuries and infections.
Immune Surveillance: White blood cells constantly patrol the body, looking for foreign invaders and abnormal cells, including cancer cells.

The total white blood cell count provides important information about a person’s overall health and immune system function. Abnormalities in white blood cell counts can be indicative of various medical conditions, including infections, autoimmune diseases, leukemia, and more.

Neutrophils

Neutrophils are a type of white blood cell, specifically a subtype of granulocyte, and they are a crucial part of the immune system. They make up a significant portion of the white blood cells in the human body and play a key role in the innate immune response, which is the body’s first line of defense against infections.

Abnormalities in neutrophil levels or function can be indicative of various medical conditions, including infections, inflammatory disorders, and certain blood disorders. Measuring the relative percentage and absolute count of neutrophils as part of a full blood count is a standard practice in diagnosing and monitoring a wide range of diseases and conditions.

Lymphocytes

Lymphocytes are a type of white blood cell that plays a fundamental role in the immune system. They are a key component of the adaptive immune response, which is the part of the immune system responsible for recognizing and specifically targeting pathogens, such as bacteria, viruses, and other foreign invaders. Abnormalities in lymphocyte levels or function can have significant clinical implications and may be associated with various immune system disorders, autoimmune diseases, and infections.

Monocytes

Monocytes are part of the immune system’s first-line defense against infections, but their main function is to act as “scouts” that survey the body for signs of trouble and then differentiate into macrophages to help clear and repair affected areas. Abnormalities in monocyte levels or function can be indicative of various medical conditions, including infections, inflammatory disorders, and certain autoimmune diseases.

Eosinophils

Eosinophils are a type of white blood cell (leukocyte) that plays a significant role in the immune system. They are part of the innate immune response and are particularly involved in the body’s defense against parasitic infections and in certain allergic and inflammatory responses.

Basophils

Basophils are a type of white blood cell (leukocyte) that plays a role in the immune system’s response to various challenges, particularly in the context of allergic and inflammatory reactions. Basophils are one of the least common types of white blood cells, making up a very small percentage of the total white blood cell population.

Kidney Health

Creatinine

Creatinine levels in the blood can serve as an important indicator of kidney function. The kidneys play a crucial role in filtering waste products, including creatinine, from the blood and excreting them in the urine. If the kidneys are not functioning properly, creatinine levels in the blood can rise, indicating a potential problem with kidney function.

A blood test that measures the concentration of creatinine in the blood is often performed to assess kidney function. This test is known as a serum creatinine test. Additionally, creatinine clearance tests, which involve collecting urine samples along with blood samples, may be used to estimate the glomerular filtration rate (GFR), another measure of kidney function.

Abnormal creatinine levels can be associated with various conditions, including kidney disease, dehydration, muscle disorders, and certain medications. Elevated creatinine levels may suggest impaired kidney function, and low levels may indicate reduced muscle mass or other health issues.

eGFR

eGFR stands for estimated Glomerular Filtration Rate. It is a measurement used to estimate the filtering capacity of the glomeruli, which are tiny structures within the kidneys responsible for filtering waste and excess fluids from the blood to form urine.

The glomerular filtration rate (GFR) is a key indicator of kidney function. A lower GFR can be a sign of kidney disease or dysfunction. The eGFR is often calculated using a formula that takes into account factors such as serum creatinine levels, age, sex, and race. One commonly used formula is the Modification of Diet in Renal Disease (MDRD) equation. Another formula is the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation, which is considered more accurate, especially in estimating higher GFRs.

Chloride

hloride is an electrolyte, a type of ion that carries an electric charge, and it is one of the essential ions in the body. Along with sodium and potassium, chloride helps maintain the balance of fluids in and out of cells and plays a crucial role in maintaining proper acid-base balance.

The chloride test is useful in assessing and monitoring conditions related to electrolyte balance, kidney function, and acid-base balance. Abnormal chloride levels can be associated with various medical conditions, such as dehydration, kidney diseases, respiratory disorders, and certain metabolic problems.

Normal chloride levels in the blood typically range between 96 and 106 milliequivalents per liter (mEq/L), but the reference range may vary slightly between different laboratories.

An abnormal chloride level, either too high or too low, may indicate an underlying health issue that requires further investigation. It’s essential to interpret the chloride level in conjunction with other electrolyte levels and clinical information to gain a comprehensive understanding of the patient’s health status.

Potassium

Potassium is an essential electrolyte that plays a crucial role in various bodily functions, including maintaining proper heart and muscle function, nerve conduction, and the balance of fluids in and out of cells.

bnormal potassium levels can have significant effects on the body. A low potassium level (hypokalemia) can result from conditions such as kidney disorders, excessive loss of fluids (e.g., vomiting, diarrhea), certain medications, or inadequate dietary intake. Symptoms of low potassium may include muscle weakness, fatigue, and irregular heartbeats.

On the other hand, a high potassium level (hyperkalemia) can occur due to kidney problems, certain medications, severe injuries, or conditions that lead to cell breakdown. Hyperkalemia can be serious and may cause symptoms such as muscle weakness, palpitations, and, in severe cases, cardiac arrhythmias.

Phosphate

Phosphate is an essential mineral that plays a crucial role in various physiological processes in the body. It is involved in the formation and maintenance of bones and teeth, energy metabolism, and regulation of acid-base balance.

Abnormal phosphate levels can be associated with various medical conditions. A low phosphate level (hypophosphatemia) may be seen in conditions such as malnutrition, certain types of kidney disorders, vitamin D deficiency, and certain metabolic disorders. Symptoms of low phosphate may include muscle weakness, fatigue, and bone pain.

Conversely, a high phosphate level (hyperphosphatemia) can occur in kidney disorders, hormonal imbalances, and conditions associated with excessive phosphate intake or release from cells. Elevated phosphate levels can have implications for bone health and may contribute to conditions like kidney stones.

Sodium

Sodium is an essential electrolyte that plays a critical role in maintaining the balance of fluids in and around cells, as well as in nerve function and muscle contraction.

Abnormal sodium levels can be indicative of various health conditions. A low sodium level (hyponatremia) can result from conditions such as dehydration, kidney problems, heart failure, or certain hormonal imbalances. Symptoms of hyponatremia may include nausea, headache, confusion, seizures, and, in severe cases, coma.

Conversely, a high sodium level (hypernatremia) can occur due to dehydration, excessive salt intake, certain kidney disorders, or conditions that cause water loss, such as diabetes insipidus. Symptoms of hypernatremia may include increased thirst, dry mucous membranes, and, in severe cases, neurological symptoms.

Urea

An elevated BUN level may indicate impaired kidney function or other conditions that affect the balance between production and excretion of urea. Common causes of elevated BUN include acute or chronic kidney disease, dehydration, heart failure, gastrointestinal bleeding, and certain medications.

A low BUN level is less common but may be seen in liver disease, malnutrition, or conditions associated with decreased protein intake.

It’s important to note that while the BUN test provides information about kidney function, it is not specific to kidney disease. Other tests, such as creatinine levels and glomerular filtration rate (GFR), are often used in conjunction with the BUN test to provide a more comprehensive assessment of kidney function.

Heart Health

Total Cholesterol

Total cholesterol is a measurement that represents the sum of different types of cholesterol in the blood. Cholesterol is a fatty substance that is essential for building cell membranes, producing hormones, and forming bile acids to aid in digestion. Cholesterol travels through the bloodstream in the form of lipoproteins.

The two main types of lipoproteins that make up total cholesterol are:

Low-Density Lipoprotein (LDL): Often referred to as “bad” cholesterol, LDL carries cholesterol from the liver to the cells. If too much LDL cholesterol is present in the blood, it can contribute to the buildup of plaque in the arteries, increasing the risk of atherosclerosis and heart disease.
High-Density Lipoprotein (HDL): Referred to as “good” cholesterol, HDL helps remove LDL cholesterol from the bloodstream by transporting it to the liver for processing and elimination. Higher levels of HDL are generally considered beneficial for cardiovascular health.

LDL Cholesterol

Low-Density Lipoprotein (LDL): Often referred to as “bad” cholesterol, LDL carries cholesterol from the liver to the cells. If too much LDL cholesterol is present in the blood, it can contribute to the buildup of plaque in the arteries, increasing the risk of atherosclerosis and heart disease.

HDL Cholesterol

High-Density Lipoprotein (HDL): Referred to as “good” cholesterol, HDL helps remove LDL cholesterol from the bloodstream by transporting it to the liver for processing and elimination. Higher levels of HDL are generally considered beneficial for cardiovascular health.

Total Cholesterol/HDL Cholesterol Ratio

The Total Cholesterol/HDL Cholesterol Ratio is a cardiovascular risk assessment tool that involves dividing the total cholesterol level by the high-density lipoprotein (HDL) cholesterol level. This ratio provides insight into the balance between “bad” cholesterol (LDL) and “good” cholesterol (HDL) in the bloodstream.

Low Ratio: A lower ratio is generally considered better and is associated with a lower risk of cardiovascular disease. It suggests a higher proportion of protective HDL cholesterol relative to total cholesterol.
Moderate Ratio: A ratio in the moderate range suggests a moderate risk.
High Ratio: A higher ratio indicates a higher risk of cardiovascular disease, as it suggests a greater proportion of LDL cholesterol relative to HDL cholesterol.

Triglycerides

A triglycerides blood test measures the concentration of triglycerides in the blood. Triglycerides are a type of fat (lipid) that circulates in the bloodstream. They are an important source of energy for the body, and excess calories that are not immediately used are converted into triglycerides and stored in fat cells.

Elevated triglyceride levels are associated with an increased risk of cardiovascular disease, especially when combined with other risk factors. Lifestyle modifications, including dietary changes, regular exercise, and weight management, are often recommended to lower elevated triglyceride levels. In some cases, medications may be prescribed by healthcare providers.

High Sensitivity C-Reactive Protein

High-Sensitivity C-Reactive Protein (hs-CRP) is a blood test that measures the concentration of C-reactive protein (CRP) in the bloodstream. CRP is a protein produced by the liver in response to inflammation, and its levels rise in the blood when there is inflammation in the body. The “high-sensitivity” version of the test provides a more precise measurement of CRP levels, especially in the lower range, making it a valuable marker for assessing cardiovascular risk.

The hs-CRP test is used as a marker of systemic inflammation, and elevated levels may indicate increased cardiovascular risk. While low levels of inflammation are a normal part of the body’s response to injury or infection, chronic inflammation is associated with various health conditions, including atherosclerosis (the buildup of plaque in arteries), heart disease, and stroke.

Liver Health

Alkaline Phosphatase

Alkaline Phosphatase helps assess the health of the liver and bones. Elevated levels of alkaline phosphatase in the blood may indicate liver disease, bone disorders, or conditions affecting the biliary system (bile ducts).

Liver Conditions Associated with Elevated ALP:

Liver Diseases: Hepatitis, cirrhosis, and other liver diseases can lead to increased levels of alkaline phosphatase.
Biliary Obstruction: Blockage of the bile ducts, whether due to gallstones, tumors, or other causes, can result in elevated ALP.

Alkaline Phosphatase

Alanine aminotransferase (ALT) is an enzyme that plays a crucial role in the metabolism of amino acids. It is primarily found in the liver, but smaller amounts are also present in the kidneys, heart, muscles, and other tissues. ALT is released into the bloodstream when there is damage to liver cells.

Liver Conditions Associated with Elevated ALT:

Hepatitis: Inflammation of the liver, often due to viral infections (e.g., hepatitis B or C).
Non-Alcoholic Fatty Liver Disease (NAFLD): Accumulation of fat in the liver.
Alcoholic Liver Disease: Liver damage caused by excessive alcohol consumption.
Cirrhosis: Advanced scarring of the liver tissue.

Gamma-glutamyl Transferase

Gamma-glutamyl transferase (GGT) is an enzyme found in various tissues, with the highest concentrations in the liver. GGT plays a role in the metabolism of glutathione, which is an antioxidant involved in the detoxification of certain substances in the body.

Liver Conditions Associated with Elevated GGT:

Biliary Obstruction: Blockage of the bile ducts can lead to increased GGT levels. This blockage may be due to gallstones, tumors, or other causes.

Liver Diseases: Various liver conditions, including hepatitis, cirrhosis, and fatty liver disease, may contribute to elevated GGT levels.

Alcohol Consumption: Elevated GGT levels are often observed in individuals who consume excessive amounts of alcohol. GGT is considered a sensitive marker for alcohol-related liver damage.

Other Conditions: Elevated GGT levels may also be associated with conditions outside the liver, such as pancreatic disorders, heart failure, and kidney disease.

Aspartate Transferase

Aspartate aminotransferase (AST), also known as serum glutamic oxaloacetic transaminase (SGOT), is an enzyme that plays a role in amino acid metabolism. AST is found in various tissues throughout the body, with higher concentrations in the liver, heart, muscles, and kidneys.

Liver Conditions Associated with Elevated AST:

Hepatitis: Inflammation of the liver, often due to viral infections (e.g., hepatitis B or C).
Cirrhosis: Scarring of the liver tissue.
Alcoholic Liver Disease: Liver damage caused by excessive alcohol consumption.
Liver Tumors: Presence of tumors in the liver.

Total Bilirubin

Total bilirubin is a compound produced by the breakdown of red blood cells in the body. It is a yellowish pigment and is excreted from the liver into the bile, which then enters the digestive tract. Bilirubin is responsible for the yellow color of bruises and the brown color of feces.

Elevated levels of total bilirubin may indicate various conditions, including liver diseases, hemolytic disorders (conditions where red blood cells are destroyed at an accelerated rate), or biliary obstruction (blockage of the bile ducts)

Albumin

Albumin is a protein produced by the liver and is one of the most abundant proteins in the blood plasma. It serves several important functions in the body, contributing to overall health and homeostasis. Abnormal albumin levels may be associated with various conditions, including liver disease, kidney disease, malnutrition, inflammation, and certain chronic illnesses. Low levels of albumin (hypoalbuminemia) can indicate impaired liver function or nutritional deficiencies.

Diabetes Health

Glucose

Glucose is a simple sugar and a primary source of energy for the body’s cells. It is a crucial component in the metabolic processes that provide energy for various physiological functions.

Monitoring blood glucose levels is particularly important for individuals with diabetes. Proper management of blood glucose helps prevent complications and promotes overall health.

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Common questions

Can I get these tests free on the NHS?

Put simply, no. The NHS doesn’t offer tests like ours unless you display symptoms and therefore is not preventative. The NHS does have a screening programme in place to screen for certain illnesses such as their breast screening programme in people of certain ages. However, the NHS does not offer preventative health checks as comprehensive as ours that you can have as a preventative measure. We also have advanced diagnostic technologies that are simply unavailable on the NHS such as Trucheck cancer screening and genetic testing amongst many other advanced diagnostic technologies.

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Unlike most other health check providers where you will be seen by healthcare practitioner like a phlebotomist our health checks are carried out by fully GMC registered doctors meaning you will be able to have in depth medical discussions about your health during your appointment and we will also personalise your health check based on the information you have provided us.

What happens if my results show a serious problem ?

If you have any serious issues that are discovered during your health check such as an abnormal ECG tracing then we would advise you straight away to attend the A&E department for emergency care with a letter from our clinical team. If there are any critical results discovered by our laboratory who analyse your blood samples we will contact you immediately, so you won’t need to wait for your full results report to arrive to take appropriate action. If your results come back as non critical but abnormal then our doctors reports will explain in detail what the next steps should be in your results report. You also have the option to discuss your results in detail with our doctors either face to face in clinic or via video conferencing. You also have this option with any of our home blood tests and it can be arranged in your dashboard once your results are ready or by contacting us directly.

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When your results are ready you will be notified via email and you will be able to access them in your online dashboard.

Do I need to fast before my appointment ?

Some of our health checks require you to fast for 6 hours prior to your appointment. As soon as you book your appointment one of our account managers will contct you within 24 hours to explain everything you need to do prior to your appointment as well as go over any questions or concerns that you might have.

Do I have to get undressed during my appointment ?

No, our health checks are all non-invasive, and most just require a couple of small blood samples and a few key body measurements which may also include a urine sample. If your package includes a body composition scan, you will be asked to take off your shoes and socks. If your package includes a 12 – lead ECG heart tracing then we will need to be able to apply ECG stickers across your chest so it is advisable to wear loose clothing for this. Full preparation instructions will be provided to your from one of our account managers when you book your appointment.

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Your blood samples and other readings will be analysed by one of the leading laboratories in the UK which we have established partnerships with who are fully UKAS accredited. Once they have analysed your samples and readings, your test results are sent securely to our in-house clinical team who will then create a detailed reports which will be uploaded on to your dashboard or sent to your address in a personalised results brochure.

How long will my appointment last ?

The duration of your appointment will vary depending on the package you have selected however they generally last around 30-45 minutes. This may vary depending on discussion with our doctors and whether any further information is required. We try our best to ensure you have plenty of time to discuss any concerns you have in detail during your appointment.

I need to cancel / reschedule my appointment; how do I do this ?

If you find that you can no longer make your appointment date, or in the unlikely event that you’re not entirely satisfied before your assessment takes place (even on the day when you arrive at your clinic), please call one of our advisors on 0800 098 295 or email support@wordpress-1157522-4121942.cloudwaysapps.com You can either cancel your appointment and have a refund, or we will happily rearrange your appointment date or time subject to current availability.

How trustworthy is Neuwell ?

All health assessments are performed by a Fully GMC Registered Doctors with your samples analysed by a UKAS (UK Accreditation Service) laboratory in the UK. The UKAS provides accreditation to the internationally recognised ISO 15189 Medical Laboratories: Requirements for Quality and Competence standard. Results are subjected to strict internal and external quality control. We are also Cyber Essentials Certified and we are registered with the Information Commisioners Office so you can be assured that your data is also in safe hands. You can read more about how we process your data on our privacy policy

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