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Advanced Tiredness & Chronic Fatigue Blood Test

Advanced Tiredness & Chronic Fatigue Blood Test

Comprehensive fatigue solution. Deep dive with this 26-biomarker blood test. Includes FBC, Iron, full Thyroid, Vitamins (D, B12, Folate) & Diabetes (HbA1c) to uncover complex energy issues.
Regular price £183.10
Sale price £183.10 Regular price
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Expected delivery date:
05 Aug Usually ready in 2-3 days.

Product Specifications

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We all feel tired from time to time, especially after a demanding week, a heavy training block, or recovering from a recent virus. But when exhaustion becomes your baseline and you are constantly waking up drained, struggling with brain fog, or experiencing low mood, it is no longer just "everyday tiredness". In the clinical world, this is known as TATT (Tired All The Time), and it is often a silent distress signal from your body.

The Optimal You Advanced Tiredness, Fatigue & Vitality Investigation Blood Test is our most comprehensive clinical audit for chronic low energy. While basic checks might only look at your iron levels, this advanced 26-biomarker panel dives deep to assess the most common, treatable medical causes of chronic fatigue.

By mapping your complete blood count, thyroid engine, blood sugar regulation, systemic inflammation, and essential cellular vitamins, this test isolates the physiological roadblocks stealing your vitality. Stop guessing with caffeine and generic supplements—get the precise, laboratory-backed answers you need to reclaim your energy and get back to living life at full strength.

Key Core Benefits

  • Identify medical causes of chronic exhaustion (TATT)
  • Complete red blood cell screen for oxygen-carrying power
  • Check metabolic thyroid hormones and diabetes markers
  • Pinpoint critical energy vitamin deficiencies (D, B12, Folate)
  • Fast three-day turnaround with a bespoke UK doctor report

The Four Energy Roadblocks We Investigate

Our medical team analyses 26 targeted biomarkers to isolate exactly what is causing your physical and mental fatigue:

🩸 1. Anaemia & Oxygen Depletion

To feel energetic, your organs and muscles require a constant, rich supply of oxygen. This profile features a Full Blood Count (FBC) to check the size, shape, and health of your red blood cells. We combine this with a comprehensive Iron Status panel—including Ferritin—and vitamins Active B12 and Folate. If your body is short on these key building blocks, your oxygen transport system stalls, leaving you feeling physically weak, breathless, and chronically fatigued.

💡 Proactive Health Tip: Iron deficiency in the UK is frequently caused by microscopic, hidden bleeding in the gut. If your results show low iron or ferritin, you can easily add on a qFIT test to screen for hidden lower GI bleeding.

🦋 2. A Sluggish Metabolic Engine (Thyroid)

Your thyroid gland regulates your cellular energy production. An underactive thyroid (hypothyroidism) slows down your entire metabolic rate, resulting in severe physical fatigue, low mood, and unexplained weight gain. This test checks your core thyroid hormones (TSH and Free T4) to ensure your metabolism is running efficiently.

📉 3. Poor Blood Sugar Control & Pre-Diabetes

Struggling with constant energy crashes, especially after eating? Persistent fatigue can be an early indicator of type 2 diabetes or insulin resistance. We check your HbA1c (Glycated Haemoglobin) to secure an unalterable, average look at your blood sugar levels over the last three months, allowing you to intercept metabolic dysfunction early.

☀️ 4. Low Vitamin D & Systemic Inflammation

Vitamin D plays a critical, hormone-like role in supporting muscle function, bone health, and active immune system defences. Deficiencies are incredibly common in the UK and are a primary driver of widespread bone aches and fatigue. We pair this check with High-Sensitivity C-Reactive Protein (hs-CRP) to rule out low-level systemic inflammation or recent infection as the cause of your physical drain.

What We Test: The 26 Vital Biomarkers

Our accredited UK laboratories cross-reference 26 distinct markers to build a complete energy map:

Health Category Biomarkers Checked Why This Is Critical For Your Energy
Vitamins Active Vitamin B12, Vitamin D, Serum Folate Vital micronutrients required for red blood cell development, nerve function, and immune resilience.
Iron Status Panel Ferritin, Circulating Iron, TIBC, Transferrin Saturation Evaluates circulating blood iron alongside your absolute hidden cellular iron storage reserves.
Thyroid Hormones TSH, Free Thyroxine (Free T4) Assesses your baseline thyroid engine to check cellular metabolic speed and daily fuel burning.
Diabetes Control HbA1c (Glycated Haemoglobin) Monitors long-term glucose control to identify energy-sapping insulin resistance or pre-diabetes.
Inflammation CRP HS (High-Sensitivity C-Reactive Protein) Detects hidden, low-level systemic inflammation or cellular tissue recovery strain.
Red Blood Cells (FBC) Haemoglobin, Haematocrit, Red Cell Count, MCV, MCH, MCHC, RDW A thorough cellular breakdown evaluating oxygen transport capacity and potential anaemic states.
White Blood Cells White Cell Count, Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils Checks your active immune system to rule out a recent virus or chronic infection as the source of your fatigue.
Clotting Status Platelet Count, MPV Monitors vital blood clotting cell volume and bone marrow production dynamics.

 

📊 Clinical Laboratory Limitations: Our accredited laboratories cannot provide exact numerical results for active Vitamin B12 levels when they sit above 150 pmol/L; these specific values will be safely displayed on your digital report as ">150 pmol/L".

📋 Essential Pre-Test Instructions

To guarantee absolute clinical accuracy and ensure your results reflect your true biological baseline, please follow these preparation guidelines:

Timing & Physical Recovery

  • Morning Blood Draw: You must collect your sample early in the morning between 6am and 10am. This is essential to establish accurate, standard baseline hormone and blood metrics.
  • Illness Recovery: Wait to take this test until any active symptoms of a short-term or acute illness (such as a cold, flu, or stomach bug) have completely settled, as active immune responses temporarily alter your baseline white blood cell metrics.

Medications & Supplements

  • Active B12 Restriction: Do not take any Vitamin B12 supplements for two weeks prior to this test. If B12 is medically prescribed, consult your doctor before pausing it.
  • Biotin Restriction: Avoid taking biotin supplements for two days before your test, as high-dose biotin can artificially disrupt laboratory thyroid hormone assays.
  • General Supplements: Take your blood sample at least 24 hours after your last dose of standard vitamin or mineral supplements.
  • Thyroid Medication Timing: If you take standard thyroxine, you can take your medication as usual, either before or after your blood test. However, if you take desiccated thyroid extract (DTE) or liothyronine, always collect your sample before taking your daily dose. Please declare if you take amiodarone or lithium in your supporting information.

How It Works

  1. Order Your Kit: Secure your test online. Because this comprehensive 26-biomarker profile requires a high-quality venous sample to accurately map your full blood count, it is performed via a professional venous draw.
  2. Flexible Collection: Arrange to have a professional, friendly nurse visit you at home for a quick draw, or choose a convenient appointment at one of our nationwide partner clinics.
  3. Accredited Laboratory Processing: Your sample is securely sent to our accredited UK laboratories. Your extensive health profile will securely upload to your online portal within an estimated 3 working days.
  4. Bespoke Doctor's Commentary: Every single check-up is medically reviewed by a qualified doctor. Your private digital dashboard will include a personalised report translating your raw data into clear, actionable guidelines to help you reclaim your energy.

Biomarkers Tested

Total Biomarkers: 26

Red Blood Cells
Haemoglobin: The iron-rich protein in red blood cells that carries oxygen to tissues; low levels typically indicate anaemia.
Haematocrit: A measure of the percentage of your blood volume that consists of red blood cells.
Red Cell Count: The total number of red blood cells circulating in the blood, essential for oxygen transport.
MCV: Mean Corpuscular Volume measures the average size of your red blood cells.
MCH: Mean Corpuscular Haemoglobin calculates the average amount of haemoglobin found inside a single red blood cell.
MCHC: Mean Corpuscular Haemoglobin Concentration measures the density of haemoglobin within a given volume of red blood cells.
RDW: Red Cell Distribution Width measures the variation in red blood cell size and volume.

White Blood Cells
White Cell Count: The total number of white blood cells, used to identify infection, inflammation, or immune system issues.
Neutrophils: The most abundant type of white blood cell, primarily responsible for fighting bacterial infections.
Lymphocytes: White blood cells that play a key role in the immune response, fighting viruses and producing antibodies.
Monocytes: Large white blood cells that help remove dead or damaged tissue and destroy bacteria.
Eosinophils: White blood cells involved in fighting parasitic infections and allergic reactions.
Basophils: The rarest white blood cells, involved in allergic responses and inflammation.

Clotting Status
Platelet Count: Measures the number of platelets in the blood, which are essential for blood clotting and wound healing.
MPV: Mean Platelet Volume measures the average size of your platelets, indicating the rate of platelet production.

Diabetes
HbA1c: Glycated haemoglobin, which provides an average of blood sugar levels over the past 2 to 3 months.

Inflammation
CRP HS: High-Sensitivity C-Reactive Protein is a marker of inflammation in the body, often used to assess cardiovascular risk.

Iron Status
Iron: Measures the amount of iron circulating in the blood.
TIBC: Total Iron Binding Capacity measures the blood's capacity to bind iron with transferrin.
Transferrin Saturation: Indicates the percentage of iron-binding sites on transferrin that are occupied by iron.
Ferritin: The primary protein that stores iron inside cells; the best indicator of total body iron stores.

Vitamins
Folate - Serum: Also known as Vitamin B9, it is crucial for red blood cell formation and healthy cell growth.
Vitamin B12 - Active: Measures the biologically active form of B12 available for the body to use.
Vitamin D: Essential for calcium absorption, bone health, and immune system function.

Thyroid Hormones
TSH: Thyroid Stimulating Hormone, produced by the pituitary gland to regulate the thyroid's hormone production.
Free Thyroxine: Also known as Free T4, the primary hormone produced by the thyroid gland, converted into T3 by the body.

How to prepare for your test

Prepare for your test by following these instructions.

Sample collection and timing
Take your sample between 6am and 10am.
Take this test when any symptoms of short-term illness have settled.

Medications and supplements
Take your sample at least 24 hours after any vitamin or mineral supplements.
Do not take biotin supplements for two days before this test, discuss this with your doctor if it is prescribed.
Do not take vitamin B12 for two weeks prior to this test.
If your B12 is prescribed ask your doctor whether to stop.
If you take levothyroxine or desiccated thyroid extract (DTE), take your blood test before your dose for the most accurate thyroid function results.
If you have to take your blood test later in the day, aim to leave at least six hours between taking levothyroxine medication and your blood draw (or 12 hours after DTE/T3 medication).
Please also let us know in the supporting information if you take amiodarone or lithium, as these can also affect your results.

Know Your Body

Know Your Body

Know Your Body

Know Your Body

  • Your Blood, Your Way

    Do at home with our kits or have a professional collection arranged.

  • Extensive Clinic Network Across the UK

    Arrange professional blood draws from on of our partnered clinics around the UK

  • Fast & Secure Delivery

    Safe and timely delivery of blood test collection kits to your doorstep.

  • Blood Diagnostics, Without The Wait

    Fast and convenient blood collection and diagnostics, without having to wait.

Optimal You Partner Clinic Finder

How Your Clinic Visit Works

  1. Find a Location: Enter your postcode in the finder above to discover your nearest approved clinic.
  2. Book Your Sample Draw: Follow the clinic links sent to you from our partners to confirm your appointment time.
  3. Bring Your Kit: Attend your appointment with your Optimal You test kit and pre-printed blood sample collection materials.
  4. Rapid Results: Once drawn, your sample is safely couriered directly to our accredited laboratory network.

Why Choose a Venous Sample Draw?

While finger-prick kits offer convenient home collection, attending an accredited partner clinic for a professional venous sample draw ensures:

  • Maximum Biomarker Accuracy: Venous draws yield larger, higher-quality blood samples ideal for complex testing panels.
  • Low Risk of Hemolysis: Professional collection by trained phlebotomists prevents sample degradation.
  • Painless Experience: Fast and comfortable sample collection conducted by experienced medical professionals.

3 Simple Steps - How to Take Your Test

Step 1

Receiving Your Test Kit

Order your at home finger prict test with Optimal You. You'll receive everything you need within your kit along with pre-paid packaging for you to post your sample directly to our partner laboratory for analysis.

Step 2

Collecting Your Sample

Following the provided guide, use the simple finger-prick method to prick your finger and drip your blood sample directly into the vial.

Step 3

Receiving Your Results

Post your sample to the lab using the prepaid envelope and packaging enclosed. Your results will be securely sent to you via email within 3 working days (estimated)

Frequently Asked Questions

Frequently asked question about our blood testing and diagnostic services. If there is a question not answered feel free to contact us!

Are there any age restrictions for your tests?

Yes, our services are currently available only to individuals aged 18 and over. We require you to confirm your Date of Birth in your Customer Account area.

Can I book a professional to take my blood?

Yes! We offer options for a clinic visit or a nurse home visit for a professional venous draw. You can select this option when choosing which test is right for you!

If you prefer to book your own phlebotomist, no problem! Simply select this option prrior to processing your order and we will send the kit to your home for you to arrange your own clinic visit.

Can I share my results with my own GP?

Yes, and we encourage it! You can download your doctor-reviewed report as a PDF from your secure portal to share with your GP or specialist during your next appointment.

Can I take these tests if I am pregnant or breastfeeding?

While you can take the tests, pregnancy and breastfeeding significantly alter your hormone and nutrient levels. This means our standard "normal" ranges may not apply to you. We recommend consulting your midwife or GP before ordering.

Can I use these tests to monitor an existing medical condition?

Our tests are excellent for tracking trends and monitoring wellness. However, they should not be used to self-diagnose or adjust prescribed medication without first consulting your treating physician and GP.

Do I need a doctor’s referral or a prescription?

No. Optimal You provides a private service that allows you to take control of your health data without needing to visit a GP first.

How do I get started with a blood test?

Simply choose your test on our website and checkout. 

Whilst on the particular test you are looking to purchase, select a test type from the drop down. You have three or four options depending on the type of test you are purchasing:

At Home Finger Prick Blood Test - You will receive you sample kit via the post. Simply follow the instructions enclosed and return using the packaging provided.

Book a Venous Draw at a Clinic - You will receive an email after you have processed your order containing instructions on how to book your clinic appointment. Our partners have national coverage of the UK to make your sample collection convenient to you whilst maintaining our quick service times. You can find your closest clinic via our partner medichecks on our clinic finder page.

Book a Venous Draw at Home with a Nurse - Once you have chosen this option, simply go through our checkout process, a nurse will be in touch to book your at home visit to complete your sample.

Self arrange a Profesional Sample Collection - You will receive your sample collection kit in the post for you to take to your chosen phlebotomy clinic. Note you will be responsible for arranging your appointment and for any associated fees.

How long does it take to get my results?

Most results are ready within 2–5 working days after the lab receives your sample. You will receive an email notification as soon as they are ready.

How soon do I need to post my sample back?

To ensure the stability of your biomarkers, you should post your sample on thesame dayyou collect it. Avoid collecting samples on a Friday afternoon or over the weekend to prevent them from sitting in the post; Monday through Thursday is best.

Is my data secure?

Absolutely. We use industry-standard encryption, and your data is stored securely in compliance with GDPR. Only you and our medical team have access to your results.

Is there a specific day or time I should take my sample?

Most tests are best performed first thing in a morning, especially if fasting is required. For hormonal tests (like Testosterone or Menopause profiles), we usually recommend collecting your sample before 10:00 AM when hormone levels are most stable.

You will receive additional guidance post purchase to give you all of the information needed as some tests have different guidelines.

What happens if I struggle to get enough blood from a finger-prick?

Don't worry, it happens! We include extra lancets in every kit. Pro tip: Make sure your hands are very warm (try soaking them in warm water) and stay well-hydrated for 24 hours before your test. If you still can't collect enough, contact us and we can help you arrange a venous blood draw instead.

What happens if my results are abnormal?

If a result is critically outside the normal range, our medical team will highlight this and provide clear guidance on the next steps during our contact with you, which may include you seeing your GP, going to A&E or calling the NHS on '111'.

What is the difference between a Finger-Prick and a Venous Draw?

A finger-prick is a self-collection kit done at home. A venous draw is a traditional blood sample taken from a vein by a professional. Some advanced tests (like our TRT or Enhanced Profiles) require a larger sample and are best done via a venous draw.

Who reviews my results?

Every report is reviewed by a qualified UK doctor. They provide personalized comments to help you understand what your biomarkers mean for your health.

Why are my results different from a previous test I had?

Biomarkers can fluctuate based on the time of day, your diet, stress levels, recent exercise, or even the lab equipment used. This is why we focus on "ranges." If you see a significant change, our medical team’s comments will help put that data into context.

Person holding an orange 'Sample Collection Kit' from Optimal You against a plain background

Advanced Tiredness & Chronic Fatigue Blood Test

Regular price £183.10
Sale price £183.10 Regular price