Complete Metabolic Panel
Comprehensive metabolic panel: electrolytes, kidney, liver, glucose, HbA1c, and protein.
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Included Markers
16 markersThe complete metabolic panel measures a wide range of markers related to organ function and metabolic balance. It includes electrolytes, kidney and liver markers, glucose regulation, and protein levels, providing a detailed look at how your body is processing and regulating its internal environment.
Why this test?
Your body maintains a careful balance of electrolytes, sugars, proteins, and waste products. Shifts in these values can occur gradually and may not cause noticeable symptoms in the early stages. A metabolic panel can help identify changes in kidney filtration, liver processing, blood sugar regulation, or electrolyte levels before they become apparent through symptoms.
Who is this test for?
This test may be relevant for:
- People who want a detailed view of their metabolic health
- Those who are monitoring kidney or liver function
- Anyone interested in their blood sugar regulation
- People taking medications that may affect electrolyte or organ function
- Those who want to understand how their body is processing nutrients and waste
What is tested?
This panel includes the following markers:
- Albumin: a protein produced by the liver, involved in fluid balance
- ALP (Alkaline Phosphatase): an enzyme found in the liver and bones
- ALT and AST: liver enzymes that may indicate liver cell activity
- Bicarbonate: helps regulate the body's acid-base balance
- Bilirubin (Total): a waste product from red blood cell breakdown, processed by the liver
- Calcium: involved in bone health, muscle function, and nerve signalling
- Chloride: an electrolyte that helps maintain fluid balance
- Creatinine and eGFR: reflect kidney filtration capacity
- Glucose (Fasting): a measure of blood sugar at the time of the test
- HbA1c: reflects average blood sugar levels over 2 to 3 months
- Potassium: an electrolyte involved in heart and muscle function
- Sodium: an electrolyte involved in fluid and blood pressure regulation
- Total Protein: a combined measure of albumin and globulin in the blood
- Urea (BUN): a waste product filtered by the kidneys
What can this test tell you?
The markers in this panel cover several interconnected systems. Creatinine and eGFR can reflect kidney filtration capacity, while urea provides additional context about protein metabolism and kidney function. Liver enzymes such as ALT and AST may indicate how actively liver cells are working. Electrolyte levels can point to fluid balance and hydration status.
Glucose and HbA1c together provide a picture of both short-term and longer-term blood sugar regulation. Protein markers may reflect nutritional status and liver production capacity. The results are most meaningful when interpreted as a whole rather than in isolation.
How is the sample collected?
This test uses a blood sample collected at a certified sample point (afnamepunt). With over 750 partner locations across the Netherlands, you can select a location that works for you. You can book online or walk in. A trained phlebotomist performs the blood draw, and results are typically available within a few working days.
When is this test useful?
This test may be useful when:
- You want a detailed overview of your metabolic and organ function
- You are taking medications that may affect your liver, kidneys, or electrolytes
- You have a family history of kidney disease, liver conditions, or diabetes
- You want to monitor how your body responds to dietary or lifestyle changes
What do the results mean?
Each marker is shown alongside a reference range. Values within range generally suggest normal function for that parameter. When a value falls outside the range, it may point to an area worth discussing with a healthcare provider. For example, an elevated creatinine with a reduced eGFR may suggest altered kidney filtration, while elevated liver enzymes may reflect increased liver cell activity.
Individual values can fluctuate based on hydration, diet, and timing. A healthcare provider can help interpret the results in the context of your overall health.
Preparation
Fasting for 8 to 12 hours before your appointment is required for accurate glucose results. Water is allowed during the fasting period. Morning collection is recommended for the most consistent readings. Avoid strenuous exercise in the 24 hours before the test.
What happens after the results?
Your results are typically available within a few working days. The report includes your measured values, reference ranges, and plain-language explanations for each marker. If any values fall outside the expected range, this is clearly indicated. We recommend reviewing the results with a healthcare provider, who can assess them in the context of your health history and advise on any follow-up.
Frequently Asked Questions
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Receive your lab referral
Within 2-3 hours you'll receive an email from ZorgDomein with a barcode. Orders outside business hours are processed the next business day.
Get tested at a lab near you
Show the barcode on your phone and bring a valid ID. Done in under 15 minutes.
Receive your report from the doctor
A BIG-registered physician reviews your results and writes a personal report. On your dashboard within a few business days.
Choose your blood test
Browse our blood tests and pick what you want checked. Compare markers and prices, or build a custom test.
Receive your lab referral
Within 2-3 hours you'll receive an email from ZorgDomein with a barcode. Orders outside business hours are processed the next business day.
Get tested at a lab near you
Show the barcode on your phone and bring a valid ID. Done in under 15 minutes.
Receive your report from the doctor
A BIG-registered physician reviews your results and writes a personal report. On your dashboard within a few business days.
Always a location near you
With more than 650+ certified phlebotomy points across the Netherlands.
What We Test
This health panel includes 16 biomarkers to give you a comprehensive picture of your health.
Bicarbonate is an electrolyte that helps maintain the body's acid-base balance. It acts as a buffer in the blood, neutralising excess acids and helping to keep your pH within a healthy range.
Learn moreCalcium is the most abundant mineral in the body, essential for strong bones and teeth, muscle contraction, nerve signalling, and blood clotting. Most calcium is stored in bones and teeth, with a small amount circulating in the blood.
Learn moreChloride is an essential electrolyte that helps maintain fluid balance, blood pressure, and the body's acid-base equilibrium. It works closely with sodium and potassium to regulate these vital functions.
Learn morePotassium is an essential electrolyte and mineral that helps regulate heartbeat, muscle contractions, nerve signals, and fluid balance. It is one of the most important minerals for cardiovascular health.
Learn moreSodium is a vital electrolyte that regulates fluid balance, blood pressure, and nerve and muscle function. It is the primary cation in extracellular fluid and is closely regulated by the kidneys.
Learn moreFasting glucose measures the level of sugar (glucose) in your blood after an overnight fast. It is one of the primary tests used to screen for and monitor diabetes and pre-diabetes.
Learn moreHbA1c (glycated haemoglobin) reflects your average blood sugar levels over the past 2-3 months. It is the gold standard for long-term blood sugar monitoring and diabetes management.
Learn moreAlbumin is the most abundant protein in the blood, produced by the liver. It maintains fluid balance, transports hormones and nutrients, and serves as an indicator of liver and kidney function.
Learn moreAlkaline Phosphatase (ALP) is an enzyme found in the liver, bones, kidneys, and digestive system. ALP levels can help evaluate liver health, bone disorders, and bile duct function.
Learn moreALT (alanine aminotransferase) is a liver enzyme that serves as a key indicator of liver health. Elevated levels may suggest liver cell damage and can be associated with various liver conditions.
Learn moreAST (aspartate aminotransferase) is an enzyme found in the liver, heart, and muscle cells. Elevated levels may indicate liver damage, but because AST is present in multiple tissues, results are best interpreted alongside other liver markers such as ALT.
Learn moreTotal bilirubin measures the combined amount of direct and indirect bilirubin in your blood. Bilirubin is a waste product formed during the normal breakdown of red blood cells, and elevated levels may indicate liver disease, bile duct problems, or increased red blood cell destruction.
Learn moreBUN (blood urea nitrogen) measures the amount of urea nitrogen in your blood, a waste product formed when the body breaks down protein. It is primarily used to evaluate kidney function and can be influenced by diet, hydration status, and liver health.
Learn moreCreatinine is a waste product generated by normal muscle metabolism that is filtered out of the blood by the kidneys. It is widely regarded as the gold standard marker for evaluating kidney function, as consistent production makes it a reliable indicator of filtration efficiency.
Learn moreeGFR (estimated glomerular filtration rate) is a calculated measure of how effectively your kidneys filter waste from the blood. It is the gold standard for diagnosing and staging chronic kidney disease and is derived from blood creatinine or cystatin C levels along with demographic factors.
Learn moreTotal protein measures the combined amount of albumin and globulins in your blood. These proteins play essential roles in maintaining fluid balance, fighting infections, transporting substances, and supporting tissue repair.
Learn moreBicarbonate
MineralsBicarbonate is an electrolyte that helps maintain the body's acid-base balance. It acts as a buffer in the blood, neutralising excess acids and helping to keep your pH within a healthy range.
Proper bicarbonate levels are essential for maintaining blood pH. Imbalances may indicate respiratory or metabolic conditions and can affect organ function. Consult your healthcare provider for interpretation of your results.
Calcium
MineralsCalcium is the most abundant mineral in the body, essential for strong bones and teeth, muscle contraction, nerve signalling, and blood clotting. Most calcium is stored in bones and teeth, with a small amount circulating in the blood.
Calcium balance is critical for bone health, heart function, and muscle contraction. Abnormal levels may be associated with bone disorders, parathyroid conditions, or kidney problems. Consult your healthcare provider for personalised advice.
Chloride
MineralsChloride is an essential electrolyte that helps maintain fluid balance, blood pressure, and the body's acid-base equilibrium. It works closely with sodium and potassium to regulate these vital functions.
Chloride imbalances can indicate dehydration, kidney disease, or acid-base disturbances. Maintaining proper chloride levels is important for overall metabolic health. Consult your healthcare provider for result interpretation.
Potassium
MineralsPotassium is an essential electrolyte and mineral that helps regulate heartbeat, muscle contractions, nerve signals, and fluid balance. It is one of the most important minerals for cardiovascular health.
Potassium is critical for maintaining heart rhythm, blood pressure regulation, and proper muscle function. Both low and high levels can be dangerous and may require medical attention. Consult your healthcare provider for interpretation.
Sodium
MineralsSodium is a vital electrolyte that regulates fluid balance, blood pressure, and nerve and muscle function. It is the primary cation in extracellular fluid and is closely regulated by the kidneys.
Sodium balance is essential for proper nerve transmission, muscle contraction, and blood pressure regulation. Significant imbalances can affect brain function and require medical attention. Consult your healthcare provider for guidance.
Glucose (Fasting)
MetabolicFasting glucose measures the level of sugar (glucose) in your blood after an overnight fast. It is one of the primary tests used to screen for and monitor diabetes and pre-diabetes.
Fasting glucose is a cornerstone of metabolic health assessment. Elevated levels may indicate pre-diabetes or diabetes, while very low levels can also be clinically significant. Consult your healthcare provider for interpretation.
HbA1c (Glycated Hemoglobin)
MetabolicHbA1c (glycated haemoglobin) reflects your average blood sugar levels over the past 2-3 months. It is the gold standard for long-term blood sugar monitoring and diabetes management.
HbA1c provides a long-term view of blood sugar control, unlike fasting glucose which reflects a single point in time. It is essential for diabetes diagnosis and management. Consult your healthcare provider.
Albumin
LiverAlbumin is the most abundant protein in the blood, produced by the liver. It maintains fluid balance, transports hormones and nutrients, and serves as an indicator of liver and kidney function.
Albumin is important for maintaining blood volume, transporting substances, and reflecting overall health status. Low levels may indicate liver disease, kidney disease, or malnutrition. Consult your healthcare provider.
ALP (Alkaline Phosphatase)
LiverAlkaline Phosphatase (ALP) is an enzyme found in the liver, bones, kidneys, and digestive system. ALP levels can help evaluate liver health, bone disorders, and bile duct function.
ALP is a useful screening marker for liver and bone conditions. Elevated levels may indicate bile duct obstruction, liver disease, or bone disorders. Consult your healthcare provider for interpretation.
ALT (Alanine Aminotransferase)
LiverALT (alanine aminotransferase) is a liver enzyme that serves as a key indicator of liver health. Elevated levels may suggest liver cell damage and can be associated with various liver conditions.
ALT levels provide important insight into liver function. Elevated levels may indicate conditions such as hepatitis, fatty liver disease, or medication-related liver damage. Early detection of elevated ALT can help identify liver problems before symptoms develop, allowing for timely intervention and lifestyle modifications.
AST (Aspartate Aminotransferase)
LiverAST (aspartate aminotransferase) is an enzyme found in the liver, heart, and muscle cells. Elevated levels may indicate liver damage, but because AST is present in multiple tissues, results are best interpreted alongside other liver markers such as ALT.
AST levels provide important information about the health of your liver, heart, and muscles. Elevated levels may be associated with conditions such as hepatitis, cirrhosis, heart attack, or muscle injury. When evaluated alongside ALT, the AST:ALT ratio can help your healthcare provider identify the underlying cause of liver enzyme elevation. An AST:ALT ratio greater than 2:1, for instance, may suggest alcohol-related liver damage.
Bilirubin (Total)
LiverTotal bilirubin measures the combined amount of direct and indirect bilirubin in your blood. Bilirubin is a waste product formed during the normal breakdown of red blood cells, and elevated levels may indicate liver disease, bile duct problems, or increased red blood cell destruction.
Total bilirubin is a fundamental marker for assessing liver function and diagnosing the cause of jaundice. By comparing total bilirubin with direct bilirubin, healthcare providers can determine whether elevation is due to liver disease, bile duct obstruction, or haemolysis. Mild elevations may occur in common and generally harmless conditions such as Gilbert syndrome, which affects approximately 5-10% of the population. However, significant elevations warrant further investigation to rule out serious underlying conditions.
Urea (BUN)
KidneyBUN (blood urea nitrogen) measures the amount of urea nitrogen in your blood, a waste product formed when the body breaks down protein. It is primarily used to evaluate kidney function and can be influenced by diet, hydration status, and liver health.
BUN is a valuable marker for assessing how effectively your kidneys are filtering waste from your blood. Elevated levels may indicate that the kidneys are not functioning optimally, which can be associated with dehydration, kidney disease, or other underlying conditions. Monitoring BUN alongside other kidney markers such as creatinine and eGFR provides a more comprehensive picture of renal health and helps detect potential problems early.
Creatinine
KidneyCreatinine is a waste product generated by normal muscle metabolism that is filtered out of the blood by the kidneys. It is widely regarded as the gold standard marker for evaluating kidney function, as consistent production makes it a reliable indicator of filtration efficiency.
Creatinine is central to assessing kidney health. It is used to calculate the estimated glomerular filtration rate (eGFR), which is the primary measure for staging chronic kidney disease. Early detection of rising creatinine levels can prompt timely intervention, helping to slow the progression of kidney damage. Monitoring creatinine is also important for adjusting medication dosages, as many drugs are cleared by the kidneys.
eGFR (Estimated Glomerular Filtration Rate)
KidneyeGFR (estimated glomerular filtration rate) is a calculated measure of how effectively your kidneys filter waste from the blood. It is the gold standard for diagnosing and staging chronic kidney disease and is derived from blood creatinine or cystatin C levels along with demographic factors.
eGFR is the most important single measure for assessing overall kidney function. It is used internationally to diagnose chronic kidney disease, determine its stage, and guide treatment decisions. Regular eGFR monitoring allows early detection of kidney function decline, often before symptoms appear. This is critical because early intervention can significantly slow the progression of kidney disease and reduce the risk of complications such as cardiovascular disease.
Total Protein
OtherTotal protein measures the combined amount of albumin and globulins in your blood. These proteins play essential roles in maintaining fluid balance, fighting infections, transporting substances, and supporting tissue repair.
Total protein levels provide a general overview of your nutritional status, liver function, kidney function, and immune system activity. Abnormal levels may prompt your healthcare provider to investigate specific protein fractions further.
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