Testing Frequency

How Often Should You
Get a Blood Test?

One blood test is a snapshot. Two tests show a direction. Regular testing turns isolated data points into a health trajectory that reveals trends, confirms interventions are working, and catches problems before they develop symptoms.

Recommended Frequency

Testing frequency by situation

General health (no specific concerns): annually

An annual comprehensive blood test is the minimum for proactive health management. It establishes your personal baseline, tracks age-related changes, and catches early warning signs for cardiovascular disease, diabetes, thyroid dysfunction, and nutrient deficiencies before symptoms develop. Think of it as your annual health MOT. Over-40s testing guide.

Athletes and active individuals: every 6 months

Training stress affects iron, thyroid, testosterone, cortisol, and inflammatory markers. Testing every 6 months reveals whether your training is building you up or breaking you down, and whether your recovery, nutrition, and supplementation are adequate. Pre-season and mid-season testing is ideal for competitive athletes. Athletes testing guide.

Perimenopause and menopause: every 6-12 months

Hormones fluctuate significantly during perimenopause. Testing every 6 to 12 months tracks the transition, monitors cardiovascular and metabolic risk shifts, and confirms HRT is achieving therapeutic levels if prescribed. Post-menopause, annual testing is the minimum. Menopause testing guide.

On HRT, TRT, or medication: every 6 months

Hormone replacement, testosterone therapy, thyroid medication, statins, and metformin all require monitoring. Testing every 6 months confirms levels are therapeutic, side effects are not developing, and liver and kidney function remain healthy.

Managing a diagnosed condition: every 3-6 months

Diabetes, thyroid disease, PCOS, anaemia, autoimmune conditions, and cardiovascular risk factors all benefit from more frequent monitoring during active management. Testing confirms interventions are working and guides dose adjustments.

Post-lifestyle change: 3 months after starting

Changed your diet, started a new supplement protocol, begun a training programme, or made a major lifestyle shift? Retest after 3 months to see what has actually changed. Without retesting, you are guessing whether your intervention is working. Weight loss testing guide.

First comprehensive test ever: do it now, retest in 6 months

Your first comprehensive blood test establishes your personal baseline. Retest in 6 months to confirm the baseline and identify any early trends. After that, annually unless a specific situation moves you to a more frequent schedule.

Why Tracking Matters

A single test is useful. A series of tests is powerful.

A ferritin of 45 is "in range." But if your ferritin was 90 last year and 65 six months ago, that downward trend reveals a developing iron depletion problem that a single snapshot would miss entirely. The same applies to thyroid markers, testosterone, HbA1c, ApoB, and almost every other biomarker. Direction matters as much as position.

TrueVitals tracks your results across multiple tests and uses AI-powered analysis to identify trends, flag accelerating changes, and provide context for shifts. Your second report is significantly more valuable than your first because it has a comparison point. Your third is better again. Over time, you build a personal health dataset that is uniquely yours. How to read your results.

Your first test starts here

114 biomarkers. AI-powered personalised report. Results in 48 hours. The baseline your future health decisions will build on. £349.