Know exactly where you stand.
140 biomarkers across every system in your body, read together rather than one at a time, clinician-reviewed before you see a word, and explained in plain English. Whether you feel fine and want a baseline, or you don't and want answers.
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Most providers send results with a reference range and a colour. You are left to work out what a low ferritin, a high hs-CRP and a borderline TSH mean together. Our reporting was designed by biochemists and data scientists to do that work for you.
Your ferritin is 22 µg/L. This sits inside the laboratory range, which is why previous tests may have been reported as normal. Functionally, iron stores this low are a common cause of fatigue, poor exercise recovery and disturbed sleep, and your slightly raised RDW suggests this has been building for months rather than weeks. Your hs-CRP is low, so the ferritin reading is not being masked by inflammation and can be trusted.
140 results is a lot to hold in your head. Every Ultimate report distils them into two figures you can act on, remember, and watch move.
Your calendar age is a fact. Your biological age is a measurement. PhenoAge is a validated estimate of how your body is actually ageing, calculated from nine markers of inflammation, metabolism, kidney and liver function and blood cell health, and it is on every Ultimate report.
Every marker is scored on how far it sits from ideal, weighted by how much its system matters for long-term health, then combined into one number. It is capped by your most serious finding, so a result that needs a GP can never be hidden by a hundred good ones.
Both come with every Ultimate panel. Neither costs extra.
If your report flags nothing as sub-optimal, we refund the full panel price. We are confident enough in the depth of this test, and in the reporting behind it, that we will stake the fee on it finding something worth knowing.
Applies to the panel price. Guarantee terms.
You get a dedicated account manager for life. If you have a question about your report, what a result means, or when to test again, you have a named person to ask. We will never leave someone in the dark about their own results, and no question about your report will go unanswered.
Your account manager explains your report; they do not give medical advice or replace your GP.
No apps. No gimmicks. No subscriptions. Serious blood testing done properly.
I needed a check on my underlying health because of a gum problem I was having. This service has proved perfect for me: the booking process was straightforward, my blood was taken at my home by an efficient practicioner and the report was really well structured. I was worried that the analysis of my tests would be purely AI-driven but it was obvious that my circumstances had been fully understood and addressed. I particularly liked the breakdown of the "What next?" information so that I had ready-made summaries of what to present back to the specialists I would be seeing about my gum problem, as well as a suggested health regime for me to follow to address the issues suggested by my blood tests.
Having never undertaken any kind of bio marker testing, we chose True Vitals, as they seemed to test for more than others at a competitive price. … We did the Ultimate Panel, and being fit and healthy, I was surprised at what was flagged on the results. I would have been oblivious without the tests. Once your results are in, James and the team are responsive and so helpful with information, guidance and suggestions. Thank you James!! If you care about longevity and can afford it, I can’t recommend it enough. I will be repeating every year from now on.
Absolutely excellent life changing results.
Foundations, specialist screening and everything in between. Markers marked Ultimate are not available on any other TrueVitals panel.
Full blood count, reticulocytes and ESR: red cells, white cells, platelets and sedimentation rate.
Full cholesterol panel, Apolipoprotein A-1 and B, VLDL, non-HDL, Lp(a), remnant cholesterol and creatine kinase.
High sensitivity CRP and neutrophil-to-lymphocyte ratio: precise systemic and cardiovascular inflammation.
ALT, AST, GGT, ALP, bilirubin, albumin, total protein, globulin and albumin/globulin ratio.
Creatinine, eGFR, Cystatin C, urea, uric acid, bicarbonate, anion gap and full electrolytes.
Glucose, HbA1c, insulin, C-peptide, HOMA-IR and HOMA-B: insulin resistance and beta-cell function.
Full iron panel, B12, folate, vitamin D and total antioxidant status.
TSH, Free T3, Free T4, TPO and thyroglobulin antibodies plus parathyroid hormone.
Calcium, corrected calcium, phosphate and magnesium.
Testosterone, SHBG, free androgen index, LH, FSH, oestradiol, progesterone, prolactin, cortisol and DHEA-S.
CEA, CA 19-9, PSA total, free and ratio for men, CA-125 and CA 15-3 for women. Screening support, not a diagnosis.
IgG, IgM, IgA, IgE and rheumatoid factor: immune profiling and autoimmune screening.
Amylase, lipase and anti-tTG: digestive enzyme function and coeliac screening.
Twelve-point urinalysis including casts, bacterial count and culture with sensitivities.
29 validated indices derived from your results (FIB-4 and APRI for liver fibrosis, cystatin C eGFRs, calculated free and bioavailable testosterone, Lp(a)-corrected LDL, TyG and more), plus PhenoAge, a cardiovascular risk score and your TrueScore.
Type any marker to check it is included, or browse by system below.
A standard screen tests a handful of markers and compares each one, alone, against a range wide enough to include people who are already unwell. All three of these are inside range. All three can be why someone feels the way they do.
The lab cut-off is 15. Symptoms of iron deficiency begin below about 50, and NICE recommends iron for restless legs below 75. The screen says fine. The person is exhausted.
Inside the reference range. But a TSH at the top of it with a low free T3 and positive antibodies is a thyroid that is failing slowly, and free T3 and antibodies are almost never on the screen.
Reassuring on its own. Around one in five people with acceptable LDL has a high ApoB, the particle count that actually predicts heart disease. ApoB is not on a standard lipid panel.
None of these is found by testing more of the same things. They are found by testing the right things, and reading them against each other.
An honest side-by-side. The hospital assessment and the postal kit each do something well; neither does what this does.
| NHS or GP screen | Finger-prick postal kit | Private hospital health check | TrueVitals Ultimate | |
|---|---|---|---|---|
| Blood markers | Roughly 8 to 20 | Up to about 50, limited by sample volume | Roughly 30 to 40 | 140, including 29 clinical indices, PhenoAge and TrueScore |
| ApoB, Lp(a), fasting insulin, cystatin C | No | Rarely, and not all together | Rarely | All four |
| Sample | Venous | Finger-prick, self-collected, posted | Venous | Venous, by a registered phlebotomist, in clinic or at home |
| Who reads it | Your GP, briefly, if abnormal | Automated comment, doctor review usually extra | A consultation on the day | Cross-analysed report, clinician-reviewed as standard |
| What you keep | A line in your record | Results in an app | A summary letter | A written report on every system, compared with your last test, and a named account manager |
| Guarantee | — | — | — | No findings, no fee. Full understanding guaranteed. |
| Cost | Free, if you can get it | £100 to £300 | £600 to £1,200 | £399 including the clinic blood draw (home visit +£29) |
Figures are approximate from public UK listings in 2026. Named comparisons: Medichecks, Thriva, Randox, Bupa, Nuffield, every UK provider ranked.
Advanced is a comprehensive panel and it suits plenty of people. Ultimate adds the specialist screening, the complete hormone picture and the metabolic depth that Advanced leaves out.
103 partner clinic locations across the UK, and a registered phlebotomist who comes to your home or office anywhere in the country. The sample, the laboratory and the report are identical either way.
Check your nearest locationPick one of 103 partner clinic locations, or have a phlebotomist come to you.
A registered phlebotomist takes a venous blood draw and a urine sample. Around ten minutes.
All lab markers are processed through UKAS-accredited UK laboratory workflows, then 29 clinical indices are calculated from your results.
Every marker is cross-analysed, a clinician reviews it, and your report lands within 4 working days of your draw.
You've been told your bloods are "fine" and you still don't feel fine.
You train seriously and want to know what's actually limiting recovery, not just whether you sit inside a population range.
You're on HRT, TRT or coming off something, and you want the whole hormone picture tracked rather than two markers at a time.
You want one deep baseline now, so everything you do next has something honest to be measured against.
You're past 40 and want screening breadth rather than a cholesterol check.
You'd rather pay once for the full picture than three times for pieces of it.
If your report flags nothing as sub-optimal across all 140 markers, we refund the full panel price. In practice, a panel this deep almost always finds something worth acting on, which is exactly why we can offer it. The refund covers the panel itself, not the blood draw, and full terms are in our refund policy.
They are your named point of contact for anything about your report: what a result means, how two results relate, when it makes sense to retest, and what to take to your GP. They explain your report; they do not give medical advice, diagnose or prescribe. The guarantee is that no question about your report goes unanswered.
Every report is clinician-reviewed before it is released to you. This is standard on every panel, not an add-on. Our reporting is designed by biochemists and data scientists to cross-analyse every marker; the clinician review checks the interpretation before you read it.
Use the search box in the biomarker section above. Type any marker name and it will tell you instantly whether it is on the panel. All 140 are listed there, grouped by system.
Yes. Klarna splits it into three interest-free payments of £133, taken a month apart. You choose it at checkout and there is no interest or fee if you pay on schedule.
No, and this is not a finger-prick kit. A registered phlebotomist takes a venous blood draw and a urine sample, either at one of 103 partner clinic locations or at your home. Venous collection is the only reliable method across a panel this size.
66 further biomarkers. The complete hormone picture (FSH, oestradiol, progesterone, prolactin), tumour markers, immunoglobulins and autoimmune screening, gut and coeliac markers, deeper metabolic profiling (insulin, C-peptide, HOMA-IR, HOMA-B, TyG), Cystatin C with two further eGFRs, Lp(a) and Lp(a)-corrected LDL, parathyroid hormone, hs-CRP, urinalysis with culture and sensitivities, globulin, ESR, and the liver fibrosis scores FIB-4, APRI and NAFLD Fibrosis Score.
29 of the 140 are clinical indices derived from measured values, the way a specialist would work them out by hand. FIB-4 and APRI turn your liver enzymes and platelets into a fibrosis risk score. Cystatin C and creatinine are combined into the most accurate kidney estimate available. Free testosterone is calculated from total testosterone, SHBG and albumin using the reference method. Lp(a)-corrected LDL shows how much of your LDL is actually modifiable. Each one is only ever flagged when one of the results behind it is itself outside the ideal range, so a calculated score never contradicts the measurements it comes from.
No. Tumour markers are not diagnostic on their own and can be raised or normal for reasons unrelated to cancer. They are included as part of broader screening and should be read alongside professional medical advice. Your report gives context, and anything of concern should be discussed with your GP or a specialist.
Yes. PSA total, free and ratio are tested for men. CA-125 and CA 15-3 are tested for women. That is why the count is 140 for men and 139 for women. Everything else is tested for everyone.
PhenoAge is a published biological age estimate (Levine et al., 2018) calculated from nine of your blood markers together with your actual age; it tells you whether your body is ageing faster or slower than the calendar. TrueScore is our overall rating out of 100: every marker scored on its distance from ideal, weighted by system, and capped by your most serious finding so nothing important can be averaged away. Both are on every Ultimate report and both are designed to be tracked from one test to the next.
No. You pay once for the panel, you get a full written report and a dashboard that keeps every test you ever do with us side by side. Nothing to download, nothing recurring, nothing to cancel. If you want to test again in a year, you book again.
Your full report is delivered within a maximum of 4 working days of your blood draw.
Every repeat test compares against your own history rather than a population average. The report tracks how each marker has moved, flags trends, and offers likely explanations for shifts. One test is a snapshot. Two is a direction.
Every major health system, cross-analysed and clinician-reviewed before you see it. No findings, no fee. Full understanding guaranteed.
Ultimate is the panel most people should have, but the reason differs. These guides explain which markers matter for a particular question, and which panel covers them. Or take the two-minute quiz.
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