Endocrine screening packages

About the package

The package includes the most essential thyroid tests that can reveal irregular thyroid function and an increase or decrease in the levels of the hormones it produces.

Who is it for?

We recommend our thyroid base package to patients who experience any of the following symptoms and complaints: weight loss in any direction, hair loss, dry skin, constipation, lethargy, coldness or sweating, loss of tolerance to heat, rapid heartbeat, arrhythmia, agitation, diarrhoea. All of the above may be due to under- or overactive thyroid glands of any origin.

How to prepare for the test?

Arrive for the test on an empty stomach, which means fasting for 12 hours (water is recommended) before 9:00. If you are taking thyroid medication, please consult your doctor about the time of the test.

Package parameters

• TSH
• free-T3
• free-T4.
  

About the package

The package includes the most essential thyroid tests that can reveal irregular thyroid function and an increase or decrease in the levels of the hormones it produces. It also tests parameters indicative of the most common autoimmune thyroid disease (Hashimoto-thyroiditis) and includes tests for other essential functions.

Who is it for?

We recommend our extended thyroid package to our patients who experience any of the following symptoms and complaints: weight changes in any direction, hair loss, dry skin, constipation, lethargy, coldness or sweating, loss of tolerance to heat, heart palpitations, arrhythmia, agitation, diarrhoea. All of the above may be due to under- or overactive thyroid glands of any origin.

How to prepare for the test?

Arrive for the test on an empty stomach, which means fasting for 12 hours (water is recommended).  

Package parameters

• Alanine aminotransferase (ALAT, GPT)
• Albumin
• Alkaline phosphatase (ALP)
• Anti-TPO (Anti-Tireoidea Peroxidase AT)
• Aspartate aminotransferase (ASAT, GOT)
• C reactive protein (CRP)
• Gamma-glutamyl transferase (GGT)
• Glucose (blood sugar)
• HDL cholesterol
• Uric acid
• Potassium (K)
• Urea
• Cholesterol
• Creatinine
• LDL cholesterol
• Sodium (Na)
• Total bilirubin
• Total protein
• T3 free function (fT3)
• T4 free function (fT4)
• Transferrin
• Triglycerides
• TSH (Thyroid Stimulating Hormone)
• Iron (Fe)
• Blood count with automatic blood count (qualitative blood count)

About the package

The package includes the most essential thyroid tests that can reveal irregular thyroid function and an increase or decrease in the levels of the hormones it produces. It also tests parameters indicative of the most common autoimmune thyroid disease (Hashimoto-thyroiditis), as well as specific parameters that are most often recommended by an endocrinologist, usually not at the first laboratory examination. In addition, the package includes tests for other essential functions.

Who is it for?

Our Thyroid MAX package is recommended for patients who experience any of the following symptoms and complaints: weight loss in any direction, hair loss, dry skin, constipation, lethargy, coldness or sweating, loss of tolerance to heat, rapid heartbeat, arrhythmia, agitation, diarrhoea. All of the above may be due to under- or overactive thyroid glands of any origin.

How to prepare for the test?

Arrive for the test on an empty stomach, which means fasting for 12 hours (water is recommended). 

Package parameters

• Alanine aminotransferase (ALAT, GPT)
• Albumin
• Alkaline phosphatase (ALP)
• Anti-TG (Anti-thyroglobulin AT)
• Anti-TPO (Anti-thyroid peroxidase AT)
• Aspartate aminotransferase (ASAT, GOT)
• C reactive protein (CRP)
• Gamma-glutamyl transferase (GGT)
• Glucose (blood sugar)
• HDL cholesterol
• Uric acid
• Iodine (serum)
• Potassium (K)
• Urea
• Cholesterol
• Creatinine
• LDL cholesterol
• Sodium (Na)
• Total bilirubin
• Total protein
• Reverse T3
• T3 free function (fT3)
• T4 free function (fT4)
• Thyroglobulin (TG)
• TRAK (anti-TSH receptor AT)
• Transferrin
• Triglyceride
• TSH (Thyroid Stimulating Hormone)
• Iron (Fe)
• Blood count with automatic blood count (qualitative blood count)

This package includes laboratory tests - excluding general laboratory tests - that characterise the hormonal status of the female menstrual cycle. In this test those essential hormones are checked that most gynecologist are asking for for their visit. Before the test, it is advisable to consult your gynaecologist about possible additional parameters.  

 How to prepare for the test?

Arrive for the test on an empty stomach, which means fasting for 12 hours (water is recommended) until 9:00. 

Package parameters

• FSH (Follicle Stimulating Hormone)
• LH (Luteinising Hormone)
• Estradiol
• Total testosterone
• SHBG (Sex Hormone Binding Globulin)
• Albumin
• Free and biologically active testosterone ( calculated )
• AMH Plus Prolactin
  

This package includes laboratory tests - excluding general laboratory tests - that characterise the hormonal status of the female menstrual cycle. In this test those essential hormones are checked that most gynecologist are asking for for their visit. Before the test, it is advisable to consult your gynaecologist about possible additional parameters.  

How to prepare for the test?

Arrive for the test on an empty stomach, which means fasting for 12 hours (water is recommended) until 9:00. 

Package parameters

• FSH (Follicle Stimulating Hormone)
• LH (Luteinising Hormone)
• Estradiol
• Progesterone
  
  

About the package

The test is designed to detect polycystic ovary syndrome (PCOS), a condition that often leads to female infertility if left untreated. The condition is named after the numerous superficial cystic (blistering) formations that can be detected by ultrasound scans of the ovaries. Affected patients are characterised by a complex hormonal and metabolic disorder, which is also associated with disturbances of the female menstrual cycle and can lead to difficulty conceiving, inability to conceive and infertility. It is also often associated with insulin resistance (IR) and thyroid problems. The prevalence among women of childbearing age is 7-15%.

The exact cause of PCOS is unknown, and both environmental and genetic factors contribute to its development, but in addition to the symptoms listed below, certain laboratory abnormalities are common and are investigated in the package.

Who is it for?

The PCOS package is recommended for people who are experiencing the following symptoms:

- missing menstrual cycles for up to several months (oligomenorrhoea) - when the average length of the cycle is longer than 35 days

- absence of menstruation (amenorrhoea) - when the cycle is longer than 180 days

- failure to ovulate, anovulatory cycles - findings: LH/FSH ratio greater than 2.5 and slightly elevated prolactin levels

- enlargement of both ovaries - detected by gynaecological or ultrasound findings tiny cysts on the surface of the ovaries in a row of pearls - detectable by ultrasound in 90% of cases

- increased hair on the face, chest - findings include elevated levels of free testosterone, DHEAS (male sex hormone) and androstenedione (androgenic steroid hormone), decreased SHBG (sex hormone binding protein) levels

- obesity (although PCOS is also common in people with a thin build) insulin resistance, i.e. disturbance of carbohydrate metabolism - findings: abnormal 3-point blood glucose and insulin curve on glucose load

- lipid metabolism disorder - findings: high total cholesterol, LDL-C and TG levels and low HDL-C levels

- associated hypothyroidism, Hashimoto's thyroiditis - TSH, fT4, fT3, anti-TPO abnormalities associated low vitamin D levels are also common

How to prepare for the test?

The package includes an oral glucose and insulin blood test. Please present for the test on an empty stomach, which means fasting for 12 hours (water is recommended). Also daily carbohydrate intake should not exceed 250 grams in the 3 days prior to the blood test. The glucose will be given for the test at the blood collection site, you do not need to bring anything. 

Package parameters

• Alanine aminotransferase (ALAT, GPT)
• Albumin
• Alkaline phosphatase (ALP)
• AMH Plus Androstenedione
• Anti-TPO (Anti-Tireoidea Peroxidase AT)
• Aspartate aminotransferase (ASAT, GOT)
• C reactive protein (CRP)
• DHEA-S (DHEA Sulphate)
• Vitamin D (Total 25-OH Vitamin D)
• FSH (Follicle Stimulating Hormone)
• fT3 (T3 free fraction)
• fT4 (T4 free fraction)
• Gamma-glutamyl transferase (GGT)
• Glucose (3-point, 0-60-120 min)
• HDL cholesterol
• LDL cholesterol
• Uric acid
• Insulin (3-point, 0-60-120 min)
• Potassium (K)
• Urea
• Cholesterol
• Creatinine
• Luteinizing Hormone (LH)
• Sodium (Na)
• Total protein
• Estradiol
• POCT blood sugar (rapid glucose test)
• Prolactin SHBG (Sex Hormone Binding Globulin)
• Total Testosterone
• Transferrin
• Triglycerides
• TSH (Thyroid Stimulating Hormone)
• Iron (Fe)
• Blood count with automatic blood count (qualitative blood count)
  
  

About the package

The test provides information about the body's inadequate insulin response. Insulin resistance is not a disease in its own right, but is associated with other conditions (cardiovascular disease, type 2 diabetes), but it is a reversible condition and early detection and treatment is essential to prevent the development of diabetes and metabolic syndrome. In women, insulin resistance is often associated with a condition called PCOS (polycystic ovary syndrome - a hormonal disorder of the female body that can lead to infertility), which can also be detected by testing.

Who is it for?

It is recommended for people who are overweight, have abdominal obesity, infertility problems and a sedentary lifestyle. It is also recommended for people with a suspected history of diabetes and for those with a family history of diabetes.

How to prepare for the examination?

Please arrive for the test on an empty stomach, which means fasting for 12 hours (water is recommended). Daily carbohydrate intake should not exceed 250 grams in the 3 days before the blood test. 75 grams of glucose will be given for the test at the blood collection site, you do not need to bring anything with you. 

Package parameters

• Alanine aminotransferase (ALAT, GPT)
• General urinalysis with sediment
• Aspartate aminotransferase (ASAT, GOT)
• C reactive protein (CRP)
• Vitamin D (Total 25-OH vitamin D)
• Gamma-glutamyl transferase (GGT)
• Glucose (blood glucose, 3-point, 0-60-120 min)
• HDL cholesterol
• Uric acid
• Insulin (3-point, 0-60-120 min)
• Urea
• Cholesterol
• Creatinine
• LDL cholesterol
• POCT blood glucose (rapid glucose test)
• Transferrin
• Triglycerides
• Iron (Fe)
• Blood count with automatic blood count (qualitative blood count)
  

About the package

Osteoporosis is also known as the "silent disease" because it initially has no clinical symptoms. Tests can be done to detect osteoporosis and reduced bone mass, to determine the likelihood of the individual developing the disease and whether the disease already has a hormonal or other cause. The effectiveness of treatment can also be monitored.

Who is it recommended for?

We recommend screening for osteoporosis to our patients with the following symptoms:

Women over 45 years of age, especially women (may also be related to reduced estrogen production)

• a family history of osteoporosis (parents, siblings, especially if associated with fractures)
• thin or short stature (lower initial bone mass)
• smoking
• leading a sedentary lifestyle
• often suffer from fractures
• has an unbalanced diet, resulting in reduced intake of vitamins and minerals (vitamin D and calcium)
• high consumption of soft drinks, caffeinated drinks and alcohol
• hormonal imbalances: early menopause, ovariectomy, lower testosterone levels in men malabsorption, digestive disorders, inflammatory bowel diseases thyroid and parathyroid disease
• taking steroids, diuretics, stomach acid blockers

How to prepare for the test?

Please present for the test on an empty stomach, which means fasting for 12 hours (water is recommended).  

Package parameters

• Alkaline phosphatase (ALP)
• Beta-crosslap
• Vitamin D (Total 25-OH vitamin D)
• Phosphate (P)
• Calcium (Ca)
• Magnesium (Mg)
• Osteocalcin
• Parathyroid hormone (PTH)
• Urine calcium
• Urine creatinine
  
  

Parameters to be taken between 7 and 9 in the morning

At our clinic, laboratory tests are available throughout the day. In order to maintain the most reliable results, the following values are exceptions to this (which are recommended to be taken between 7 and 9 in the morning):

• 17-OH-progesterone (17OHP)
• Adiponectin
• Adrenocorticotropic hormone (ACTH)
• Aldosterone
• Androstenedione
• Anti-Müllerian Hormone (AMH plus)
• Beta crosslaps
• C-peptide Dehydroepiandrosterone sulfate (DHEA-S)
• Inhibin B Insulin-like growth f. IGF-I
• Calcitonin
• Cortisol
• Leptin
• Fetal risk I (PAPP-A, Free Beta HCG)
• Fetal risk II (AFP, HCG, Unconj. estriol, Imhibin-A)
• Growth hormone (h-GH)
• Osteocalcin (N-MID)
• Parathyroid hormone, intact
• Prolactin
• Renin - direct
• Reverse T3
• Sexual Hormone Binding Globulin (SHBG)
• Thyroid-Stimulating Hormone, supersensitive (TSH)

Parameters to be taken after 8 hours of fasting

The following values require 8 hours of fasting, which can be taken at any time of the day:

• Alanine aminotransferase (ALT, GPT)
• Albumin
• Alpha-1 antitrypsin
• Alkaline phosphatase
• Alkaline phosphatase, bone-specific isozyme
• Aspartate aminotransferase (ASAT, GOT)
• Vitamin B12
• Beta-2 microglobulin
• Bilirubin, conjugated
• Bilirubin, total
• C reactive protein (CRP)/ultrasensitive CRP
• Zinc - serum CK (Creatine Kinase)
• CK-MB (Creatine kinase, MB isozyme)
• Ceruloplasmin
• DAO - Histamine intolerance
• Protein ELFO (serum)
• Protein ELFO + paraprotein identification
• Ferritin
• Phosphate
• Glucose, not loaded / not timed
• Glucose- with OGTT
• Gastropanel (Pepsinogen 1-2, Helicobacter pylori, Gastrin-17)
• Haptoglobin
• Homocysteine
• Uric acid
• IgG subclasses
• Immunoglobulin A (IgA)
• Immunoglobulin E, (total IgE)
• Immunoglobulin G (IgG)
• Immunoglobulin M (IgM)
• Insulin
• Potassium
• Urea
• Complement C3
• Complement C4
• Lactate dehydrogenase (LDH)
• Total protein
• Selenium - serum
• Thyroglobulin (TG)
• Transferrin
• Iron
• Trace elements: Zinc, Selenium
• Vitamin tests: Coenzyme Q10, vitamin A, vitamin C, vitamin D3 (1,25(OH)2), vitamin E, vitamin K, vitamin B1, vitamin B2, vitamin B3, vitamin B5, vitamin B6, active vitamin B12 (holo-transcobalamin), vitamin H, folic acid, vitamin B12, vitamin D (25OH)
• I. and II. trimester samples