Private Sports & Fitness Blood Test in London

The Standard package is £1,499 and the Advanced package is £1,699, both all-inclusive. That covers the blood panel, the echocardiogram, the abdominal ultrasound, the liver elastography, the GP appointment, the medication review and your written report.

Postal fitness blood panels in the UK typically run from around £50 to £250, and they cover laboratory markers only, with no imaging and no doctor in the room. The gap in price is the gap in what is included, which is why comparing inclusions is more useful than comparing headline figures.

Both packages include more than 50 individual blood results across a full well person profile and a hormone and androgen profile, an echocardiogram, an abdominal ultrasound, a liver elastography measurement, a GP appointment with a medication and supplement review, and a written report.

The Advanced package adds an advanced cardiovascular risk panel: Apolipoprotein A1, Apolipoprotein B, the ApoB/ApoA1 ratio, Lipoprotein(a), high sensitivity CRP and Lp-PLA2.

Standard at £1,499 is the complete assessment: bloods, all three scans and the GP appointment. It is not a cut-down version.

Advanced at £1,699 adds six cardiovascular risk markers that a standard cholesterol panel does not cover. Those six are worth the extra £200 if you have a family history of early heart disease or sudden cardiac death, if you are over 40 and training hard, if your cholesterol has been treated or borderline before, or if you want your risk assessed by particle count and Lipoprotein(a) rather than by cholesterol alone.

Yes. Fast for around eight hours before your appointment. Water is fine and you should drink it, because dehydration skews several results.

Fasting is needed for the glucose, HbA1c and lipid markers and also for the abdominal ultrasound, since a gallbladder can only be assessed properly when it has not recently emptied. Exact timings are confirmed when you book. Take prescribed medication as normal unless you are told otherwise.

No, and this matters more than most people expect. Hard or unaccustomed exercise in the 24 to 48 hours before a blood draw temporarily raises creatine kinase, AST and ALT, inflammatory markers and white cell counts, and it shifts your hydration status.

The result is a panel that looks abnormal because of Saturday’s session rather than because of anything clinically meaningful. Keep the two days before your appointment easy, and tell the doctor what training you have done recently either way.

Because it answers the question no blood test can: whether the heart is structurally normal. An echocardiogram assesses chamber size, wall thickness, valve function and pumping function.

In people who train seriously it also distinguishes the normal adaptations of an athletic heart, such as a larger chamber, a slow resting heart rate and slightly thicker walls, from findings that need proper cardiology assessment. That distinction is the most useful thing in this package for anyone training hard from their forties onwards, or with a family history of heart disease or sudden cardiac death.

No. VO2 max, lactate threshold and resting metabolic rate testing are exercise physiology tests, carried out in a performance lab on a treadmill or bike with gas analysis, and they exist to set your training zones.

This is a medical assessment: it looks at what is happening inside you at rest, and whether anything measurable is limiting you or making hard training unwise. The two answer different questions and work well in sequence. If performance testing is what you want, book it with a performance lab. If you want to know why your training is not working, or whether it is safe to push, start here.

A sensible baseline is a full blood count, iron studies with ferritin, kidney and liver function, electrolytes, calcium and magnesium, glucose and HbA1c, a lipid profile, thyroid function, vitamin D and, in men, testosterone with SHBG and free testosterone. All of those are included in both packages here.

The value of a baseline is in the repeat. A single ferritin reading is a number; the same ferritin measured before and after a training block tells you which direction you are heading in.

Iron is required to carry oxygen, and endurance training increases iron losses through sweat, gut losses and the mechanical breakdown of red cells in the feet during running.

Ferritin reflects iron stores and can fall well before haemoglobin does, so an athlete can be iron depleted while a standard full blood count still reads as normal. That shows up as fatigue, heavy legs and stalled sessions. It is why both packages measure ferritin and iron studies alongside the full blood count rather than instead of it. Ferritin also rises with inflammation, which is one more reason not to test the day after a hard session.

Yes. Total testosterone, free testosterone, SHBG and the free androgen index are included in both packages, along with prolactin and PSA. That combination is considerably more informative than a total testosterone on its own, because a normal total with a high SHBG can still leave you functionally low.

We are a diagnostic clinic and do not prescribe testosterone replacement. If your results point that way, our GP explains them and refers you to a specialist for treatment, and an extra cost applies for that specialist consultation.

Yes, but call first. The imaging, the well person blood profile, the metabolic markers, thyroid, iron studies and vitamin D are all equally relevant.

The hormone section of the panel, however, is configured for men: it includes PSA and the free androgen index. Call 020 7101 3377 before booking so the hormone element can be matched to you rather than sold to you as it stands.

Because raised liver enzymes are common in people who train, and the reason is not always the liver. Heavy resistance training raises AST and ALT from muscle rather than liver tissue, and a blood test alone cannot tell you which. Imaging can.

The abdominal ultrasound and the elastography measurement together show whether there is fatty change or stiffness in the liver, or whether the enzymes are simply following your training. Fatty liver is also common in people who look fit, particularly alongside insulin resistance or regular alcohol, and it is largely reversible when caught early.

Imaging findings are explained on the day, before you leave. The laboratory panel takes about three working days in both packages, and you receive a written report setting out the findings, anything that needs acting on and any onward referral.

Same-day appointments are frequently available. The results themselves are not same-day.

For most people training consistently, once a year is enough, ideally at the same point in the season and in the same fasted, rested state, so the numbers are comparable.

Repeat sooner if you are correcting something specific, such as low ferritin or vitamin D, where three to six months shows whether the correction has worked. The imaging does not usually need repeating annually unless a finding needs following up, and your GP will tell you if that applies to you.

No GP referral is needed. You can book directly, and nothing is shared with your NHS GP unless you ask.

If something is found, our GP explains what it means and what the next step is: a repeat test at an appropriate interval, a change to your training, further imaging, or referral to a specialist such as cardiology, endocrinology or hepatology. We are a diagnostic clinic: we complete the diagnosis and then refer you on for treatment. A referral letter with confirmed results is included at no extra charge, but the specialist consultation itself is not included in the package price and an extra cost applies. Specialist consultations typically start from around £350.

Not as a package. Your NHS GP can arrange blood tests and, where there is a clinical indication, an echocardiogram or an abdominal ultrasound, and that care is free.

What the NHS does not offer is a screening assessment of this scope for someone who feels well and wants to know why their training has stalled. The steps also tend to happen one at a time across several appointments and waits. Booking privately buys the breadth, the imaging and the speed in a single visit.

London Private Ultrasound has two clinics. Central London is at 27 Welbeck Street, W1G 8EN, in the Harley Street Medical District, a short walk from Bond Street, Oxford Circus and Marylebone. St Albans is at 54–56 Victoria Street, AL1 3HZ, a short walk from St Albans City station.

Both are open seven days a week, 9am to 7pm, and both run the full assessment in one visit. Call 020 7101 3377 or book online.