What we test

Panel and add-ons at a glance

Your biological age

from 9 routine values

Your biological age shows how fast your body is ageing, regardless of the calendar. NOA calculates it as PhenoAge after Levine, from nine routine values in your analysis.

The biological age is for information only. It is an approximation of your current ageing status, not a diagnostic instrument.

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What are biomarkers?

Biomarkers are measurable values in your blood that show how well your body is working. Every result is a glimpse into your health, from heart and metabolism through hormones and nutrients to inflammation and stress.

Measure these values over time to spot change early, follow your progress and steer where it matters.

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We group the NOA Core values into 5 areas — they are part of every NOA analysis. Below them you will find 4 add-on panels you can book individually: Performance, Hormone balance, Lp(a) and Omega-3.

46 values additionally carry a Retest. It repeats the check after about six months, so you see the direction.

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Heart & metabolism

Blood lipids, blood sugar and fatty acids: the values that set your cardiovascular risk and your energy metabolism.

Included in: NOA Core
PhenoAge (biological age, Levine) Core Retest

PhenoAge is a score published in 2018 by Morgan Levine and colleagues that derives a calculated biological age from nine routine values:…

Apolipoprotein B Core Retest

Apolipoprotein B (ApoB) measures the number of atherogenic cholesterol-carrying particles in the blood.

HDL Cholesterol Core Retest

HDL cholesterol measures the amount of cholesterol carried by high-density lipoprotein (HDL) particles in the blood.

LDL Cholesterol Core Retest

LDL cholesterol measures the amount of cholesterol carried by low-density lipoprotein (LDL) particles in the blood.

Non-HDL Cholesterol Core Retest

Non-HDL cholesterol is calculated as total cholesterol minus HDL cholesterol.

Total Cholesterol Core Retest

Total cholesterol measures the overall amount of cholesterol in the blood.

Triglycerides Core Retest

Triglycerides measure the amount of fat (lipids) circulating in the blood.

Remnant Cholesterol Core

Remnant cholesterol is the cholesterol carried in triglyceride-rich lipoproteins and their breakdown products, that is VLDL, IDL and…

Triglyceride/Cholesterol Ratio Core

The triglyceride/cholesterol ratio is calculated by dividing the triglyceride concentration by total cholesterol.

GGT / HDL Cholesterol Ratio Core

This ratio relates gamma-glutamyltransferase (GGT) , a liver enzyme that also reflects oxidative stress , to HDL cholesterol, which has…

Uric Acid / HDL Cholesterol Ratio Core

The uric acid/HDL ratio (UHR) connects uric acid , an end product of purine metabolism associated with oxidative stress and inflammation , …

Atherogenic Coefficient Core

The atherogenic coefficient is calculated as (total cholesterol − HDL) / HDL and equals the ratio of all “non-protective” cholesterol (all…

Atherogenic Index Core

AIP is a calculated index expressed as the logarithm (log) of the ratio of fasting triglycerides to HDL cholesterol.

LDL / HDL Ratio Core

The LDL/HDL ratio divides LDL cholesterol (the primary atherogenic, or artery-narrowing, lipoprotein fraction) by HDL cholesterol (the…

LDL Cholesterol / Apolipoprotein B Ratio Core

Because each LDL particle carries exactly one molecule of apolipoprotein B, the ratio of LDL cholesterol to ApoB estimates how much…

Neutrophils / HDL Ratio (NHR) Core

The NHR relates neutrophil granulocytes , key cells of the acute, non-specific immune response , to HDL cholesterol with its…

Triglyceride / Apolipoprotein B Ratio Core

This ratio describes the average triglyceride content per ApoB particle and therefore sheds light on lipoprotein composition , how…

Triglyceride/HDL Ratio Core Retest

The TG:HDL ratio divides fasting triglycerides by HDL cholesterol.

TyG Core Retest

The triglyceride-glucose index (TyG) combines fasting triglycerides and glucose in a logarithmic formula to estimate insulin resistance…

hs-CRP / HDL Ratio Core

The ratio relates high-sensitivity C-reactive protein (hs-CRP) , a sensitive marker of low-grade inflammation , to anti-inflammatory HDL…

Total Cholesterol / HDL Ratio Core Retest

The total cholesterol to HDL ratio divides total cholesterol by HDL cholesterol, setting all the cholesterol circulating in the blood…

Glucose Core Retest

Fasting glucose measures the level of glucose (sugar) in the blood after an overnight fast, typically of at least 8 hours.

Glucose, estimated average (eAG) Core

Estimated average glucose (eAG) is a mathematical conversion of the HbA1c percentage into average blood glucose units (mg/dL or mmol/L), …

Hemoglobin A1c (HbA1c) Core Retest

Your average blood sugar over the last two to three months, a longer-term view than a single reading. It's the standard way to catch blood sugar drifting up early.

METS-IR Core

METS-IR stands for Metabolic Score for Insulin Resistance. It estimates insulin sensitivity from fasting glucose, triglycerides, HDL…

SPISE Core

SPISE stands for Single Point Insulin Sensitivity Estimator. It estimates insulin sensitivity from three values out of a single blood…

Ferritin / Albumin Ratio Core

The ratio connects ferritin , a storage marker that is also an inflammation marker (positive acute-phase protein) , with albumin, which…

High-Sensitivity C-Reactive Protein (hs-CRP) Core Retest

High-sensitivity C-reactive protein (hs-CRP) is a laboratory measurement of C-reactive protein (CRP), an acute-phase protein made mainly by…

hs-CRP / Albumin Ratio (CAR) Core

The C-reactive protein/albumin ratio (CAR) sets a positive acute-phase protein (hs-CRP, rises with inflammation) against a negative one…

hs-CRP / Ferritin Ratio Core

This ratio relates two markers that both rise with inflammation: rapidly responding hs-CRP and more slowly responding ferritin.

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Hormones

Thyroid, sex hormones and the stress axis: the control system behind energy, mood and recovery.

Included in: NOA Core
Thyroid-Stimulating Hormone (TSH) Core Retest

Thyroid-stimulating hormone (TSH) is produced by the pituitary gland in the brain and functions as the master regulator of the thyroid , it…

Free Testosterone Index (FTI) Core

The Free Androgen Index (FAI) is a calculated ratio of total testosterone to sex hormone-binding globulin (SHBG), multiplied by 100.

Sex Hormone-Binding Globulin (SHBG) Core

Sex hormone-binding globulin (SHBG) is a glycoprotein produced by the liver that binds tightly to testosterone and estradiol, keeping them…

Total Testosterone Core

Total testosterone measures all testosterone circulating in the blood, both the small free (unbound) fraction and the larger fractions bound…

Free Testosterone (Vermeulen) Core

Free testosterone by Vermeulen is calculated from total testosterone, SHBG and albumin. In blood, most testosterone is tightly bound to…

Cortisol (morning value) Core

Cortisol is the adrenal hormone that makes energy available to the body and follows a fixed daily rhythm: highest in the morning, low towards the evening. It is measured in the morning because a value without a time of day cannot be interpreted.

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Vitamins, minerals & iron

The building blocks of energy, immune system and muscle function, measured in serum and inside the cell.

Included in: NOA Core
Transferrin (Iron) Saturation Core Retest

Transferrin saturation (TSAT) expresses the percentage of transferrin iron-binding sites that are occupied by iron: TSAT (%) = (serum iron…

Ferritin Core Retest

Ferritin is the body's primary iron-storage protein, found inside cells throughout the body , mainly in the liver, spleen and bone marrow…

Iron Core Retest

Serum iron measures the concentration of iron currently circulating in the blood, bound to transferrin , the protein that ferries iron from…

Transferrin Core Retest

Transferrin is the protein that carries iron around your blood, so it reflects how much iron-carrying room you have.

Vitamin D Core Retest

25-hydroxyvitamin D (25-OH vitamin D) is the main circulating and storage form of vitamin D and the best clinical measure of overall…

Vitamin B12 (total) Core

Vitamin B12 is needed for blood formation, nerve function and homocysteine metabolism. The total value determined here captures all B12…

Folate Core

Albumin-corrected Calcium Core

Approximately 40-45% of calcium in the blood is bound to albumin and is not physiologically active.

Calcium Core Retest

Calcium is the most abundant mineral in the human body , an adult holds roughly 1, 000 grams of it, with 99% locked into the crystalline…

Phosphorus Core

Phosphate is a central mineral for bone structure, energy metabolism (as a component of ATP), cell membranes and acid-base balance.

Potassium Core Retest

Potassium is the dominant positively charged ion (cation) inside cells , about 98% of the body's 3, 500 mg of potassium is intracellular, …

Sodium Core Retest

Sodium is the dominant positively charged ion in the extracellular fluid , the blood and the fluid bathing cells and its concentration…

Sodium/Potassium Ratio Core

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Blood & immune system

Red and white blood cells, platelets and inflammation: oxygen transport and defence at a glance.

Included in: NOA Core
Hematocrit Core Retest

Hematocrit is the percentage of blood volume made up by red blood cells , in a healthy adult, roughly 41-53% in men and 36-46% in women.

Hemoglobin Core Retest

Hemoglobin is the iron-containing protein that fills red blood cells and does the actual work of oxygen transport , each molecule can carry…

Mean Corpuscular Hemoglobin (MCH) Core Retest

MCH measures the average weight (mass) of haemoglobin contained in a single red blood cell, expressed in picograms (pg).

Mean Corpuscular Hemoglobin Concentration (MCHC) Core Retest

MCHC measures the average concentration of haemoglobin within red blood cells, expressed in g/dL.

Mean Corpuscular Volume (MCV) Core Retest

Mean corpuscular volume (MCV) measures the average size of a single red blood cell in femtoliters (fL) and it's the index that lets…

Mentzer Index Core

The Mentzer index is calculated by dividing mean red-cell volume (MCV) by red-cell count (RBC).

RDW-SD Core

RDW-SD measures the spread of red-cell size (anisocytosis) as a standard deviation in femtoliters.

Red Blood Cells (RBC) Core Retest

The RBC count measures the total number of red blood cells in a set volume of blood (typically reported as millions per microlitre or…

Red Cell Distribution Width (RDW) Core Retest

Red cell distribution width (RDW) measures variation in red blood cell size , how uniform or mixed the population is.

Basophils Core Retest

Basophils are the rarest white cells, involved in allergic and inflammatory reactions.

Basophils (%) Core

Basophils are the least common circulating white blood cells, normally representing less than 1% of the WBC count and they are most…

Eosinophils Core Retest

Eosinophils are white cells most active in allergic responses and defence against parasites.

Eosinophils (%) Core

Eosinophils are white blood cells named for their striking affinity for eosin dye, which turns their granules a vivid orange-red under a…

Immature Granulocytes Core

Immature granulocytes are precursors of neutrophil granulocytes that normally mature in the bone marrow and are barely present in blood.

Immature Granulocytes % Core

This value is the share of immature granulocytes among white blood cells.

Lymphocytes Core Retest

Lymphocytes are the white cells behind your body's learned, memory-based immunity , the defence that recognises specific viruses and other…

Lymphocytes (%) Core

Lymphocytes are the architects of the adaptive immune system , the branch that learns from experience and mounts targeted responses to…

Monocytes Core Retest

Monocytes clear away debris and dead cells and help coordinate the rest of your immune response.

Monocytes (%) Core

Monocytes are the blood's largest circulating white blood cells and they're best understood as precursors , they patrol the bloodstream…

Neutrophils Core Retest

Neutrophils lead your body's first response to bacterial and fungal infection.

Neutrophils (%) Core

Neutrophils are the most abundant white blood cells in circulation , typically 50-70% of the total WBC count and they are the immune…

White Blood Cells (WBC) Core Retest

The white blood cell count (WBC or leucocyte count) measures the total number of white blood cells per unit volume of blood, reported as…

Monocytes/Lymphocytes Ratio (MLR) Core

The lymphocyte-to-monocyte ratio (LMR) is calculated by dividing the absolute lymphocyte count by the absolute monocyte count from a…

Neutrophil/Lymphocyte Ratio (NLR) Core

The neutrophil-to-lymphocyte ratio (NLR) is calculated by dividing the absolute neutrophil count by the absolute lymphocyte count from a…

Platelets/Lymphocytes Ratio (PLR) Core

The platelet-to-lymphocyte ratio (PLR) is calculated by dividing the absolute platelet count by the absolute lymphocyte count from a…

Systemic Immune-Inflammation Index Core

SII is a composite blood count index calculated as: SII = (neutrophil count × platelet count) ÷ lymphocyte count.

Monocyte / HDL Cholesterol Ratio (MHR) Core

The MHR is calculated by dividing the absolute monocyte count by the HDL cholesterol level.

Mean Platelet Volume (MPV) Core

Mean platelet volume (MPV) reports the average size of platelets.

PDW-SD Core

PDW measures the variation in platelet size within a blood sample, reported automatically alongside other platelet counts.

Platelet large cell ratio (P-LCR), % Core

P-LCR is the share of particularly large platelets among all platelets.

Plateletcrit (PCT) Core

Plateletcrit describes the volume fraction platelets occupy in whole blood , analogous to hematocrit for red cells.

Platelets Core Retest

Platelets (thrombocytes) are tiny, anucleate cell fragments shed into the blood from large bone marrow cells called megakaryocytes, and…

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Organs

Liver, kidneys and muscle: how well your body processes, filters and recovers.

Included in: NOA Core
APRI test Core

APRI (AST to Platelet Ratio Index) is calculated from AST , relative to its upper reference limit and the platelet count.

Alanine Aminotransferase (ALT) Core Retest

Alanine aminotransferase (ALT) is an enzyme that lives mainly inside liver cells, where it plays a role in amino acid metabolism.

Albumin Core Retest

Albumin is the most abundant protein in the liquid part of your blood (plasma).

Alkaline Phosphatase (ALP) Core Retest

Alkaline phosphatase is an enzyme found mainly in liver and bile ducts as well as bone.

Aspartate Aminotransferase (AST) Core Retest

Aspartate aminotransferase (AST) is an enzyme present in multiple tissues , liver, heart, skeletal muscle, kidneys and red blood cells , …

Bilirubin / Albumin Ratio Core

The ratio relates bilirubin , a breakdown product of the red blood pigment that the liver processes and excretes , to albumin, the main…

De Ritis ratio Core Retest

The De Ritis ratio is AST divided by ALT.

GGT-to-Platelet Ratio (GPR) Core

GPR (GGT to Platelet Ratio) combines gamma-glutamyltransferase (GGT) , a liver enzyme sensitive to cholestasis and oxidative stress , with…

Gamma-Glutamyl Transferase (GGT) Core Retest

GGT (gamma-glutamyltransferase) is an enzyme found in several tissues, but it is most commonly measured as part of liver and bile-duct…

Total Bilirubin Core Retest

Total bilirubin measures the overall amount of bilirubin in your blood (including both unconjugated and conjugated forms).

Calcium/Albumin Ratio Core

About half of blood calcium is bound to albumin; the rest is free (biologically active).

FIB-4 Index Core

The FIB-4 index estimates the likelihood of advanced liver fibrosis from four values that are on hand anyway: age, AST, ALT and platelet…

Hepatic Steatosis Index (HSI) Core

The hepatic steatosis index estimates how likely fatty liver is. It combines the ALT to AST ratio with body mass index and additionally…

Creatinine Core Retest

Creatinine is a normal waste product made when your muscles use energy.

Cystatin C Core

Cystatin C is a small protein filtered by the glomerulus and reabsorbed without secretion; its blood level rises when kidney filtration…

eGFR (Creatinine) Core Retest

Estimated glomerular filtration rate (eGFR (calculated)) is a number calculated from a blood test, most commonly creatinine and sometimes…

eGFR (Cystatin C) Core

This is an estimated glomerular filtration rate derived from cystatin C-based equations (sometimes combined with creatinine).

Uric Acid Core Retest

Uric acid (also called serum urate) is a waste product formed when the body breaks down purines (natural chemicals from the body and from…

eGFR (creatinine + cystatin C, combined) Core

The combined eGFR estimates the filtration performance of the kidneys from creatinine and cystatin C together, using the 2021 CKD-EPI…

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Extension

Performance

For everyone who trains hard. Iron utilisation, muscle load and the minerals inside the cell rather than in serum alone.

Add-on panel: one-off €149 · only bookable with an active NOA membership (Core panel)
Immature reticulocyte fraction (IRF), % Extension

The IRF is the share of the youngest, most immature reticulocytes among newly formed red blood cells.

Reticulocyte hemoglobin equivalent (Ret-He) Extension

Ret-He measures the hemoglobin content of reticulocytes , the youngest red cells, only one to two days in circulation.

Reticulocytes Extension

Reticulocytes are the youngest red blood cells that have just left the bone marrow and still contain RNA remnants.

Reticulocytes % Extension

The reticulocyte percentage is the share of the youngest red cells among all erythrocytes.

Creatine Kinase (CK) Extension

Creatine kinase is an enzyme that supplies energy in skeletal muscle, heart muscle and brain by converting creatine phosphate and ADP into…

Urea/Creatinine Ratio Extension

The urea (BUN) to creatinine ratio links two kidney-related values of different origin: urea arises in protein metabolism and is strongly…

Urea Extension

Urea (blood urea nitrogen reported differently by region) is a nitrogen-containing waste product from protein metabolism, cleared by the…

Soluble transferrin receptor (sTfR) Extension

Ferritin index Extension

Zinc (whole blood) Extension

Selenium (whole blood) Extension

Copper (whole blood) Extension

Magnesium (whole blood) Extension

Manganese (whole blood) Extension

Intracellular haematocrit Extension

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Extension

Hormone balance

The axis of pituitary, thyroid and sex hormones, including the free thyroid values.

Add-on panel: one-off €99 · only bookable with an active NOA membership (Core panel)
Free Thyroxine (Free T4) Extension

Free thyroxine (fT4) is the unbound, biologically available fraction of the thyroid hormone T4.

Free Triiodothyronine (Free T3) Extension

Free T3 (fT3) is the unbound, metabolically active fraction of the thyroid hormone triiodothyronine , the form that exerts the main…

LH/FSH ratio Extension

The ratio of luteinizing hormone (LH) to follicle-stimulating hormone (FSH) describes the balance of these two pituitary hormones that…

Estradiol (E2) Extension

Estradiol (E2) is the most potent naturally occurring estrogen and the dominant form of estrogen in reproductive-age women, produced…

Follicle-Stimulating Hormone (FSH) Extension

Follicle-stimulating hormone (FSH) is the pituitary gonadotropin that drives the initial stages of sex cell maturation in both sexes , in…

Luteinizing Hormone (LH) Extension

Luteinizing hormone (LH) is a gonadotropin produced and released by the anterior pituitary gland and its release is triggered by pulses of…

Prolactin Extension

DHEA-S (dehydroepiandrosterone sulphate) Extension

DHEA-S is produced in the same adrenal cortex as cortisol and is its counterpart on that axis: cortisol mobilises, DHEA-S is the reserve the body draws on while it does. Only together do the two values show the state of that stress reserve — and DHEA-S declines with age.

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Extension

Lp(a)

A value that is over ninety per cent genetic and barely changes across a lifetime. Measuring once is enough.

Add-on panel: one-off €25 · only bookable with an active NOA membership (Core panel)
Lipoprotein(a) Extension

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Extension

Omega-3

Your fatty acid status in the cell membrane, not in plasma. It reflects the past three to four months.

Add-on panel: one-off €79 · only bookable with an active NOA membership (Core panel)
Myristic acid Extension

A saturated fatty acid with fourteen carbon atoms, taken in mainly through milk fat and coconut fat. In the fatty acid profile it stands for the shorter-chain share of the saturated fats.

Palmitic acid Extension

The most common saturated fatty acid in the human body. It comes from food and is at the same time produced in the liver, which is why its value does not show diet alone.

Stearic acid Extension

A long-chain saturated fatty acid from animal fats and cocoa butter. The body converts part of it into oleic acid.

Arachidic acid Extension

A very long-chain saturated fatty acid found in small amounts in peanut and rapeseed oil. It completes the picture of the saturated fraction.

Behenic acid Extension

A very long-chain saturated fatty acid from vegetable oils. It is measured because, together with nervonic acid, it describes how the long-chain fats are composed.

Palmitoleic acid Extension

A monounsaturated fatty acid the body forms from palmitic acid. Its share therefore depends heavily on your own metabolism rather than on food.

Oleic acid Extension

The most common monounsaturated fatty acid, familiar from olive oil. It is the single largest item in most people's fatty acid profile.

Nervonic acid Extension

A very long-chain monounsaturated fatty acid. It is a building block of the myelin sheaths that surround nerve fibres.

Alpha-linolenic acid Extension

The plant-based omega-3 fatty acid from linseed, rapeseed and walnut oil. The body can convert it into EPA and DHA, but only to a small extent.

EPA (eicosapentaenoic acid) Extension

One of the two long-chain omega-3 fatty acids, taken in mainly through oily sea fish. From it the body forms messengers that counteract those formed from arachidonic acid.

DHA (docosahexaenoic acid) Extension

The second long-chain omega-3 fatty acid. It is part of the cell membranes and is particularly abundant in the brain and the retina.

Linoleic acid Extension

The most common omega-6 fatty acid and essential for humans — the body cannot make it itself. It comes mainly from vegetable oils.

Gamma-linolenic acid Extension

An omega-6 fatty acid the body forms from linoleic acid. It is the intermediate step on the way to dihomo-gamma-linolenic acid.

Dihomo-gamma-linolenic acid Extension

The next step in the omega-6 chain after gamma-linolenic acid. Its relation to arachidonic acid shows how the body processes that chain further.

Arachidonic acid Extension

The long-chain omega-6 fatty acid at the end of that chain. It is the starting material for messengers that regulate inflammatory processes in the body.

Omega-3 index Extension

The share of EPA and DHA among all fatty acids in the red blood cells, given as a percentage. Because the cell membrane renews slowly, the index reflects the past three to four months rather than the last meal.

Omega-6/omega-3 ratio Extension

Sets the sum of the omega-6 fatty acids against the sum of the omega-3 fatty acids. The ratio describes the balance between the two families, which shifts with diet.

AA/EPA ratio Extension

The ratio of arachidonic acid to EPA — the two fatty acids from which the body forms messengers that act in opposite directions.

EPA/DHA ratio Extension

The ratio of the two long-chain omega-3 fatty acids to each other. It shows how the omega-3 share is composed, not only how large it is.

Saturated/unsaturated ratio Extension

Sets the saturated fatty acids against the sum of the unsaturated ones, summing up the composition of the whole profile in a single figure.

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Start your NOA Health membership.

Spot change early, act on a doctor's plan, and measure again to see what moved.

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Annual 100+ biomarker panel, including blood draw and laboratory analysis
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Calculation of your biological age
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