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Liver checkup: insight into your liver values

€89,-

A blood test with 9 liver values — ALT, AST, GGT, alkaline phosphatase, bilirubin and albumin — for insight into how your liver is functioning.

Certified lab
Private & confidential
Results within a few days

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Included values

9 values

ALT (Alanine Aminotransferase), AST (Aspartate Aminotransferase), GGT (Gamma-Glutamyl Transferase), ALP (Alkaline Phosphatase), Bilirubin (Total), Albumin, Platelets (Thrombocytes), Bilirubin (Direct), Bilirubin (Indirect)

Your Health Journey in 4 Simple Steps

From order to insights, we've made health testing as easy as it should be.

Order Your Test

Choose the test that fits your needs, pick a lab location, and order online.

Receive Your Referral

You'll receive an email from ZorgDomein with a barcode within 1 business day. Orders outside business hours are processed from the next business day.

Visit the Lab

Show the barcode on your phone and bring a valid ID. Blood draws take about 15 minutes.

Receive Your Results

Receive your lab results within a few business days, assessed by a BIG-registered doctor. We'll notify you the moment they're ready.

Blood test locations

Always a location near you

With 700+ certified phlebotomy points across the Netherlands.

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What this checkup measures

This checkup includes 9 values for a clear picture of this system.

Biomarkers in this panel, with unit and turnaround
No. Biomarker Unit Turnaround
01 ALT (Alanine Aminotransferase) Your ALT value shows how much alanine aminotransferase is in your blood. This enzyme sits mainly in the liver. That makes ALT the most liver-specific of the routine enzymes. When it reaches the blood, liver cells have been damaged. In adult men the reference range runs to 45 u/l, and in women to 34 u/l. A mildly raised result is common and has several causes. Fatty liver leads that list, well ahead of alcohol and hepatitis. u/l 1 day
02 AST (Aspartate Aminotransferase) Your AST value shows how much aspartate aminotransferase is circulating in your blood. It is an enzyme that leaks out whenever cells are damaged. AST sits in the liver, but equally in skeletal muscle, heart muscle, kidneys, brain and red blood cells. That is why a raised AST is not, on its own, a liver value. A hard training session the day before explains the result more often than liver disease does. The reference range runs up to 35 u/l in men and 31 u/l in women. What the number means only becomes clear alongside ALT, gamma-GT and CK. u/l 1 day
03 GGT (Gamma-Glutamyl Transferase) GGT (gamma-glutamyl transferase) is a liver and bile duct enzyme that serves as one of the most sensitive markers for hepatobiliary disorders. It is particularly responsive to alcohol consumption and may be elevated in bile duct obstruction, liver disease, and with certain medications. u/l 1 day
04 ALP (Alkaline Phosphatase) Alkaline phosphatase, usually shortened to ALP on a report, is an enzyme found in almost every tissue. Two sources account for nearly all of what reaches the blood. The first is the liver, and within it mainly the cells lining the small bile ducts. The second is bone, where the enzyme is released as new bone tissue is built. A raised result therefore does not yet say where the rise came from. That question is not answered by this one number. It is answered by the values beside it, by your age and by your situation. u/l 1 day
05 Bilirubin (Total) Total bilirubin measures the combined amount of direct and indirect bilirubin in your blood. Bilirubin is a waste product formed during the normal breakdown of red blood cells, and elevated levels may indicate liver disease, bile duct problems, or increased red blood cell destruction. umol/l 4 days
06 Albumin Albumin is the most abundant protein in the blood, produced by the liver. It maintains fluid balance, transports hormones and nutrients, and serves as an indicator of liver and kidney function. g/l 2 days
07 Platelets (Thrombocytes) Platelets are the smallest particles in your blood. They are what closes a small wound again. The platelet count tells you how many are circulating per litre of blood. In adults the usual range runs from 150 to 400 x10⁹/l. That range is the same for men and women. Reference values differ between laboratories. The range printed on your own report is the one that counts. The figure comes from the same tube as your haemoglobin and your white cells. An unusual result rarely means something is wrong on its own. Inflammation, an iron shortfall or the tube itself can shift it. 10^9/l 1 day
08 Bilirubin (Direct) Direct (conjugated) bilirubin is the water-soluble form of bilirubin that has been processed by the liver. Elevated levels may indicate bile duct obstruction or liver disease and are an important component of liver function assessment. umol/l 2 days
09 Bilirubin (Indirect) Indirect bilirubin is the part of your bilirubin that your liver has not yet processed. The value is not measured separately but calculated: your total bilirubin minus your direct bilirubin, in the same unit. That split helps to show where an abnormal total is coming from. This page explains what your indirect bilirubin result can mean. umol/l
Your result arrives once the slowest test is finished: 4 days. This is indicative; turnaround varies per laboratory.

Preparation

  1. No hard training beforehand

    Required

    No heavy training, long endurance sessions or anything that leaves you out of breath in the 48 hours before the draw. Normal walking is fine.

  2. Better no alcohol beforehand

    Recommended

    Alcohol in the 24 hours before can raise this value. Better skip it that evening.

  • Water is always fine. Drink as usual beforehand, it makes the draw easier.
  • Take your usual medication, unless your own doctor told you otherwise.

Extend this panel

Tests from the same field, run on the same sample. Same draw, no second appointment.

Hematocrit l/l Your hematocrit shows which share of your blood consists of red blood cells. Dutch laboratories report it as a fraction. A result of 0.45 l/l therefore stands for 45 percent. Hematocrit is almost always measured alongside haemoglobin and the red cell count. It is a concentration measure, so your fluid balance feeds into the result. Being under-hydrated raises the value without a single extra red cell being made. One isolated hematocrit value therefore says little. The number gains meaning next to your haemoglobin, your MCV and the timing of the draw.
+€10,-
Hemoglobin mmol/l A hemoglobin test measures the amount of hemoglobin protein in your blood. Hemoglobin is found inside red blood cells and is responsible for binding oxygen in the lungs and delivering it throughout your body.
+€8,-
Leukocyte Differential A leukocyte differential test measures the relative proportions of different types of white blood cells in your blood. It provides a detailed breakdown of your immune cell populations, offering valuable insight into your immune system's function.
+€13,-
Leukocytes (WBC) 10^9/l Leukocytes are the white blood cells in your blood. They form the core of your defence against bacteria, viruses and fungi. The leukocyte count states how many of these cells sit in a fixed volume of blood. The number is the sum of five different cell types, each with its own task. At the laboratory that runs the test the usual adult range runs from 4.3 to 10.0 x10^9/L. Laboratories use slightly different limits from one another. Always read the reference value printed on your own result. A single measurement is not a diagnosis. The number moves with infection, exertion, stress, smoking and even the time of day you give blood.
+€9,-
MCV (Mean Corpuscular Volume) fl MCV stands for mean corpuscular volume: the average volume of one red blood cell, expressed in femtolitres. In adults an MCV between 80 and 100 fL is normal. Below 80 fL your red cells are small, which usually points to iron deficiency or to an inherited trait. Above 100 fL they are large, which fits a vitamin B12 or folate deficiency, regular alcohol use, an underactive thyroid or liver disease. MCV makes no diagnosis of its own: it indicates the direction in which to look further. And because it is an average, the value can be normal while two deficiencies exist side by side.
+€8,-

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€89,-

Liver checkup