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BBloedCheckupLab made simple
  • Blood tests
    • Test packages
    • Hormones
    • Cardiovascular
    • Thyroid
    • Vitamins
    • Custom test request
    View all blood tests
  • At-home tests
    • Test packages
    • STDs
    • Hormones
    • Heart
    • Thyroid
    • Vitamins
    View all at-home tests
  • How it works
    • How it works
    • Locations
    • Laboratories
    • Fasting guidance
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Blood draw

Comprehensive Fatigue Test

Vitamin D, B12, TSH, fT4, glucose, MCV, ferritin, ESR and complete blood count. For persistent fatigue with inflammation check.

€ 152,00

Blood collection at collection point

Schedule your blood draw yourself

  1. 01

    Order your test

    After your order you receive instructions by email

  2. 02

    Schedule your appointment

    Make an appointment at a collection point near you

  3. 03

    Visit the collection point

    Blood collection at 1,000+ locations across the Netherlands

  4. 04

    Receive your result

    Digitally by email once the analysis is complete.

See how it works

Blood collection at collection point

How it works

See how it works
  1. 01

    Order your test

    After your order you receive instructions by email

  2. 02

    Schedule your appointment

    Make an appointment at a collection point near you

  3. 03

    Visit the collection point

    Blood collection at 1,000+ locations across the Netherlands

  4. 04

    Receive your result

    Digitally by email once the analysis is complete.

See how it works

What is the Comprehensive Fatigue Test?

The Comprehensive Fatigue blood test is an extensive test that goes beyond the basic package and specifically looks at inflammation and complete blood counts. This test is suitable for people with severe or long-lasting fatigue that does not improve, or when the basic package did not provide a clear explanation. In addition to all basic tests, erythrocyte sedimentation rate (ESR) and a complete blood count (CBC) are added to detect active inflammation, infections, and blood disorders that can cause fatigue.

What is tested?

  • Vitamin D – For energy, immune system, and bone health
  • Vitamin B12 – Essential for energy production and nerve function
  • TSH – Thyroid-stimulating hormone
  • fT4 – Free thyroxine (active thyroid hormone)
  • Glucose – Blood sugar level
  • Ferritin – Iron storage in the body (early indicator of iron deficiency)
  • ESR (sedimentation) – Erythrocyte sedimentation rate (inflammation)
  • CBC complete – Hemoglobin, Platelets, Leukocytes (full blood count) + much more

Why should you have a Comprehensive Fatigue Test?

This test is important when your basic fatigue test results were normal but you are still very tired, or when, in addition to fatigue, you have other symptoms such as fever, weight loss, night sweats, or painful joints. The ESR (sedimentation) is a sensitive marker for inflammation and can indicate autoimmune diseases, infections, or other inflammatory conditions. A complete blood count shows whether there are problems with white blood cells (infections, immune disorders) or platelets. Ferritin is more sensitive than serum iron for detecting iron deficiency. This test requires fasting.

What does it indicate?

The results provide deeper insight into possible causes of persistent fatigue. This comprehensive test measures:

  • Inflammatory activity – ESR can indicate rheumatism, autoimmune diseases, chronic infections
  • Complete blood counts – Abnormal leukocytes indicate infections or immune disorders; low platelets can cause bleeding tendencies and fatigue
  • Iron storage – Ferritin shows iron deficiency before anemia develops
  • Basic markers – Vitamins, thyroid, and glucose are also checked

This extensive analysis also helps detect rarer causes of fatigue.

What does a high level mean?

  • Elevated ESR – Significant and may indicate severe inflammatory processes, infections, autoimmune diseases such as lupus or rheumatism
  • Elevated leukocytes – Indicate infections or inflammation
  • High platelets – Can occur with inflammation or bleeding disorders
  • Elevated ferritin – May indicate iron overload or acute inflammation (ferritin is an acute phase protein)
  • Other abnormalities – Elevated glucose, low TSH have the same meaning as in the basic package

What does a low level mean?

  • Low ferritin – Early warning for iron deficiency, should be treated immediately before anemia develops
  • Low hemoglobin – Confirms anemia
  • Low leukocytes – May indicate immune problems or bone marrow disorders
  • Low platelets – Increase bleeding risk
  • Low vitamins (D and B12) – Common treatable causes
  • Hypothyroidism (high TSH, low fT4) – Causes extreme fatigue, well treatable with medication

The advantage of this comprehensive package is that underlying inflammation and blood disorders, which might otherwise be missed, are also detected.

  • Vitamine D (25-OH)
  • Vitamine B12
  • TSH
  • Vrij T4
  • Glucose
  • Ferritine
  • Bezinkingssnelheid

Complete blood count

8 analyses

Haemoglobin, haematocrit, erythrocytes, MCV, MCH, MCHC, leukocytes and platelets.

  • Hemoglobine
  • Hematocriet
  • Erytrocyten
  • MCV
  • MCH
  • MCHC
  • Leukocyten
  • Trombocyten

Strong scientific evidence

This test is included in Dutch healthcare guidelines and is regularly used for its respective indications.

Rationale for this test

Dit pakket combineert standaard-diagnostiek voor vermoeidheid zoals opgenomen in Nederlandse zorgrichtlijnen. De NHG-richtlijn SOLK en de CVS-richtlijn benoemen BSE/CRP, bloedbeeld, schildklierfunctie, glucose en ijzerstatus als onderdeel van de diagnostische work-up bij langdurige vermoeidheid. Alle componenten zijn gevestigde laboratoriumbepalingen met duidelijke klinische betekenis.

Sources consulted

Dutch clinical guidelines and healthcare organisations

  • Diagnostiek bij CVS - Richtlijn - Richtlijnendatabase
  • Laboratoriumdiagnostiek - NHG-Richtlijnen

Independent information sources

We recommend consulting these independent sources before ordering a preventive health check.

  • Client brochure PGO (NVvPG, September 2023)

    Brochure on preventive health checks: careful choice, reliability, pros and cons, checklist.

  • RIVM — Health tests

    Independent information about preventive health checks from the National Institute for Public Health and the Environment.

  • Thuisarts.nl

    Reliable patient information about illnesses and complaints from Dutch GPs (NHG).

  • Allesovertesten.nl (NVKC)

    Public-facing website of the Dutch Society for Clinical Chemistry with explanations of blood tests and laboratory values.

Practical information

Frequently asked questions

How does it work from order to result?

After ordering we generate a referral letter and email you the instructions. You pick a collection point yourself and book an appointment there. Blood is drawn at the location, processed at the lab, and your result arrives digitally.

How quickly can I get tested?

Often within a few working days. How soon you can be seen depends on how busy the location is and the type of analysis. For specialist analyses we first ship collection materials, which takes a bit longer.

Do I need to book an appointment?

At most collection points yes. Some accept walk-ins. This is clearly indicated per location. You choose the location that works best for you.

Do I need to fast before the test?

That depends on the test. Whether fasting is required, and from what time, is clearly stated in the instructions you receive after ordering. No surprises at the counter.

When and how do I receive my result?

It varies per analysis: from same-day to a few working days. Standard values often come back quickly; analyses that go to an external lab can take a bit longer. You receive your laboratory report securely by email. It lists the measured values, units, reference ranges and any flags added by the laboratory.

Where can I go for collection?

We work with 1,000+ collection points across the Netherlands. After ordering you'll see which locations near you are available and you pick where you'd like to go.

View all frequently asked questions

Personal help

Contact us

WhatsAppWhatsApp+31 412 236 961E-mailinfo@bloedcheckup.nlCollection points1,000+ across the Netherlands

Weekdays 09:00 – 17:00 · Outside hours we reply a bit later

Didn't find what you're looking for?Request a custom test

Verified reviews

View allView all reviews

Client experiences

89% recommend us368 verified reviews

“Very positive experience”

From ordering to having my blood drawn, everything went smoothly and was well organised. I really appreciated being able to visit a blood collection location in my own town so quickly. I received clear instructions beforehand, and the results arrived promptly by email too. Very satisfied!

ElineVerified

“Good communication”

This company responds to questions thoroughly and promptly. The entire process, from requesting the test to having blood drawn and receiving the results, runs very smoothly. Overall, I am very satisfied!

Jacques QuipèreVerified

“Wide choice of tests, fast and affordable”

You can choose the tests yourself. Fast delivery and processing, clear instructions and affordable.

SMVerified

“I am satisfied with the service”

I received a referral by email, just like from a GP. I did not have to send anything by post and could quickly visit a local blood collection centre. The results were fast and clear. The price was good, not too expensive, and all messages were secure.

kraljicaVerified

“A very good experience”

A very good experience! I received quick answers to my questions, a custom blood test was put together, everything was arranged smoothly, and I could have my blood drawn by a healthcare professional nearby. The results were available within a few days. In short, very satisfied!

PhilVerified

“Very good customer service”

The customer service is very good. I had a complex request, which caused an issue at the blood collection centre. Customer service resolved it very well. They also offer a wide range of tests at a reasonable price.

Marc EekhoutVerified

“Everything was well organised”

Everything was well organised. The products were delivered within a few days and, after sending in the samples, the results arrived within a few days too. Communication and information throughout the process were clear and friendly.

martijnVerified

“Fantastic service”

Fantastic service! Very good customer service that responds quickly and thinks along with you. Good prices. I will definitely use BloedCheckup's services again.

kambalesVerified

“Very happy to have found this business”

Very happy to have found this business. We need to check our blood more often :) The process was easy. They sent me the kit at home, then I had to go to a clinic with the papers and they knew what they had to do. I got the results in less than a week.

DenisaVerified

“Smooth process and good support”

Amazing website experience. I ordered various tests for 2 people. We went to one of the supported centers and took samples. Also after the results were ready, I needed a letter from the laboratory and they prepared the letter for me in no time. Definitely recommended.

Majid HajiheidariVerified

“Amazing service!”

Received a packet with everything needed, went to a walk in clinic (Amsterdam DC Clinic) where my blood was drawn and I was out the door within 5 minutes, and then after posting the samples, received results 2 days later. Results were easy to understand as well. Amazing service, would highly recommend!

Trudi CoetzeeVerified

“Great customer service”

I ordered a test through bloedcheckup.nl but later realized I no longer needed it. I contacted their support team, and they were very quick, responsive, and helpful in handling my cancellation. The whole process was smooth and efficient. Great customer service!

Elif Göksu BecerikVerified
BBloedCheckupLab made simple

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