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BloedCheckup
  • Tests
    • Test packages
    • Hormones
    • Cardiovascular
    • Thyroid
    • Vitamins
    • STD test guide
    • Custom test request
    View all tests
  • At-home tests
    • Fingerstick
    • Urine
    • Stool
    • Saliva
    • Hair
    • Swab
    View all at-home tests
  • How it works
    • How it works
    • Locations
    • Laboratories
    • Fasting guidance
    • Shipping
    • Blog
  • About us
    • About us
    • Client reviews
    • For business
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    • Contact us
  1. Home
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BloedCheckup

Professional blood tests without GP referral. Partnership with ISO certified laboratories for reliable results.

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Supplemental: Testosterone Replacement Therapy (TRT)

Complete hormonal analysis with testosterone, DHEA-S, thyroid, PSA, blood count, liver function, kidney function, lipids, glucose, HbA1c, insulin, hs-CRP, vitamin D and ferritin.

€335.00
  • No GP referral needed

Blood collection at collection point

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

Blood collection at collection point

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.

About PSA testing: screening vs. indication

PSA testing is not recommended by the Dutch College of General Practitioners (NHG) or the Health Council as screening in men without complaints. The test can lead to follow-up tests and treatment for findings that would not have posed a clinical problem (overtreatment).

The test is however useful for specific indications: urinary complaints (LUTS), a previously elevated PSA value, or a familial background of prostate cancer. Please discuss the wish for this test with your GP first so results and next steps can be properly integrated.

Source: guidelines from the NHG and advice from the Health Council of the Netherlands on PSA testing and prostate cancer screening.

What is Supplemental TRT Testing?

The Supplemental TRT blood test is the most comprehensive and advanced TRT monitoring available. This test adds advanced hormonal markers, thyroid function, complete blood count with differentiation, inflammatory markers, and additional cardiovascular risk factors. It is the ultimate test for men who want maximum insight into their hormonal health during TRT, in complex cases, or when standard TRT monitoring does not adequately explain symptoms. This test is recommended for persistent symptoms despite TRT, suspected coexisting conditions, or for men seeking optimal health.

What is tested?

  • Testosterone (total) – Primary male hormone
  • Free testosterone – Biologically active form
  • SHBG – Sex Hormone Binding Globulin
  • LH – Luteinizing hormone
  • FSH – Follicle-stimulating hormone
  • Estradiol – Main estrogen
  • Prolactin – Pituitary hormone
  • DHEA-S – Dehydroepiandrosterone sulfate
  • PSA (total and free) – Comprehensive prostate assessment
  • TSH – Thyroid function
  • fT4 – Free thyroxine
  • fT3 – Free triiodothyronine
  • Complete blood count with differentiation – Hemoglobin, hematocrit, leukocytes, platelets + subtypes
  • Complete liver function – ALT, AST, Gamma-GT, Alkaline phosphatase, Bilirubin
  • Kidney function – Creatinine, eGFR, urea
  • Extended lipid profile – Cholesterol, HDL, LDL, Triglycerides, Non-HDL, Apo B
  • Glucose and HbA1c – Blood sugar regulation
  • CRP (high-sensitivity) – Inflammatory marker
  • Vitamin D – For bone health and immune system
  • Ferritin – Iron storage
  • Insulin (fasting) – Metabolic health

Why should you get Supplemental TRT testing?

This most comprehensive TRT test is suitable when standard TRT monitoring is insufficient, for persistent symptoms despite optimal testosterone levels, in complex hormonal problems, or for optimal health monitoring. DHEA-S provides insight into adrenal function. Complete thyroid function (TSH, fT4, fT3) is crucial because thyroid problems can limit TRT effectiveness. HbA1c and insulin monitor metabolic health because TRT can affect insulin sensitivity. hs-CRP measures systemic inflammation. Vitamin D and ferritin are important for optimal TRT response. This comprehensive package is recommended at the start of complex TRT trajectories, for unexplained symptoms, or for men who want to preventively optimize all aspects of their health.

What does it indicate?

The results provide the most complete picture of your hormonal and metabolic health during TRT. In addition to all standard TRT markers, adrenal function (DHEA-S), thyroid function (complete analysis), metabolic health (glucose, HbA1c, insulin), inflammatory status (hs-CRP), nutritional status (vitamin D, ferritin), and advanced cardiovascular markers (Apo B, non-HDL) are also measured. This helps explain why some men respond optimally to TRT while others still experience symptoms despite good testosterone levels. Often, coexisting conditions such as hypothyroidism, adrenal fatigue, insulin resistance, or vitamin deficiencies are the explanation.

What does a high level mean?

Elevated testosterone requires dose reduction. Very high hematocrit (above 54%) is dangerous and requires immediate intervention. Elevated estradiol can be treated with aromatase inhibitors. Elevated PSA (especially elevated PSA/free PSA ratio) requires urological evaluation. High DHEA-S can indicate adrenal conditions. Elevated thyroid function (low TSH, high fT4/fT3) can worsen TRT side effects. Elevated HbA1c and insulin indicate insulin resistance or diabetes. High hs-CRP indicates systemic inflammation. High Apo B indicates increased cardiovascular risk despite normal LDL. These comprehensive markers help optimize all aspects of health.

What does a low level mean?

Low testosterone during TRT requires dose increase. Low DHEA-S can indicate adrenal fatigue which limits TRT effectiveness and may require supplementation. Low thyroid function (high TSH, low fT4/fT3) explains persistent fatigue despite optimal testosterone levels and requires thyroid treatment. Low vitamin D limits TRT response and bone health. Low ferritin can explain fatigue. Low HDL and high Apo B increase cardiovascular risk. This complete analysis helps identify and optimize all factors for maximum TRT effectiveness and overall health. It is the gold standard for complex TRT monitoring and preventive healthcare.

Digitally by email once the analysis is complete.

Blood draw
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1,000+ collection locations in the Netherlands
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Frequently asked questions

Answers to what people usually want to know.

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 get an email with a link to your digital result, including a short explanation per value.

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.

Didn't find what you're looking for?

Need help?

We're here for you. Send a message and we'll respond as soon as we can.

WhatsAppWhatsApp+31 412 236 961E-mailinfo@bloedcheckup.nl

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

Client experiences

This is why clients choose us

88% recommend usBased on 155 verified Trustpilot reviews

“Hele fijne en snelle service”

Hele fijne en snelle service! Ik contacteerde ze ‘s nachts omdat ik zsm moest bloedprikken, ik kon die ochtend nog terecht en heb dezelfde dag mijn uitslag binnengekregen. Echt top!!

Madina ShinwariVerified

“Bloedcheckup levert”

Waar ziekenhuizen moeilijk doen om checkup te doen , komt Bloedcheckup naar boven drijven als vertrouwde partner op gebied van gezondheid. Ik ben uiterst tevreden met bloed checkup

JoaquinVerified

“Klantenservice was erg behulpzaam in…”

Klantenservice was erg behulpzaam in het beantwoorden van mijn vragen. Ik had ook een extra setje buizen nodig als back-up en dat was geen probleem. Ik had een groot test panel besteld, maar de resultaten waren binnen 1 week binnen. Rapport zag er netjes uit.

ErnstVerified

“Snelle en goede service”

Je hebt de spullen snel in huis en het is duidelijk wat je daarna moet doen. Ook de uitslag heb je snel in huis, ik dezelfde avond al de eerste uitslagen. Bij een bepaling ging het fout, niet eens door het bedrijf maar door het bloedafname punt en die bepaling kreeg ik gewoon vergoed, ook het geld terug stond erg snel op mijn rekening. Vragen worden ook snel beantwoord dus al met al een positieve ervaring bij Bloedcheckup.nl

AnoniemVerified

“Fijn bedrijf met geweldig veel opties…”

Fijn bedrijf met geweldig veel opties om zelfstandig je gezondheid in het oog te houden, als sporter een must want de dokters hebben toch geen verstand van wat relevant en anders is voor sport. Ook zeer tevreden over Stijn zelf! Aangename kerel en goed bereikbaar voor vragen en hulp tijdens bestellen :D

MyronVerified

“My experience was very positive”

My experience was very positive. I needed to pass several very specific tests. They provide 24/7 customer support. They were friendly and prompt.

Olesia TaldykinaVerified

“Top!”

Snelle en makkelijke afhandeling. Duidelijke instructies en binnen anderhalve dag al resultaat binnen. Top service!

ZerinaVerified

“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
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Indication-specific evidence

This test has clinical value for specific complaints or indications, but is not intended as screening without symptoms.

Rationale for this test

Deze uitgebreide bloedtest combineert meerdere standaard-bepalingen die in Nederlandse zorgrichtlijnen worden gebruikt voor monitoring van testosterontherapie en algemene gezondheid. De individuele markers (testosteron, schildklier, lipiden, glucose, HbA1c, leverfunctie, nierfunctie, bloedbeeld) zijn klinisch gevalideerd. Het pakket is echter niet bedoeld als screening zonder medische indicatie, maar voor monitoring tijdens testosteronbehandeling of bij specifieke klachten die duiden op hormonale problemen.

Last reviewed on April 22, 2026

Sources consulted

Dutch clinical guidelines and healthcare organisations

  • Diagnostiek van overgewicht en obesitas bij volwassenen - Richtlijn
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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.

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