*Source: https://www.years.co/en/blutwerte-check-up* Lab diagnostics · panel register # 233 biomarkers. Every single one on the record. Others quote a number with a plus sign. We list every marker by name: 85 with Core, 131 with Evolve, 233 with Ultimate, across 9 organ and function systems. All from one blood draw, discussed with a physician, documented in full. You can check before booking whether your value is in there. Free intro call Book appointment 233 biomarkers in Ultimate 9 organ and function systems 1 blood draw, one appointment How many blood values ## How many biomarkers do we test? Depending on the program, 85, 131 or 233. The programs are cumulative: Evolve contains all Core markers and adds to them, Ultimate contains all Evolve markers. For comparison, a full blood count at a family doctor typically covers 10 to 25 parameters. Core® 85 The baseline: blood count, liver, kidney, lipids including ApoB and Lp(a), HbA1c, insulin, thyroid, vitamin D and high-sensitivity CRP. Evolve® 131 Adds electrophoresis, extended lipids with omega-3 index, sex hormones, IGF-1 and interleukin-6. Ultimate® 233 Adds the complete amino acid profile, extended autoimmune diagnostics and the experimental longevity markers. Lab diagnostics · panel register ## Others quote a number. We list every marker. Full transparency instead of “230+”. Our Ultimate panel covers 233 individual biomarkers across 9 systems, listed here in full. Pick a program and the register shows what is included. 233 markers 9 systems 3 programs As of 07 · 2026 Core® 85 Evolve® 131 Ultimate® 233 All systems Basics & blood count 55 Liver 7 Kidney 5 Cardiovascular & lipids 30 Diabetes, coagulation & infection 20 Hormones & endocrinology 18 Vitamins, micronutrients & longevity 28 Immunology & autoimmune 26 Amino acid analysis 44 ### 01 Basics & blood count 55 / 55 + Albumin Calcium (ionisiert) Calcium, gesamt Chlorid Creatinkinase (CK) Eiweiß, gesamt Kalium LDH Lipase Magnesium Natrium Phosphat, anorg. Transferrin Leukozyten Erythrozyten Hämoglobin Hämatokrit MCV MCH MCHC Erythrozytenvert.-breite Thrombozyten Neutrophile Neutrophile absolut Lymphozyten Lymphozyten absolut Monozyten Monozyten absolut Eosinophile Eosinophile absolut Basophile Basophile absolut Granulozytenvorstufen Farbe (U) Trübung (U) pH (U) Spez. Gewicht (U) Blut (U) Leukozyten (U) Nitrit (U) Eiweiß (U) Glucose (U) Keton (U) Bilirubin (U) Urobilinogen (U) Ascorbinsäure (U) Albumin/Mikroalbumin (U) Creatinin (U) Präalbumin Albumin (Elektroph.) Alpha-1-Globulin Alpha-2-Globulin Beta-Globulin Gamma-Globulin Immunolog. Stuhltest (iFOBT) ### 02 Liver 7 / 7 + Alk. Phosphatase Bilirubin, direkt Bilirubin, gesamt Cholinesterase GOT (AST) GPT (ALT) Gamma-GT ### 03 Kidney 5 / 5 + Creatinin (enzymatisch) Cystatin-C Harnstoff Harnsäure Osmolalität ### 04 Cardiovascular & lipids 30 / 30 + Cholesterin, gesamt LDL-Cholesterin HDL-Cholesterin NON-HDL-Cholesterin Triglyceride Apolipoprotein B Lipoprotein (a) NT-proBNP Homocystein VLDL-Cholesterin Lp-PLA2 Oxidiertes LDL Fettsäuren, frei Omega-3-Index MR-proADM Creatinkinase-MB (CK-MB) Myoglobin α-Linolensäure (ALA) EPA DHA Linolsäure γ-Linolensäure Bishomo-γ-Linolensäure Arachidonsäure EPA/AA-Quotient Behensäure (C22:0) Lignocerinsäure (C24:0) Cerotinsäure (C26:0) Phytansäure Pristansäure ### 05 Diabetes, coagulation & infection 20 / 20 + HbA1c (NGSP) HbA1c (IFCC) Glucose (nüchtern) Glucose (+1h) Glucose (+2h) Insulin HOMA-Index Fibrinogen Quick (TPZ) aPTT Thrombinzeit (TZ) von-Willebrand-Diagn. HBc-Ak HBe-Ag HBs-Ag HBs-Ak/Anti-HB HBV-DNA quant. HCV-Ak HIV-1/2-Ak/p24-Ag TPHA (Syphilis) ### 06 Hormones & endocrinology 18 / 18 + TSH basal FT3 FT4 Cortisol DHEA-S Testosteron, gesamt Testosteron, frei SHBG Östradiol FSH LH Prolactin IGF-1 ACTH Aldosteron PTH, intakt HGH/Wachstumshormon PSA, gesamt ### 07 Vitamins, micronutrients & longevity 28 / 28 + Vitamin D 25-OH Vitamin B12 Folsäure Ferritin Eisen Vitamin A/Retinol Vitamin B1 Vitamin B6 Vitamin E Vitamin K1 Vitamin K2 Jod, gesamt Selen Zink Coenzym Q10 Nicotinamid Adiponectin Leptin Beta-CrossLaps (CTX) CDT TMAO GDF-15 Quotient pTau217 exp Amyloid beta 1-42 exp Cotinin 3-OH-Cotinin Nicotin Anabasin ### 08 Immunology & autoimmune 26 / 26 + CRP high sensitive Interleukin-6 IgG Turbidimetrie IgA Turbidimetrie IgM Turbidimetrie Immunglobulin E (IgE) Antinukleäre-Ak (ANA) CCP-Ak tTG2-Ak IgA Rheumafaktor IgM c-ANCA p-ANCA Multiplex Allergietest (ALEX2) Lymphozyten, gesamt T-Lymphozyten (CD3+) T-Helferzellen (CD4+) T-Suppressorz. (CD8+) T-Zell-Ratio (CD4/CD8) B-Lymphozyten (CD19+) NK-Zellen IgG 1 IgG 2 IgG 3 IgG 4 IgA 1 IgA 2 ### 09 Amino acid analysis 44 / 44 + Alanin Arginin Asparagin Aspartat Cystin Glutamin Glutamat Glycin Histidin Isoleucin Leucin Lysin Methionin Phenylalanin Prolin Serin Threonin Tryptophan Tyrosin Valin 1-Methylhistidin 3-Methylhistidin Adenosylhomocystein Allo-Isoleucin α-Aminoadipinsäure α-Aminobuttersäure Anserin Beta-Alanin β-Aminoisobuttersäure Carnosin Citrullin Cystathionin Ethanolamin GABA Hydroxylysin Hydroxyprolin Ornithin Phosphoethanolamin Phosphoserin Pipecolinsäure Saccharopin Sarcosin Sulfocystein Taurin ### 10 Additional procedures Ultimate only · not blood markers + Whole-Genome-Sequencing Whole-Exome-Sequencing Pharmakogenetik Ganzkörper-MRT exp Liquid Biopsy / TruCheck exp Programs are cumulative: Evolve includes all Core markers, Ultimate all Evolve markers. “EXP” marks experimental procedures still under research — details in the transparency chapter. Which blood values ## Which values do we test, and why these 9 systems? The panel is organised by organ and function system, not by laboratory device. That makes it readable as a whole: a single liver value says little, five together with the blood count form a picture. 01 ### Basics & blood count 55 markers Blood count, electrolytes, proteins and enzymes. The classic full blood count sits entirely in here and forms the baseline for everything else. 02 ### Liver 7 markers AST, ALT, gamma-GT, bilirubin and cholinesterase. A fatty liver runs without symptoms for a long time and is well reversible at an early stage. 03 ### Kidney 5 markers Creatinine, cystatin C, urea and osmolality. Cystatin C detects declining filtration earlier than creatinine alone and sets the dose for several medications. 04 ### Cardiovascular & lipids 30 markers Apolipoprotein B, lipoprotein (a), homocysteine and NT-proBNP on top of the classic lipid profile. ApoB counts the actual number of atherogenic particles; Lp(a) is strongly hereditary and almost never measured routinely. 05 ### Diabetes, coagulation & infection 20 markers HbA1c in both standards, insulin and fasting glucose plus coagulation and infection serology. Insulin resistance is measurable years before glucose becomes abnormal. 06 ### Hormones & endocrinology 18 markers Thyroid from basal TSH, sex hormones, cortisol and IGF-1. Hormonal shifts frequently explain fatigue, weight change and sleep problems for which no other cause is found. 07 ### Vitamins, micronutrients & longevity 28 markers Vitamin D 25-OH, B vitamins, ferritin, trace elements and longevity markers. This is also where the two experimental Alzheimer markers pTau217 and amyloid beta 1-42 sit, whose predictive value is still under research. 08 ### Immunology & autoimmune 26 markers High-sensitivity CRP, interleukin-6, immunoglobulins and autoantibodies. Low-grade silent inflammation is a risk factor in its own right and invisible on standard panels. 09 ### Amino acid analysis 44 markers The complete amino acid profile, exclusive to Ultimate. Relevant for protein supply, muscle building and metabolic pathways that can otherwise only be estimated indirectly. Not on a standard blood count ## Six markers that make the difference. A full blood count answers questions like anaemia or acute inflammation. The values below decide your long-term risks and appear on hardly any routine report. ### Apolipoprotein B instead of LDL alone LDL cholesterol measures a quantity; ApoB counts the particles that actually deposit in the vessel wall. With normal LDL and high ApoB the risk otherwise goes undetected. Included from Core. ### Lipoprotein (a), once in a lifetime Strongly hereditary, largely constant across life and an independent risk factor. Roughly one in five people has an elevated value and does not know, because it is not measured routinely. Included from Core. ### Insulin and HbA1c together Insulin resistance is measurable for years before fasting glucose becomes abnormal. That window is exactly where nutrition and training can change the most. Included from Core. ### High-sensitivity CRP and interleukin-6 Low-grade inflammation is a cardiovascular risk factor in its own right and is not captured by a standard CRP test. Interleukin-6 is added from Evolve. ### Cystatin C for kidney performance Detects declining filtration earlier and more reliably than creatinine alone, particularly with low muscle mass. Sets the correct dose for several common medications. Included from Core. ### pTau217 and amyloid beta 1-42 Two blood markers from Alzheimer research, included in Ultimate and explicitly flagged as experimental in the register. They replace no diagnostic work-up and we say openly that their predictive value is still being studied. From one blood sample A number on a website can be claimed. A register can be read. How the blood draw works ## From the needle to the interpretation. - ### One draw, several tubes All markers come from a single blood draw on the morning of your diagnostic day. No second appointment, no second needle. Afterwards you have a relaxed breakfast. - ### Accredited specialist laboratory Analysis runs in a medical specialist laboratory to established standards, not as a self-test. Some markers need special handling, which is why the draw happens on site. - ### Results review with a physician You get more than numbers: the interpretation of what forms a pattern together, what matters for your history and what you can ignore. - ### Trend instead of snapshot Only comparison across years separates a direction from measurement variation. Interim checks run by at-home blood draw if you prefer. Honestly ## 233 markers are not automatically better than 50. Reference ranges are defined statistically. For any given value, around five percent of healthy people fall outside without it meaning anything. With more than two hundred markers, a single abnormal value is therefore the normal case and not a warning sign. The benefit lies not in the volume but in the interpretation: which values form a pattern together, which fit your history and which can be ignored. That is why every panel comes with a detailed medical conversation, and why we mark experimental markers in the register explicitly as such. We list the panel in full so you can check it, not so the number impresses. Your values, placed in medical context Dr. med. Ann Netzer Specialist in Internal Medicine „ Prevention means identifying the spark before it becomes a flame. “ View profile → ## Choose the right checkup for you All programs include comprehensive diagnostics and individual consultation ### Core ® A medically guided baseline check that shows you where you stand and which topics need priority now. EUR 1,900 Consultation Included Biomarkers 87 Duration 6h Check-ins - For everyone who … - want to truly know where they stand for the first time - want to go beyond the five standard values at the GP - want to start with prevention, without maximum depth right away View diagnostics & services What you get After one day you know where you are healthy and which two or three topics matter now. Choose YEARS Core ® > More Info ### Evolve ® Comprehensive diagnostics plus annual plan, follow-ups and adjustments — turning insight into lasting change. EUR 7,600 Consultation Included Biomarkers 120 Duration 9h Check-ins 1x For everyone who … - want the full picture including whole-body MRI - have a family history or first irregularities - want to turn values into a guided annual plan View diagnostics & services What you get You get the full structural picture plus a plan that moves with you through the year. Choose YEARS Evolve ® > More Info ### Ultimate ® Personal health management with close medical guidance, Europe's most comprehensive diagnostics and continuous oversight. EUR 16,900 Consultation Included Biomarkers 230 Duration 9h Check-ins 3x For everyone who … - want maximum diagnostic depth, down to epigenetics, neurology and microbiome - want continuous medical guidance instead of a snapshot - want to actively steer their healthy years, not just measure them View diagnostics & services What you get You have a team that steers your health year-round, instead of measuring it just once. Choose YEARS Ultimate ® > More Info Up to 100% reimbursement possible Your YEARS diagnostics are generally reimbursable via private health insurance (PKV), Beihilfe or company health benefits (BKV). You receive a GOÄ-compliant invoice for submission. Check reimbursement ## Common questions about blood values and biomarkers How many blood values does the check-up cover? + That depends on the program, and we do not quote a rounded marketing number for it. Core covers 85 biomarkers, Evolve 131 and Ultimate 233, across 9 organ and function systems. The programs are cumulative: Evolve contains all Core markers and adds to them, Ultimate contains all Evolve markers. Every single marker is listed by name on this page, sorted by system and labelled with the program it belongs to. So you can read up before booking on whether a particular value is included, instead of relying on a number with a plus sign. For comparison, a full blood count at a family doctor typically covers between 10 and 25 parameters. What is the difference from a full blood count? + A full blood count is one part of our panel, not its counterpart. It counts and differentiates blood cells and provides a few baseline values, typically 10 to 25 parameters. That answers questions like anaemia or acute inflammation well. It says little about your long-term risks. Apolipoprotein B and lipoprotein (a) for cardiovascular risk, HbA1c and insulin for glucose regulation, cystatin C for kidney performance, homocysteine, vitamin D 25-OH or high-sensitivity CRP appear on no standard blood count. Yet these are precisely the markers that decide whether a recommendation becomes concrete or stays general. Our panel contains the full blood count in its entirety and adds the systems that make prevention plannable in the first place. How much blood is drawn for that many values? + Less than the number of markers suggests. A single blood draw fills several tubes, and from each tube the laboratory determines many parameters in parallel. For the largest panel the volume is in the range of a routine donation sample, well below what the body handles without difficulty. So you need no second draw and no second appointment. The draw itself takes a few minutes and happens at the start of the diagnostic day so you can have a relaxed breakfast afterwards. If you tend to feel faint during blood draws, tell us beforehand. We then draw with you lying down and plan in more time. Do I need to fast for the blood draw? + Yes, for some of the values. Fasting glucose, insulin and blood lipids are only reliable if you have eaten nothing for about 10 to 12 hours beforehand. Water is fine and you should drink it, because good hydration makes the draw easier. Coffee without milk or sugar is acceptable in small amounts, but skip it if in doubt. You usually take your regular medication as normal. With blood thinners, diabetes medication or thyroid hormones, discuss it with us in advance, because timing and measured value are connected. You receive all details in writing well before the appointment, including a list of what to avoid the evening before. Are more biomarkers automatically better? + No, and we consider this the most important caveat on this page. Every additional marker raises the chance that some value sits slightly outside its reference range without meaning anything. Reference ranges are defined statistically; around five percent of healthy people fall outside for any given value. With more than two hundred markers, a single abnormal value is therefore the normal case, not the warning sign. The benefit only comes from interpretation: which values together form a pattern, which are relevant to your history and which can simply be ignored. That is why every panel comes with a detailed medical conversation. A lab printout without that interpretation is worth little, however long it is. Do I get all values in writing and over time? + Yes, in full and in a readable format. You receive every individual value with its reference range, an interpretation in prose and the conclusions that follow for you. The values are yours and you can share them at any time, for example with your family practice or specialists treating you further. From the second check-up onwards the trend becomes interesting: only development across several years shows whether a change has a direction or was just measurement variation. That is why we store your values so they sit side by side year on year. Checks between two check-ups run by at-home blood draw if you prefer, so you do not have to travel to Berlin. What does a check-up with this blood panel cost? + The panel cannot be booked on its own; it is part of the programs. Core starts at €1,900 and includes 85 biomarkers plus the functional examinations. Evolve extends this to 131 markers and adds full-body MRI and liquid biopsy, Ultimate goes to 233 markers and adds genetics and microbiome. Privately insured patients usually settle via the GOÄ schedule and are reimbursed a substantial share depending on their policy; civil servants combine Beihilfe with a supplementary policy. Patients on statutory insurance pay themselves, because the panel goes beyond the standard catalogue. You receive a complete invoice with all individual items for submission. We clarify what to expect in your case in the free intro call. ## Missing a particular value? Ask in the free intro call. We tell you whether the marker is in the panel, from which program, and whether it contributes anything in your situation. Free intro call (15 min) Reserve appointment ★ 4,9 · 71+ Google- reviews · PKV, Beihilfe & bKV reimbursable ## Related diagnostics Performance diagnostics with blood analysis Spiroergometry and lab in one day Blood draw at home Interim checks between two check-ups Biological age What your values say about your age Evidence & scientific standards Why experimental markers are flagged ## Also relevant Check-up from 40 ApoB, hormones, insulin resistance Check-up from 60 Rhythm, kidney function, medication Always tired Iron, thyroid, vitamin D, inflammation Heart disease and early detection Which values actually change the outcome Prediabetes What demonstrably helps after the finding All programs compared: Core, Evolve and Ultimate . How insulin resistance shows up in the lab: HOMA-IR, OGTT and the relevant blood markers