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Wellness and General Health tests

There is no single laboratory test that can assess every part of your health. Different tests provide information about specific areas of wellbeing. To help guide you, tests are grouped into key health sections, allowing you to navigate directly to the area most relevant to your needs.

Wellness and General Health

Fertility
and Pregnancy

Allergy and Food Intolerance

Sexual Health
Screening

+356 23291603/4/5

Sliema / Żejtun / Burmarrad

Saint James Hospital

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Women's health

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Men's health

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Cardiac Health

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Anaemia

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Thryoid Profile

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Liver Profile

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Renal Profile

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Inflammation markers

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Cholesterol & Cardiovascular Health

Cholesterol and cardiovascular health tests can include measurements of blood fats such as total cholesterol, HDL cholesterol, LDL cholesterol, and triglycerides. HDL cholesterol helps carry excess cholesterol away from the arteries, while higher levels of LDL cholesterol and triglycerides may contribute to increased cardiovascular risk.

Additional tests may provide further information about cardiovascular risk, inflammation, or heart strain. These may include Apolipoprotein B (ApoB), lipoprotein(a), high-sensitivity CRP, and NT-proBNP, depending on the reason for testing. Results are usually interpreted alongside other factors such as blood pressure, lifestyle, family history, symptoms, and medical history.

Lipid Profile: Cholesterol, HDL, LDL, Triglycerides, Risk Factor

Special requirements: Fasting required for at least 12 hours. Appointment required.

Anaemia & Iron Health

Anaemia and iron related health tests can help assess red blood cells, iron stores, and nutrients needed for normal blood production. A Complete Blood Count (CBC), also known as a Full Blood Count (FBC), measures different parts of the blood, including red blood cells, haemoglobin, haematocrit, white blood cells, and platelets. A blood film may also be performed to examine the appearance of blood cells under a microscope. These can help detect anaemia and provide information about the main blood cell types.

Additional tests may include iron studies (such as serum iron, total iron binding capacity, transferrin saturation, ferritin) to assess iron stores, and vitamin B12 and folate levels. These tests may be relevant when investigating symptoms such as tiredness, weakness, dizziness, shortness of breath, or when monitoring a known deficiency.

Haematology Profile: Complete Blood count, Blood picture, ESR

Anaemia Profile: CBC, Blood picture, ESR, Iron, TIBC, Ferritin, Folate, Vitamin B12

Individual tests can be chosen.

Special requirements: Fasting only required for Vitamin B12 and Folate Levels.

Liver Function

Liver function tests help assess different aspects of liver health. They commonly include transaminases such as Alanine Aminotransferase (ALT) and Alanine Aminotransferase (AST), which can change when liver cells are affected, as well as Alkaline Phosphatase (ALP) and Gamma-Glutamyl Transferase (GGT), which may provide information about bile flow or bile duct involvement.

Other measurements may include bilirubin, albumin and total protein. Bilirubin is related to the processing and clearance of waste from red blood cells, while albumin and total protein provide information about the liver’s role in producing important proteins.

These tests may be used to investigate symptoms such as jaundice, abdominal discomfort, nausea or tiredness. They may also be used to monitor known liver conditions, assess the possible effects of certain medications, or check for liver changes related to viral infections or alcohol use.

Liver Function Profile 1: Total Bilirubin, Alkaline Phosphatase (ALP), Gamma-Glutamyl Transferase (GGT), Aspartate Aminotransferase (ASAT/AST), Alanine Aminotransferase (ALAT/ALT)

 

Liver Function Profile 2: Total Bilirubin, Direct Bilirubin, Indirect Bilirubin, Alkaline Phosphatase (ALP), Gamma-Glutamyl Transferase (GGT), Aspartate Aminotransferase (ASAT/AST), Alanine Aminotransferase (ALAT/ALT), Albumin, Globulin, Total Protein.

Renal / Kidney Function

Renal function tests help assess how well the kidneys are filtering waste and maintaining the body’s fluid and mineral balance. Blood tests commonly include urea, creatinine and estimated glomerular filtration rate (eGFR), which provide information about kidney filtration, together with electrolytes such as sodium, potassium and chloride. Electrolyte levels may be affected by kidney function, hydration, medications and other health conditions.

Urine tests, such as urinalysis or urine albumin-to-creatinine ratio, may provide further information about kidney health by checking for findings such as protein, blood or albumin in the urine.

Renal Profile 1/2: Urea, Sodium, Potassium, Chloride, Creatinine +/- Urinalysis and Microscopy

Special requirements: N/A

Thyroid Function

Thyroid function tests assess how the thyroid gland is working. A thyroid profile includes thyroid-stimulating hormone (TSH), free thyroxine (Free T4) and free triiodothyronine (Free T3), which provide information about thyroid hormone production and regulation.

Thyroid antibody tests, such as anti-thyroid peroxidase antibodies (anti-TPO), may also be included when autoimmune thyroid disease is being considered. These tests may be used when investigating symptoms such as tiredness, weight fluctuations, changes in heart rate, temperature sensitivity, hair changes or menstrual irregularities.

Thyroid Profile 1: FT4, TSH

Thyroid Profile 2: FT3, FT4, TSH

Special requirements: N/A

Metabolic & Diabetes Health

Metabolic and diabetes tests help assess how the body processes glucose and regulates energy. Blood tests commonly include fasting glucose and HbA1c, which provide information about blood sugar levels and longer-term glucose control.

Additional tests may include an oral glucose tolerance test (OGTT), which measures how the body responds to glucose intake over time. This test requires the patient to remain in the laboratory for the duration of the test, usually 2 to 3 hours, as blood samples are taken at set intervals after drinking a glucose solution. Insulin testing may also provide further information about insulin production or insulin resistance. These tests may be used when assessing diabetes risk, pre-diabetes, symptoms of abnormal blood sugar levels, or ongoing glucose monitoring.

Special requirements: Fasting required for at least 8 hours. Appointment required.

Vitamins & Nutritional Health

Vitamin and nutritional tests help assess key nutrient levels in the body and may identify possible deficiencies. Common tests include vitamin D, vitamin B12 and folate also known as vitamin B9, depending on the reason for testing.

More specialised vitamin testing may also be available through partner laboratories abroad, including vitamins A, B1, B2, B3, B6, C, E and K.

These tests are commonly used when investigating symptoms such as fatigue, weakness or poor immunity. They may also be used to monitor nutritional status, particularly in people following a restricted diet, those suspected of having deficiencies, those taking supplements, or those undergoing certain treatments. Testing is usually performed using a blood sample, and any preparation required will depend on the specific test requested.

Special requirements: Vitamin D (none). Vitamin B12 and Folate Levels (8 hour fasting required). Vitamins A, B1, B2, B3, B6, C, E and K (strictly by appointment).

Bone Health

Bone health tests help assess minerals, vitamins and hormones involved in maintaining healthy bones. Common tests may include calcium, phosphate, vitamin D and parathyroid hormone (PTH), depending on the reason for testing. Additional tests such as CTX testing, also known as CrossLaps may provide information about bone turnover, particularly bone breakdown.

Special requirements: CTX testing – Strictly by appointment. Fasting required. For long-term follow-up, as CTx is subject to circadian variations, samples should be taken under the same conditions as the the initial sample (baseline).

Inflammation & General Health Markers

Inflammation tests help assess whether there are signs of inflammation or infection in the body. Common tests may include C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), and a Complete Blood Count to review white blood cells and other blood cell changes.

These tests are not specific to one condition, but they can provide useful information when interpreted alongside symptoms, medical history and other results. They may be used when investigating fever, unexplained tiredness, pain, swelling, or when monitoring known inflammatory or infectious conditions.

Special requirements: N/A

Gut Health

Gut health testing can provide information about the balance of microorganisms in the digestive tract and other factors related to digestive function.

The Gut Microbiome Profile, also known as GI-MAP, is a stool test that uses molecular testing to assess bacteria, parasites, viruses, yeast and other microorganisms that may be present in the gastrointestinal tract.

The test may also provide information about gut microbiome balance, inflammation, digestive efficiency and other digestive health indicators, depending on the panel requested. It may be useful when investigating symptoms such as bloating, diarrhoea, constipation, abdominal discomfort or suspected food-related digestive issues.

Special requirements: Special kit required contact laboratory. Testing is performed using a stool sample, which is analysed through specialised partner laboratories abroad.

Women’s Health

Women’s health laboratory testing may bring together several areas covered in other sections, including anaemia and iron health, thyroid function, vitamin and nutritional status, metabolic health, bone health, and general wellbeing.


Hormone testing may include tests such as follicle-stimulating hormone (FSH), luteinising hormone (LH), oestradiol (E2), progesterone, prolactin, testosterone and anti-Müllerian hormone (AMH), depending on the reason for testing. These may be relevant when investigating menstrual changes, fertility, perimenopause, menopause, or other hormone-related concerns.


Female Hormone Profile : Follicle-stimulating hormone (FSH), Luteinising hormone (LH), Progesterone, Prolactin, Testosterone, EstradioL (E2).


Special requirements: If hormone test results are required within a specific timeframe, please inform reception at the time of booking or sample collection. Your doctor may recommend for hormone tests to be performed on specific days of your menstrual cycle. If you are undergoing IVF treatment, your doctor will guide you.

CERVICAL SCREENING

Cervical screening is an important part of women’s preventive health. The cervical sample is usually taken during a gynaecological appointment and can then be sent or brought to the laboratory for testing. Cervical screening may include cytology, which looks for abnormal cervical cell changes, and HPV testing, which checks for high-risk human papillomavirus types linked to cervical cancer risk.

Men’s Health

Men’s health laboratory testing may bring together several areas covered in other sections, including cholesterol and cardiovascular health, liver function, renal function, metabolic health, thyroid function, vitamin and nutritional status, and general wellbeing.

Hormone testing may include tests such as testosterone, free testosterone, sex hormone-binding globulin (SHBG), luteinising hormone (LH), follicle-stimulating hormone (FSH), prolactin and oestradiol (E2), depending on the reason for testing. These may be relevant when investigating symptoms such as low energy, reduced libido, changes in muscle mass, fertility concerns, or other hormone-related changes.

Prostate-specific antigen (PSA) testing may also be included as part of prostate health assessment. PSA is a protein produced by the prostate gland, and its level may be raised in several situations, including prostate enlargement, inflammation, infection, or prostate cancer. PSA results are usually interpreted alongside age, symptoms, medical history and clinical examination where appropriate.

Male Hormone Profile: Follicle-stimulating hormone (FSH), Luteinising hormone (LH), Testosterone, Prolactin

Special requirements: N/A

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