
Workout Upgrade
Improve body’s performance to achieve fitness goals
FDX 30
Accomplishing fitness and performance goals are not just down to consistency, good training schedules, protein intake, and muscle mass. The degree of achieving success is influenced by a combination of health and lifestyle factors. These will hinder the adaption of the body to the stress of exercise and preclude successful goals from being achieved.
Lifestyle, diet, age, and environment all impact the body’s ability to perform and function optimally. Achieving work out potential, health, and fitness requires good working body mechanics and body systems.
Understanding how your body systems are functioning will enable you to uncover any unseen issues from digestion to toxin removal to energy production. All of which are essential to successful performance in sport.
Being able to digest food efficiently is imperative as it allows for the absorption of necessary nutrients including protein, vitamins, and minerals. A healthy liver will assist in the removal of toxins emitted during exercise. Good thyroid function is essential to ensure metabolism and high degrees of energy. A healthy functioning immune system that identifies stresses and deals with them efficiently. Are all essential to success.
With over 100 biomarkers comprising a range of body systems covering glucose and lipid management, cardiovascular health, inflammatory markers, immune system, thyroid function, and sexual hormone health with key nutrient status.

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Suitable for:
- Those looking to improve their fitness and performance at any stage of a fitness programme
- Those who are experiencing a stall or setbacks in their performance and wish to uncover hidden dysfunctions to enable improvements
- Those who wish to further their competitive success and gain an edge on the competition
- Those training but with signs and symptoms or existing chronic conditions that are still persisting
Key Biomarkers
Key Biomarker
ALP
A zinc dependent enzyme, the major function of Alkaline Phosphatase, is to protect your intestinal tract against bacteria, aid in digestion, breakdown fats and some B vitamins, and promote bone formation. As its name suggests it depends on an alkaline environment and is found in all tissues in the human body, but mostly in bones, kidneys, liver, intestines, and placenta. Levels are used to assess zinc need, liver function, Vitamin C need or biliary obstruction as well as bone turnover.
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ALT
An enzyme found primarily in the liver, with small amounts in the heart, muscles, and kidneys. Levels may indicate liver disease, biliary issues, pancreatitis or alcoholism, fatty liver, need for B6.
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Aluminium Serum
The most abundant metal and in the earth’s crust. Widely used in manufacturing, health and beauty products including antiperspirants, and lipsticks as well as edible cake decorations and more. Exposure is common and excess is detrimental to health and wellbeing and long term exposure and overload to excretory processes can lead to increased levels and elevated risks of toxicity as well as increasing cognitive risks including Alzheimer’s and Dementia as well as associations with anaemia, and bone strength reduction.
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Amylase
A digestive enzyme produced in the salivary glands and the pancreas that helps the body to digest and absorb carbohydrates. Levels may indicate pancreatic insufficiency, digestive dysfunction, pancreatitis.
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Apolipoprotein A1
Apo A is a constituent of HDL and assists in the binding of cholesterol and fats transport from blood vessels and cells preventing plaque formation. It has a role in cognitive function, in the immune system as an agent against pathogens and detoxifies bacterial toxins. Used as a predictor for CVD and inflammation.
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Apolipoprotein B
Apolipoprotein B is the backbone of LDL, and is part of the delivery system to deliver cholesterol from the liver. A main contributor to atherosclerosis and heart disease. Linked to immune function and is a measure of CVD risk. Levels are linked with obesity, hypothyroidism, insulin resistance and diabetes. Risk factors also include Alzheimer’s, cognitive function, heart disease and possibly cancer.
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AST
An intracellular enzyme found primarily in the liver and heart and to a lesser extent in skeletal muscle, kidneys and lungs. It is released into the bloodstream due to cellular or tissue damage. Levels may indicate cardiovascular disease, liver disease, alcoholism, hypothyroidism, viral infection with EBV or CMV, muscle injury or acute pancreatitis, need for B6.
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C Peptide
A byproduct of proinsulin production by the pancreas. Proinsulin splits into Insulin and C-Peptide. Unlike Insulin which is cleared in a variable manner c-peptide is cleared at a constant rate making it a more dependable measure of Insulin production. Levels indicate how much Insulin is being produced and indicates blood sugar dysregulation including Type 1 and 2 diabetes.
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Ceruloplasmin
Copper transport protein binds 95% of circulating copper. Interacts with 120 other proteins. Is an acute phase protein and responds to inflammation and inflammatory diseases. Used to assess copper sufficiency, inflammation needs for copper, zinc, anaemia, toxicity, and immune function. Is also used as an Alzheimer’s risk marker, Parkinson’s, Iron status, obesity, and liver damage.
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Copper Serum
Used as a marker to identify skin health, mental health, toxicity esp. estrogen and clearance of, heart disease risk, diabetes bone loss and immune function. Used to assess copper sufficiency, inflammation and presence of inflammatory diseases, Levels used to assess needs for copper, zinc, anaemia, immune function, inflammatory conditions, PMS, pathogen infection, adrenal insufficiency.
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Cortisol Serum am
Known as ‘the stress hormone’ this steroid hormone plays an essential role in helping the body respond to stress, and regulates a wide range of body processes, including metabolism and immune response. This test helps identify degrees of stress levels, diagnose adrenal glands dysfunction, and disorders such as underactive, or damaged adrenal glands due to insufficient or excessive cortisol production.
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Creatine Kinase
Groups of enzymes that play a large role in energy production and found in tissues that use lots of energy i.e. heart, skeletal muscle and the brain. Levels are used to assess damage from the heart (MI), skeletal muscle damage and breakdown, brain damage, and muscle atrophy
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DHEA-sulphate
The hormone Dehydroepiandrosterone (DHEA) is an important precursor to hormones such as the sex hormones progesterone, testosterone and the oestrogens. It is produced predominantly in the adrenal glands and is involved in the Fight or Flight stress response to resume a calm state after perceived danger/stress has passed. As the most abundant circulating steroid in the body, it has an influence on over 150 known repair functions in both the body and brain. Increased or decreased levels may lead to many common conditions in the endocrine, immune, cardiovascular, hormonal, and nervous systems.
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Ferritin
A measure of the amount of iron stored in the body. The most sensitive test to assess iron deficiency. Levels may indicate haemochromatosis, excess iron intake, inflammation, oxidative stress, liver dysfunction, excessive blood loss or iron deficiency anaemia.
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Fibrinogen
A soluble liver produced protein that is broken down to produce fibrin which is necessary for clot formation. Levels may indicate hypercoagulation, inflammation, trauma, infections, cancer, cardiovascular disease or increased risk of stroke and liver function.
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Homocysteine
An amino acid produced through methionine metabolism. This methylation process involves Vitamins B6, B12 and folate as well as zinc and co-factors including magnesium and tri methyl glycine all required in the recycling of methionine to homocysteine and back again. Levels may indicate needs in these nutrients, oxidative stress or metabolic syndrome, risks of Alzheimer’s, CVD risks. Depression, dementia, Parkinson’s, oxidative stress, poor detoxification, IBD.
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IGF-1
Similar in structure to insulin, insulin-like growth factor-1 plays a prominent role in the regulation of immunity and inflammation, and an essential role in regulating endocrine growth and development. It works together with the growth hormone (GH) and stimulates the liver to produce IGF-1 which reproduces, and regenerates cells and promotes growth and development. Another important function is to strengthen tissues, thereby improving bone density and building muscle, and promoting healing.
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Insulin (fasting)
A fasting insulin test identifies the level of insulin after an 8 to 12 hour fast. Insulin is a pancreatic hormone released to manage the process of glucose being transported into the cells for energy production purposes. Levels are associated with Insulin resistance, Diabetes, Metabolic Syndrome, inflammation, Obesity, lipid management and risks of CVD.
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Prolactin
Prolactin is a hormone produced in the pituitary gland, and plays a key role in fertility, reproduction, and the stimulation of breast milk production. It is also involved in regulating the immune system, suppressing the stress response, creating and activating new neurons, and stimulating motherly (maternal) behaviour. Men and non-pregnant women generally have low levels of prolactin. In women, prolactin tests help diagnose the causes of absent or irregular menstruation, spontaneous or abnormal breast milk flow or other unexplained discharges. In men, they can help diagnose erectile dysfunction or loss of sex drive (libido).
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Magnesium Red cell
A more accurate measure of magnesium can be obtained via red blood cells which contain 2 – 3x more Mg than serum. Mg is a mineral necessary for energy production, muscle contraction, nerve function, maintenance of strong bones, carbohydrate and protein metabolism, and over 300 enzymatic processes in the body. It is obtained through diet and is absorbed in the small intestine and colon. Levels may indicate deficiency due to malabsorption or gastrointestinal disorders.
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Sex Hormone Binding Globulin
This protein is produced by the liver, controlled by sex hormones, thyroid hormones, insulin, and dietary factors and binds to sex hormones - testosterone, DHT (dihydrotestosterone), and oestrogen (estradiol). It helps transport them in the blood. SHBG levels, which change with age, vary between men and women, and can help control the levels of androgens and oestrogens in the body. It can help to determine testosterone levels in the blood, since around 40-60% of total testosterone is bound to SHBG in men.
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Testosterone Total
This test measures the amount of both testosterones bound to proteins (sex hormone-binding globulin and albumin) and free (not bound to any proteins) testosterone in the blood. Testosterone is a hormone mainly produced by the testes in men, or ovaries in women. Testosterone’s diverse range of effects on many different organs and tissues includes bone health building and maintaining muscle mass and strength; increasing lean body mass and fat loss; increasing red blood cell production; improving libido and sexual function, increasing sperm production, regulating mood, brain function and memory.
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Vitamin B12
A measure of the total amount of B12 in the serum. B12 is essential in methylation, important for the nervous system and for red blood cell production. Levels may indicate low dietary intake, malabsorption, Hypochlorhydria, autoimmunity, Anaemia or excessive alcohol intake
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Vitamin D3 (25 OH)
A measure of the level of 25 (OH) D in the blood. Vitamin D is essential for bone health, brain health and immune function. Levels may indicate a deficiency due to inadequate exposure to sunlight, genetics, insufficient dietary intake, or toxicity due to excessive supplementation; and can be associated with risks of Cancer, Hypertension, chronic pain and inflammation, Diabetes and Depression.
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Zinc Serum
Zinc is not stored in the body and dietary intake is essential. Zinc is involved in over 300 enzyme functions. Including the metabolism and function of carbohydrates, proteins and fats. As well involved in immune function, skin health and healing and senses of taste and smell amongst many. Levels are used to assess zinc status at a serum level, hydrochloric acid production, male fertility, inflammation, copper status amongst many.
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You will need a main test first
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FDX 05: LDH Isoenzymes
£72.00
FDX 05: LDH Isoenzymes
LDH is made up of a number of enzymes that are contained in different body tissues. This test identifies the levels of the different LDH enzymes so tat the site of damage, dysfunction and imbalance can be identified.
Included Biomarkers
Inflammation
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FDX 11: Thyroid Antibodies Investigation
Used to help identify potential autoimmune issues (Hashimoto's).
Included Biomarkers
Thyroid
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FDX 12: Reverse T3 & T3 Uptake
For additional thyroid function investigation, to determine causes of impaired T3 levels, selenium and iodine status, hypo and hyper states, inflammation, stress etc..
Included Biomarkers
Thyroid
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FDX 13: TSH Receptor Antibodies
Investigation for identifying autoimmune disease on the TSH receptors usually prevalent in Grave's disease (90%).
Included Biomarkers
Thyroid
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FDX 20: Epstein-Barr virus (EBV) Antibodies IgG IgM
An Epstein-Barr virus (EBV) antibodies investigation can indicate a current, recent, or past EBV infection.
Included Biomarkers
Immunology
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FDX 35: Helicobacter Pylori Antibodies
An Helicobacter Pylori Antibodies investigation can indicate recent past or longer term past H. Pylori infection
Included Biomarkers
Immunology
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FDX 37: Active B12 & Red Cell Folate
Intracellular measurements of folate and b12, for assessment of levels and methylation capability and pathways.
Included Biomarkers
Vitamins
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FDX 38: Fertility viability investigation – Anti...
Anti Mullerian Hormone investigation useful for understanding ovarian reserve and can be used n assessment of PCOS.
Included Biomarkers
Hormones
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FDX 39: Day 21 Ovulation investigation
Used to identify the ratio between progesterone and estrogen on day 21 of the female cycle as part of a fertility investigation
Included Biomarkers
Hormones
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FDX 41: Free Testosterone
£40.00
FDX 41: Free Testosterone
Serum measured unbound testosterone.
Included Biomarkers
Hormones
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FDX 57: Chromium
£55.00
FDX 57: Chromium
Affects levels of insulin carbohydrate fat and protein levels. Used in supplemental form to assist CH2O metabolism. Note Cr exists in 2 forms Cr (VI) which is toxic and enters the red blood cells and Cr (III). Plasma test measures total Cr and to ID Cr (VI) it will be necessary to measure RBC Cr levels
Included Biomarkers
Minerals & Metals
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FDX 60: Osteocalcin
£125.00
FDX 60: Osteocalcin
Protein hormone produced in the bone cells (osteoblasts). Binds calcium and is involved in bone regeneration and formation. Once released into the blood can act like a hormone and has direct effects i.e. it affects the beta cells of the pancreas and in turn can increase insulin production
Included Biomarkers
Bone Health
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FDX 61: ALP Isoenzymes
£75.00
FDX 61: ALP Isoenzymes
Alkaline phosphatase, is made of isoenzymes, each one relating to the tissues they are found including liver, bone, intestine, and placenta.
Included Biomarkers
Inflammation
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FDX 62: Reticulocyte
£30.00
FDX 62: Reticulocyte
Reticulocytes are newly formed and immature red blood cells that are produced in the bone marrow. They are reported as a percentage of total Red Blood Cells and can be used as an indicator or an individual's ability to produce RBCs. Levels are used to assess the bone marrow’s response to anaemia. and the effects of supplementation in the case of B12, B6 and Folate anaemias.
Included Biomarkers
Blood Chemistry
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FDX 63: Complement factors C3 & C4
C3 is Important for the body’s immune function and response to inflammation. The main function is to destroy bacteria and viruses. C4 is Important for the body’s immune function and response to inflammation originating from the HLA system
Included Biomarkers
Immunology
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FDX 64: Glucose-6-phosphate dehydrogenase (G6PD)
Glucose 6 Phosphate Dehydrogenase. An enzyme that catalyses the energy (glucose to pyruvate) producing pathway that supplies reducing energy by maintaining the level of NADPH by reducing NADP to NADPH and compound essential in the biosynthesis of fatty acids
Included Biomarkers
Enzymes
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FDX 65: Serum Protein Electrophoresis (SPE)
Examines the levels of specific blood proteins the Globulins. These are divided into Albumin as well as Alpha 1, Alpha 2, Beta, and Gamma globulins
Included Biomarkers
Immunology
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FDX 66: Glutamic Acid Decarboxylase Autoantibodies
Type 1 diabetes investigation or latent autoimmune adult diabetes. GAD enzyme is required for the healthy function of the pancreas. The presence of Glutamic Acid Decarboxylase Autoantibodies indicates Type 1 diabetes. Can be used to assess if gestational diabetes is type 1. Also can indicate neurological disorders. Consider in relation to gluten sensitivity and coeliac disease
Included Biomarkers
Immunology
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FDX 67: Lp-PLA2 (PLAC) Cardiovascular investigation
Measures the amount of lipoprotein associated phospholipase in the blood. Primarily associated with LDL which carried the Lp-PLA2 to the coronary artery walls activating an immune response making plaque. Levels are associated with increased risk of heart attack and stroke and is an excellent coronary marker
Included Biomarkers
Lipids
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FDX 68: Reverse T3
£70.00
FDX 68: Reverse T3
Considered to be the metabolic brake to counteract the effects of the metabolic accelerator that is T3. Levels are used to identify possible diabetes, effects of fasting, heavy metals, inflammatory, pathogen effects, inflammatory cytokines like IL6 and TN-Alpha, also an indicator of stress.
Included Biomarkers
Thyroid
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FDX 69: IgG, IgM, IgE Immunoglobulins
Measurement of IgG, IgM, IgE Immunoglobulins in investigations of the immune system
Included Biomarkers
Immunology
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FDX 73: Red Cell magnesium
£45.00
FDX 73: Red Cell magnesium
A more accurate measure of magnesium can be obtained via red blood cells which contain 2 – 3x more Mg than serum. Mg is a mineral necessary for energy production, muscle contraction, nerve function etc.
Included Biomarkers
Minerals & Metals
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FDX 74: Free & Total PSA
£49.00
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FDX 75: Active B12
£45.00
FDX 75: Active B12
Also known as holotranscobalamin also see Vitamin B12. Active B12 accounts for approximately 10 to 20% of total B12 levels. Considered to be a more sensitive marker than serum B12 as it degrades faster serum B12 with a short life span.
Included Biomarkers
Vitamins
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FDX 77: Diamine Oxidase
£85.00
FDX 77: Diamine Oxidase
Also known as DAO. Used in the assessment of histamine intolerance which can be caused by the deficiency of DAO or an imbalance between histamine and DAO.
Included Biomarkers
Enzymes
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FDX 78: Dihydrotestosterone
£85.00
FDX 78: Dihydrotestosterone
Dihydrotestosterone (DHT) is a male sex hormone (androgen). Androgens are endogenous steroid hormones consisting of DHEA, Androstenedione, Testosterone and DHT. DHT is the most potent hormone amongst the androgens because it is not converted to estrogen, it is considered to be a pure androgen. It is created from testosterone via the action of the enzyme 5 alpha-reductase and is produced in the prostate gland, adrenal glands, liver, brain, and hair follicles. Its action is related to the tissue in which it is produced. It is a more potent hormone than testosterone (approx. 1% circulated feely as unbound), it has a slow dissociation (approx. 5x less than testosterone) and long half-life (2x affinity to the androgen receptors). During development and adult life in men, it promotes prostate growth, activity of the sebaceous glands, male pattern baldness and the development of characteristics that are typically associated with men (body hair, muscle growth, and a deep voice). In women DHT levels are associated with issues including hirsutism, amenorrhea, and increased acne.
Included Biomarkers
Hormones
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FDX 79: D-Dimer
£58.00
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FDX 82: Lipoprotein (a)
£30.00
FDX 82: Lipoprotein (a)
Made in the liver comprising of both LDL and Apolipoprotein A. levels, is used to assess, and associated with hypothyroidism, low sex hormone, inflammation and tissue damage, autoimmunity PCOS and kidney and heart disease.
Included Biomarkers
Lipids
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FDX 998: CV-19
£69.50
FDX Workout assessment considers 13 body systems, 7 accessory systems, 7 macronutrient systems, 14 micro-nutrient deficiencies and 40+ clinical dysfunctions to reveal more about your client’s health picture and help them to achieve their optimal performance.
Test guidelines:
Fasting blood draw required in the morning.
Related Panels
Testimonials
Functional DX to me is the 'Go to Test' that I would use for patients before anything else