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“Normal” Blood Tests Don’t Mean Optimal Health — Here’s What Doctors Don’t Test For

One of the most common things people say to me is this:

“My doctor says my blood tests are normal, but I feel anything but normal.”

And they’re right to question it.

Because “normal” does not mean optimal, it simply means you don’t meet the criteria for a diagnosable disease yet.

Conventional medicine is excellent at identifying acute illness and pathology. But it is not designed to look at early dysfunction, subtle imbalances, or why symptoms are developing in the first place.

That’s where functional testing comes in.


What Standard Blood Tests Actually Tell You


GP blood tests are based on population averages, not on what your body needs to function well.

They are designed to answer questions like:

  • Are you anaemic enough to require treatment?

  • Is your thyroid failing enough to prescribe medication?

  • Is your liver damaged enough to raise alarm?

They are not designed to ask:

  • Why are you exhausted?

  • Why are you inflamed?

  • Why is your nervous system on edge?

  • Why do foods suddenly trigger symptoms?

  • Why do you keep getting ill?


By the time something shows up clearly on standard tests, dysfunction has often been building for years.



What Functional Testing Looks At Instead


Functional testing looks at how your systems are functioning, not just whether they’ve collapsed.

Depending on symptoms, this can include:


Stress & Hormone Patterns


  • Cortisol rhythm (not just a single snapshot)

  • Adrenal output across the day

  • Hormonal metabolites that affect mood, inflammation and detox


Gut & Immune Function


  • Microbiome balance

  • Opportunistic bacteria, parasites or yeast

  • Inflammation markers

  • Digestive capacity

  • Gut barrier integrity


Inflammation & Detox Pathways


  • Liver detox efficiency

  • Estrogen clearance pathways

  • Oxidative stress markers

  • Toxic burden the body is struggling to process


Nutrient Sufficiency at a Cellular Level


  • B vitamins

  • Magnesium

  • Zinc

  • Fatty acids

  • Amino acids (Not just whether they’re “in range,” but whether they’re being used properly)


Why Doctors Often Don’t Go Here


This isn’t because doctors don’t care.

It’s because:

  • they are trained to diagnose disease, not optimise function

  • appointment times are short

  • testing is limited by guidelines

  • prevention and root-cause work aren’t prioritised in the system

Functional testing lives in a different model — one that asks why before what drug.


Why Symptoms Are the Body’s Early Warning System


Symptoms are not random. They are signals.

Fatigue, anxiety, skin flares, histamine reactions, digestive issues, brain fog — these are the body whispering long before it shouts.

When we suppress symptoms without understanding their cause, we miss the opportunity to:

  • rebuild resilience

  • correct imbalances early

  • prevent deeper breakdown later on


The Empowering Truth


You’re not broken. You’re not imagining things.And you don’t need to wait until something becomes “serious enough” to be taken seriously.

When we look properly, at gut health, nutrient status, stress load, detox pathways, and immune balance, patterns emerge. And once you see the pattern, you can change the outcome.

That’s what functional testing allows us to do.


Final Thought


If you’ve been told everything is “normal” but your body says otherwise — trust your body.

Health isn’t the absence of diagnosis. It’s the presence of balance.


If you would like to take the next step in your health journey book a free discovery call below.

 
 

Book a free 15 minute discovery call

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Matlock Bath, Derbyshire

Email

sara@sarajanehealthandnutrition.co.uk

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© 2024 by Sara Jane Health & Nutrition.

All Rights Reserved.

Qualifications

Certified Naturopathic Nutritionist at the renowned College of Naturopathic Medicine.

Certified by ITEC and VCTC in  Complementary Therapy

Certified Yoga Teacher with Yoga Alliance 

REPs Certified

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