Signature

Randox's most extensive health panel, combining blood and urine testing with gut microbiome, food sensitivity and DNA analysis across 443 markers, plus a GP consultation.

  • Doctor reviewed
Sample
Mixed
Collection
Venous draw at clinic plus additional sample
Results in
4 days
Biomarkers
443
Doctor reviewed
Yes
Tests for
  • IgE
  • Archael Composition
  • Anti-CCP
  • Anti-Nuclear Antibodies (ANA)
  • Anti-Tissue Transglutaminase Antibodies
  • Rheumatoid factor
  • Gastric parietal cell antibodies
  • Intrinsic factor antibodies
  • Bacteria that breakdown fibre
  • Bacteria with probiotic properties
  • Butyric acid producing bacteria
  • Hydrogen Sulphide producing Bacteria
  • +48 more

Test specifications

Sample type
mixed
Collection method
venous draw at clinic plus additional sample
Turnaround time
4 days
Biomarkers tested
443
At-home test
No
Doctor reviewed
Yes
Gender focus
Both

What's tested

60 biomarkers as listed by Randox Health, of 443 in total.

Allergy Evaluation

  • IgE

Archael Composition

  • Archael Composition

Autoimmune

  • Anti-CCP
  • Anti-Nuclear Antibodies (ANA)
  • Anti-Tissue Transglutaminase Antibodies
  • Rheumatoid factor

Autoimmunity

  • Gastric parietal cell antibodies
  • Intrinsic factor antibodies

Bacterial Composition

  • Bacteria that breakdown fibre
  • Bacteria with probiotic properties
  • Butyric acid producing bacteria
  • Hydrogen Sulphide producing Bacteria
  • Microbiome weight gain conditions
  • Pathogenic bacteria
  • Presence of Oxalate-degrading Bacteria
  • The Firmicutes/Bacteroidetes (F/B) ratio

Bone Health

  • Calcium (adjusted)
  • Parathyroid Hormone (PTH)
  • Phosphate

Cholesterol status

  • Apolipoprotein B

Clotting status

  • Platelet count

Diabetes

  • Fructosamine
  • Glucose
  • HbA1c
  • Insulin

Diabetes Health

  • C Peptide
  • Non-Esterified Fatty Acids

Digestive Health

  • H.Pylori

Epstein-Barr Virus

  • Epstein-Barr Antibodies
  • Epstein-Barr Nuclear Antigen IgG
  • Epstein-Barr Viral Capsid Antigen IgG
  • Epstein-Barr Viral Capsid Antigen IgM

Female Hormone

  • Sex-hormone Binding Globulin (SHBG)

Full Blood Count

  • Basophil Count
  • Eosinophil Count
  • Lymphocyte Count
  • Mean cell haemoglobin (MCH)
  • Mean Cell Haemoglobin Concentration (MCHC)
  • Monocyte Count
  • Neutrophil Count
  • Red blood cell count
  • Red Blood Cell Mean Volume (MCV)
  • White blood cell count

Heart Health

  • Apolipoprotein A-I
  • Apolipoprotein B / A-I Ratio

Hormones

  • Free androgen index
  • Oestradiol
  • Progesterone
  • Prolactin
  • Testosterone

Kidney health

  • Microalbumin : creatinine ratio

Liver Function

  • Alkaline Phosphatase (ALP)

Male Hormone

  • Follicle Stimulating Hormone (FSH)
  • Luteinising Hormone

Red blood cells

  • Haematocrit
  • Haemoglobin

Thyroid Health

  • Anti-Thyroglobulin Antibody (Anti-Tg)
  • Anti-Thyroid Peroxidase Antibody (Anti-TPO)

Viral Composition

  • Bacteriophages

Vitamins

  • Vitamin D

About this test

Signature combines a venous blood draw with an additional sample to cover 443 biomarkers, spanning areas such as heart health, cholesterol, diabetes and blood sugar, full blood count, kidney and liver function, thyroid function and antibodies, hormones, autoimmune markers, Epstein-Barr virus markers, gut bacterial composition, and vitamin D. The provider states it combines blood and urine testing with gut microbiome, food sensitivity, and nutritional and lifestyle DNA analysis, and includes a private GP consultation afterwards to go through the results and plan next steps.

Against its comparison group, Signature is priced far above every peer: the group median is £407.50, and even the next most expensive option, Stride's 180-marker Vital Duo at £460.85, costs a fraction of Signature's £2,112. In return, Signature tests roughly 2.5 times as many markers as Vital Duo. Within Randox's own range, Signature also differs from RanChip Insight 360 (£495, 160 markers) chiefly by including a doctor consultation, which RanChip does not.

The scores show this trade-off clearly. Clinical depth is the maximum score, since 443 biomarkers is far above the 82.5 median for the group. Value for money is low given the price gap versus peers. Results and follow-up scores reasonably well because a doctor consultation is included. Collection convenience is limited by the clinic visit, additional sample and multi-day wait, even though results come back within 4 working days.

Who is it for?

This suits people who want the deepest panel Randox offers and are prepared to pay a substantial premium for it, along with a private GP consultation to discuss the results. For most people wanting a broad health check, cheaper options in the same comparison group cover 50 to 180 markers for a fraction of the price, and Randox's own RanChip Insight 360 covers 160 markers for £495 without the GP consultation.

How it works

You attend a Randox Health clinic for a venous blood draw plus an additional sample covering the gut microbiome, food sensitivity and DNA components. Results are available within 4 working days, after which you have a private GP consultation to go through them.

Pros & cons

Pros

  • Covers 443 biomarkers, the deepest panel by far in its comparison group
  • Includes a private GP consultation to go through your results
  • Combines blood and urine testing with gut microbiome, food sensitivity and DNA analysis
  • Results in as little as 4 working days despite the panel's size

Cons

  • Costs about five times the £407.50 median for its comparison group
  • Stride's Vital Duo offers 180 markers for £460.85, far less than Signature's price
  • Only really makes sense for people prioritising maximum depth over cost
  • Requires a clinic visit plus an additional sample beyond a standard blood draw

Our editorial score

Compare Health Test Score Far deeper than peers, but costs about 5x more
Editorial confidence: 10.0/10

Signature tests 443 biomarkers by combining blood and urine analysis with gut microbiome, food sensitivity and DNA testing, and includes a private GP consultation to talk through the results. At £2,112 it costs roughly five times the £407.50 median for its comparison group, though it is also by far the deepest panel in that group. Collection needs a clinic visit plus an additional sample.

Score breakdown

  • Clarity and documentation 9.0/10

    The listing publishes a detailed description, the full biomarker list, a stated turnaround, clear collection options, the sample type; it does not state what the report looks like.

  • Clinical depth 10.0/10

    443 biomarkers against a median of 82.5 across the 10 tests in its comparison group.

  • Collection convenience 3.0/10

    Requires a venous draw at a clinic; results in around 4 days, slower than similar tests.

  • Results and follow-up 8.0/10

    Results are reviewed by a doctor; a consultation is included in the price; the provider does not describe the report format.

  • Trust signals 9.0/10

    Trustpilot 4.6 from 29,705 reviews; accredited lab (UKAS ISO 15189 (Randox Clinical Laboratory Services, lab 9329)); CQC registered.

  • Value for money 2.0/10

    £2,112.00 against a comparison-group median of £407.50 (+418%).

Calculated 13 September 2026 from the facts we hold about this test and provider, using our published scoring formula. Scores are not hand-edited.

Compare with similar tests

This test belongs to our Ultimate health check (over 50 markers) comparison group. See how it stacks up against equivalent tests from other providers.

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Optimal Health Blood Test

Cheapest in its group, though fewer markers than most peers

A 59-marker blood panel covering cholesterol, thyroid, hormone, iron, kidney, liver and blood-count markers. Suited to women who want a broad overview of long-term health rather than a single-issue check.

8.1 / 10

Vital Duo

Highest marker count in the general health check group

A bundle combining Stride's 110-gene DNA & Methylation test with its 70+ marker Optimal Bloods test, giving DNA and blood results together. It covers more markers in total than any other test in its comparison group.

  • At-home test
7.8 / 10