Understand your body. Finally.
For women who are tired of being told everything is ‘normal’.
We connect your blood data and symptoms into an expert-led health journey that supports you now, often and always.
4.6
of NOA members would recommend us to a friend.
"After having my bloods taken we found out that my iron levels were super low, now I'm taking just 3 supplements a day and feel SO much better."
women are low in iron. Have yours checked.Source: Randox Health, 2025
"Finding NOA genuinely felt like one of those 'where has this been all my life?' moments."
average rating from NOA members.
"I came away with a personalised plan based on my results, including what to eat and which supplements would help my specific needs."
Too much advice. Not enough answers.
If you are looking for answers to fatigue, PMS, hormone changes or ongoing symptoms, you are not alone. We use comprehensive women’s blood testing and expert interpretation to help you understand what is really going on.
You have tried the supplements. You have Googled the symptoms. You have been told it is stress, or that it is normal. But generic wellness rarely gets to the root of what is going on.
At NOA, we interpret your blood test results alongside your symptoms and lifestyle to uncover patterns and build a personalised health journey that supports you now, often and always.
How it works
three simple steps for clarity not confusion:
Complete our online questionnaire so our nutritionists can get to know you - your symptoms, lifestyle, health history and goals.
We use blood data to build your personal plan.
We partner with trusted lab Inuvi, for accurate, reliable results.
One of our expert nutritionists walks you through your results and personalised plan in a 45-minute video call.
Every NOA member gets a personal dashboard. Your markers, what each one means, your plan, and your progress over time.
Illustrative dashboard using sample data. Individual results and plans vary.
What our members say:
NOA Now Plan
Personalised women’s health, built around your data.
- Comprehensive venous blood test — 30 markers
- Detailed NOA Health Questionnaire
- 45-minute 1:1 consultation with a women's health nutritionist
- Personalised nutrition, lifestyle and supplement plan
- Access to your NOA members dashboard with ongoing health coaching and tracking
What we test at Now Often Always
Find out what each one is for
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Iron, Ferritin, TIBC, Transferrin Saturation
Iron levels affect how much oxygen reaches your cells, which is why low iron so often shows up as constant tiredness, exhaustion that doesn't lift with sleep, or feeling drained before the day has even started. Levels are often affected by menstrual blood loss, pregnancy or diet, which makes this one of the most common and most overlooked gaps in women's health. National data (NDNS 2008 to 2019) shows around half of women of reproductive age have ferritin below the recommended threshold, so if you've been feeling constantly tired and can't work out why, iron is one of the first places to look.
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Checks levels that, when low, may be linked to fatigue, pins and needles, or poor concentration. Especially relevant if you follow a plant-based diet or have been feeling low on energy, as B12 supports mental clarity and overall vitality.
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Supports proper red blood cell production and DNA repair. Important if you're planning a pregnancy, as folate supports fetal development. Low folate can also contribute to ongoing fatigue.
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Tests bone, muscle and immune health, which matters for long-term bone strength. Especially relevant if you have limited sunlight exposure or spend most of your time indoors. Vitamin D also plays a role in mood and mental wellbeing.
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TSH, Free T4, Free T3, TPO-Ab, TG-Ab
Your thyroid is a small gland with a big influence, on energy, weight, mood, hair, your cycle and fertility. This goes beyond a basic thyroid check: alongside TSH, Free T4 and Free T3, we also test for thyroid antibodies, giving a clearer picture of your thyroid health as part of understanding your symptoms.
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HbA1c
Monitors long-term blood sugar levels to assess diabetes risk. Especially relevant if you're experiencing fatigue, have a family history of diabetes, or have PCOS.
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ALT
ALT is an enzyme found mainly in the liver. When liver cells are under stress, levels can rise in the blood, making it a useful marker of liver health. The liver plays a central role in hormone processing, detoxification and nutrient metabolism.
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Creatinine, eGFR
Measures kidney health by looking at creatinine, a waste product, and estimating eGFR, how well your kidneys filter blood. These markers can indicate how well your kidneys are functioning, which affects overall health and hydration.
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Total Cholesterol, LDL, HDL, Triglycerides, TC:HDL Ratio
Together these markers give a clear picture of your cardiovascular health. LDL is often called the 'bad' cholesterol, HDL the 'good', and triglycerides reflect how your body stores fat from food. Looking at the balance between them gives a fuller view of heart health than any single number on its own.
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Oestradiol, LH, FSH, SHBG, Total Testosterone
Your sex hormones are the chemical messengers that control your cycle, fertility, mood, energy and libido. Testing all five together gives a much fuller picture of what's really going on.
Still have some questions?
You can also email us at info@nowoftenalways.com
What's included in NOA Now and NOA Essentials?
NOA Now (£299) includes:
- A venous blood test checking 30 markers (see "What does the blood test check?")
- A detailed NOA Health Questionnaire
- A 45-minute 1:1 video consultation with a women's health nutritionist, who takes you through your results
- A personalised nutrition, lifestyle and supplement plan
- Access to your NOA members dashboard, where you can see your markers, what each one means, your plan and your progress over time
NOA Essentials (£199) includes the same blood test, questionnaire, personalised plan and members dashboard, without the consultation.
The blood draw is added at checkout: at a partner clinic (+£37) or at home with a mobile phlebotomist (+£63).
Your results are reviewed by a qualified nutritionist, not a medical team. NOA does not diagnose, treat or cure medical conditions.
What does the blood test check?
Your blood test looks at 30 markers relevant to women's energy, hormones and overall health:
- Iron panel: iron, ferritin, TIBC, UIBC and transferrin saturation
- Active B12
- Serum folate
- Vitamin D
- Thyroid panel: TSH, free T4, free T3, total T4 and thyroid antibodies (TPO-Ab and TG-Ab)
- Blood sugar: HbA1c
- Liver: ALT
- Kidney function: urea, creatinine and eGFR
- Cholesterol: total cholesterol, LDL, HDL, non-HDL cholesterol, triglycerides and HDL as a percentage of total cholesterol
- Female sex hormones: oestradiol, LH, FSH, SHBG and total testosterone
Your nutritionist interprets these alongside your symptoms, lifestyle and health history, rather than looking at any single number on its own.
Who can use NOA?
The NOA Now and NOA Essentials plans are available to women aged 18 and over who are based in England, Scotland and Wales.
At present, we are unable to work with women who are:
- Pregnant
- Breastfeeding
- Within six months postpartum
- Undergoing cancer treatment
- Currently receiving treatment for an eating disorder
- Experiencing active clinical depression or other significant mental health conditions
- Living with kidney disease
- Undergoing fertility-assisted treatment
- Post gastric band surgery
If you are unsure whether NOA is right for you, please contact us before purchasing and we will be happy to guide you.
We are working on expanding our services to support more women in the future.
How is the blood test conducted?
The blood test is a venous draw, meaning a qualified healthcare professional takes your sample.
You can choose to have your blood taken:
- At home with a mobile phlebotomist
- At one of our partner clinics, see our list of clinics here
The blood draw is an add-on to your plan, and you select your preferred option at checkout.
For at-home testing, we work with Inuvi's team of mobile phlebotomists. Once you have completed your health questionnaire, Inuvi will contact you directly to arrange a convenient date and time.
If you choose the clinic option, your test kit will be dispatched once your health questionnaire is complete, and you can then book your appointment through our partner clinics page. Please check clinic coverage before making your purchase.
If you have regular menstrual cycles, we recommend booking your test for Day 3 of your cycle. Day 1 is the first day of full menstrual bleeding. If you are using hormonal contraception, you can test on any day. If you do not have periods, you can also test on any day. If you use HRT, please see the guidance under "How do I prepare for the blood test?"
How do I book my test?
Your first step is to complete your health questionnaire. What happens next depends on the blood draw option you chose at checkout.
If you choose the clinic add-on, we will dispatch your test kit once your questionnaire is complete. You can then book your appointment through our partner clinics page once your kit arrives. You will need your NOA barcode to book, which you can find in your members portal. It starts with NOA250- followed by your unique three-digit number. Please check that you are able to access one of our partner clinics before purchasing.
If you choose the nurse visit at-home add-on, our partner Inuvi will call you once your questionnaire is complete to arrange a convenient appointment at your home or workplace.
As all NOA plans include hormone testing, you may wish to consider your cycle timing when selecting your appointment date. If you have regular periods, we recommend booking for Day 3 of your cycle. If you do not have periods, you can book for any day that suits you. If you use HRT, please see the guidance under "How do I prepare for the blood test?"
How do I prepare for the blood test?
You do not need to fast for this test.
Please ensure you are well hydrated and warm before your appointment, as this can make the blood draw easier.
Only take the test once any temporary illness has fully resolved, as infections can influence certain markers.
On the day of your test:
- Attend before using or applying any medications where possible
- Avoid vitamin or mineral supplements until after your blood draw
- Check the ingredients list of any supplements you take. Biotin is found in many multi-nutrient and combination supplements, and should be avoided for at least 48 hours before your test
- Avoid vitamin B12 supplements for at least 48 hours prior to testing
- Avoid alcohol for at least 24 hours before your test
If biotin, vitamin B12, or any other supplement has been prescribed, please check with your doctor before stopping.
If you use HRT as a gel or spray, please skip your dose on the morning of your test and take it after your blood draw. If you use a patch, we recommend testing on day 2 of your current patch.
When will I receive my results?
We aim to have everything ready within 5 working days of your sample arriving at the lab.
NOA Now: we will send you a link to book your 1:1 video consultation with one of our NOA Nutritionists, who will take you through your results. Following your consultation we will send you a copy of your test results, together with your personalised plan.
NOA Essentials: your test results and personalised plan will be added to your NOA members dashboard, and we will email you to let you know they are ready. This plan does not include a consultation.
How is my personal data managed?
Your data is securely stored and handled in compliance with privacy laws, including GDPR. It is used solely for creating your wellness plan and is never shared without your consent. For further details see our privacy policy.
Is there a cancellation policy for the blood test?
If you need to change the date, time or cancel your blood test you must adhere to the cancellation policies. If you have selected the at home blood test, you must change or cancel your appointment at least 48 hours before it is due. If you move or cancel with less than 48 hours' notice, you will be charged £63 to rebook the appointment.
If you have selected the in clinic blood test, there is a 24 hour cancellation policy. If you want to change the date, time or cancel the appointment you must do this 24 hours before your booking or you will be charged.
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