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Anion Gap
Blood Testing

Anion Gap

The Anion Gap shows the balance between key electrolytes such as sodium, potassium, chloride, and bicarbonate, measured in mmol/L. It reflects how well your body maintains acid and base balance, which is vital for energy and metabolic stability. The optimal range in Australia is about 10 to 12 mmol/L.

Tracking your Anion Gap helps you spot early shifts in hydration or nutrient balance. Staying within range supports recovery, clarity, and long-term wellbeing.

Anion Gap is available in Vively's Metabolic Essentials Test. Book your blood test now for only $199 per test.
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What is the Anion Gap?

The Anion Gap is a calculated marker from your blood test results, showing the difference between your main positive and negative electrolytes:

Anion Gap = (Na + K) – (Cl + HCO₃)

All values are measured in mmol/L.

Why does it matter for long-term health and wellbeing?

It reflects how well your body maintains acid–base balance — a process vital for metabolism, enzyme activity, and cellular energy. Monitoring it helps you identify changes early and optimise lifestyle factors for better health.

What’s an optimal level of Anion Gap?

  • Lab (reference) range: 8–16 mmol/L
  • Optimal range: 10–12 mmol/L

What influences Anion Gap levels?

Hydration, electrolyte intake, albumin levels, medications, exercise intensity, and nutrition can all affect the reading.

What does it mean if Anion Gap is outside the optimal range?

A slightly higher or lower value can indicate your body is adapting to changes in hydration, electrolyte balance, or nutrient status. It’s a sign to review lifestyle factors rather than a cause for concern.

How can I support healthy Anion Gap levels?

Stay well-hydrated, eat a balanced diet with fruits and vegetables, manage stress, recover adequately after exercise, and review electrolyte intake when needed.

This information is provided for general health and wellness purposes only and does not replace medical advice.

References

  1. Royal College of Pathologists of Australasia. Anion gap — Reference Interval and Methodology. 
  2. SydPath. Chloride and the Anion Gap Information Sheet (2022).
  3. StatPearls. Anion Gap (DG Pandey et al.).
  4. PathologyTestsExplained. Electrolytes — Anion Gap
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A reflection of how your body is aging at the cellular level, linked to age risks and longevity.
Red Blood Cell (RBC) Count
Haemoglobin
Haematocrit
Mean Cell Volume (MCV)
Mean Cell Haemoglobin (MCH)
Mean Cell Haemoglobin Concentration (MCHC)
Red Cell Distribution Width (RDW)
Platelet Count
8 markers

Blood health

Key blood indicators like hemoglobin, inflammation, and oxygen transport for overall health.
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HDL Cholesterol
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Heart health

Assesses cardiovascular health through cholesterol, lipids, and heart-related risk markers.
Cortisol
Dehydroepiandrosterone Sulfate (DHEA-S)
Free Thyroxine (T4)
Free Triiodothyronine (T3)
Thyroid stimulating hormone (TSH)
5 markers

Hormone balance

Evaluates hormone levels that impact energy, sleep, mood, and metabolism.
White Blood Cell (WBC) Count
Neutrophils
Lymphocytes
Monocytes
Eosinophils
Basophils
6 markers

Immune system

Measures immune activity and inflammatory responses to assess body defenses.
High-Sensitivity C-Reactive Protein (hs-CRP)
1 marker

Inflammation status

Tracks signs of chronic or acute inflammation that may affect long-term disease risk.
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Chloride
Creatinine
Potassium
Sodium
Urea
Uric acid
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Estimated Glomerular Filtration Rate (EGFR)
9 markers

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Assesses kidney health through creatinine and other markers of blood filtration.
Alanine Aminotransferase
Albumin
Alkaline Phosphatase
Aspartate aminotransferase (AST)
Bilirubin
Gamma-glutamyl Transferase (GGT)
Globulin
Total Protein
8 markers

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Measures liver enzymes and proteins responsible for detoxification and metabolic health.
Fasting Glucose
Fasting Insulin
Haemoglobin A1c (HbA1c) IFCC mmol/m
Haemoglobin A1c (HbA1c) NGSP/DCCT %
HOMA-IR score
5 markers

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Evaluates energy processing with glucose, HbA1c, insulin, and related biomarkers.
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1 marker

Vitamins & minerals

Analyzes essential nutrients that support immunity, energy, and overall wellbeing.
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1 marker

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Assesses biomarkers related to muscle performance, function, and recovery.
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1 marker

Biological age

A reflection of how your body is aging at the cellular level, linked to age risks and longevity.
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