Blood Testing

Platelet-to-lymphocyte ratio (PLR)

Platelet-to-Lymphocyte Ratio (PLR) is a calculated marker comparing your platelet count to your lymphocyte count, derived from a Full Blood Examination (FBE) or Full Blood Count. Platelet-to-Lymphocyte Ratio (PLR) levels can signal inflammatory and immune shifts: a higher PLR may reflect inflammation, physiological stress, infection, thrombocytosis or lymphopenia, while a lower PLR may occur with low platelets or higher lymphocytes. This matters because these patterns can relate to fatigue, slowed recovery, cardiovascular health and metabolic health. A Platelet-to-Lymphocyte Ratio (PLR) blood test is best interpreted alongside the full white cell differential, CRP, neutrophil-to-lymphocyte ratio and platelet indices to clarify the underlying driver.

PLR is available in Web pages. Book your blood test now!
Book My Test
Book My Test
Same-day pathology referral | 4,000+ Testing Locations in AU | Results in 2-3 days
Order My CGM

What is the platelet-to-lymphocyte ratio (PLR)?

The PLR is calculated by dividing the number of platelets (×10⁹/L) by the number of lymphocytes (×10⁹/L) in your blood. It helps assess how your body balances immune activity and tissue repair.

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

A balanced PLR supports optimal immune function, efficient recovery, and cellular resilience—all key aspects of maintaining energy, metabolic stability, and long-term wellbeing.

What’s an optimal level of PLR?

  • Reference range (laboratory): 90–200
  • Optimal range (for proactive health): 100–150

Values within this range generally indicate balanced immune and repair functions.

What influences PLR levels?

Hydration, nutrition, sleep, stress, and physical activity all influence PLR levels. Diets rich in whole foods, adequate micronutrients, and sufficient rest help maintain balance between platelet and lymphocyte activity.

What does it mean if PLR is outside the optimal range?

A higher or lower PLR may indicate your body is adapting to physiological stress or changes in immune activity. Reviewing lifestyle factors such as recovery, sleep quality, or dietary balance can help restore equilibrium.

How can I support healthy PLR levels?

Focus on a nutrient-dense diet, regular movement, adequate hydration, stress management, and consistent sleep routines. Tracking your PLR with other biomarkers can help identify trends and guide targeted improvements over time.

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

References

  1. Gasparyan, A. Y., Ayvazyan, L., Mukanova, U., Yessirkepov, M., & Kitas, G. D. (2019). The platelet-to-lymphocyte ratio as an inflammatory marker in rheumatic diseases. Annals of Laboratory Medicine, 39(4), 345-357. https://doi.org/10.3343/alm.2019.39.4.345
  2. Bayrakci, N., & et al. (2015). The platelet-to-lymphocyte ratio reflects the severity of dipper vs non-dipper hypertension. (Full text available via PMC).
  3. Salamanna, F., & colleagues. (2024). Platelet and lymphocyte-related parameters as potential new biomarkers in osteoarthritis: including the platelet-to-lymphocyte ratio. Biomolecules, 12(9), 2052.

What we measure

 70+ biomarkers analysed, each one tells you something specific about how your body is functioning right now, not just whether you're "sick" or "not sick"

Understand markers linked to healthy aging

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

  • Biological Age
  • Speed of Aging

Understand how your body regulates energy

Review glucose, insulin and lipid markers associated with metabolic balance.

  • Fasting Glucose
  • Fasting Insulin
  • Haemoglobin A1c (HbA1c) IFCC mmol/m
  • Haemoglobin A1c (HbA1c) NGSP/DCCT %
  • HOMA-IR
  • Uric Acid/HDL-C (UHR)
  • TyG index
  • Sodium/Potassium Ratio
  • hs-CRP / HDL Ratio

See how your blood supports oxygen and energy

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

  • Mean Cell Volume (MCV)
  • Red Blood Cell (RBC) Count
  • Haemoglobin
  • Haematocrit
  • Red cell distribution width (RDW)
  • Mean Cell Haemoglobin (MCH)
  • Mean Cell Haemoglobin Concentration (MCHC)
  • Platelet count

Review advanced cardiovascular risk markers

Analyse lipid balance and related markers linked to long-term heart and vascular wellbeing.

  • Total Cholesterol
  • LDL Cholesterol
  • HDL Cholesterol
  • Non-HDL Cholesterol
  • Cholesterol Ratio
  • Triglycerides
  • Cholesterol/HDL Ratio
  • Total Cholesterol/HDL Ratio
  • LDL/HDL Ratio
  • Triglyceride/HDL Cholesterol (Molar Ratio)
  • Non-HDL Cholesterol/Total Cholesterol (Mass Ratio)

See how your immune system is functioning

Review white blood cell markers that reflect immune activity and response.

  • White Blood Cell (WBC) Count
  • Neutrophils
  • Lymphocytes
  • Eosinophils
  • Basophils
  • Neutrophil-to-Lymphocyte Ratio
  • Neutrophil-to-HDL Cholesterol Ratio (NHR)
  • Platelet/Lymphocyte Ratio
  • Monocytes

Identify markers linked to systemic inflammation

Assess signals associated with inflammatory balance and overall physiological stress.

  • High-Sensitivity C-Reactive Protein (hs-CRP)
  • CRP/Albumin Ratio (CAR)
  • Systemic Inflammation Index (SII)

Monitor markers related to kidney function

Review indicators that reflect how efficiently your kidneys filter and regulate fluids.

  • Chloride
  • Bicarbonate
  • Sodium
  • Potassium
  • Urea
  • Creatinine
  • BUN/Creatinine Ratio
  • Estimated Glomerular Filtration Rate (eGFR)
  • Anion Gap

Assess markers connected to liver health

Understand enzymes and related markers linked to metabolic processing and detoxification pathways.

  • Alkaline Phosphatase
  • Bilirubin
  • Aspartate aminotransferase (AST)
  • Gamma-glutamyl Transferase (GGT)
  • Alanine Aminotransferase (ALT)
  • Globulin
  • Total Protein
  • NAFLD FIB-4
  • Albumin/Globulin Ratio
  • Albumin

Check your thyroid function

Helps identify thyroid issues linked to energy, mood and weight.

  • Thyroid Stimulating Hormone (TSH)

Check key nutrient levels that support daily function

Assess essential vitamins and minerals linked to energy production, recovery and overall wellbeing.

  • Phosphate
  • Magnesium
  • Transferrin
  • Ferritin
  • Transferrin saturation
  • Vitamin D
Get my baseline for $99
Why us?

What a standard check often leaves out

Your GP isn't the problem. The current health system isn't built for optimal health.

Vively
Standard GP check
Markers analysed
70+ markers
10-15 markers
Optimal ranges included
Biological age
Results reviewed with on-demand practitioner support
Personalised plan built around your results
Ongoing retesting and health trends reporting
How it works

Just 3 simple steps to get started

If needed, we'll recommend further testing to investigate potential issues based on your results

01

Take the test

One simple test to understand where your health stands. Visit one of 4,000 collection centres across Australia at your earliest convenience and take one easy blood draw.
02

Review your results

Meet with a registered health professional to identify what looks fine, what’s worth watching, and what (if anything) needs attention. If nothing needs changing, we’ll tell you that too.
03

Stay confident as life changes

After your baseline, Vively continues as ongoing guidance — helping you stay on track, adjust when something changes, and re-test every 3 months to see progress over time.
Get your health baseline
What's included

All of this, for only $99/month

Everything below is included from day one. Cancel anytime.

Practitioner support

  • Test reviews and guidance from a registered nurse trained in optimal health
  • Dietitian support for nutrition and lifestyle changes
  • Plan updates whenever your results change

Ongoing monitoring

  • A full Baseline available every 3 months
  • See every marker trend over time
  • Programs matched to your results

All-in-one mobile app

  • Unlimited AI health intelligence
  • Food tracking and wearables integrations
  • Cycle tracking, journal, and insights
  • Member pricing on additional tests

FAQs

Does this include a blood test?
How do I take the blood test in Australia?
What if I just want the Baseline and don't want a membership?
Can't I just ask my GP to order these tests?
What happens after my Baseline?
What if nothing's wrong?
How long does it take?
Are all markers included for every person?
How does the 100% Money Back Guarantee work?
What happens to my data?
How often do I get retested?