In a few cases, you can get crucial, very personal feedback on your
status using blood tests. This doesn't work if you just test the LEVEL
of a nutrient, but for biochemical parameters of their metabolism, such
as transketolase and/or the thiamin pyrophosphate effect for B1.
Unfortunately, there are few reliable tests for mineral adequacy.
Amongst the ones for which you SHOULD get tested, even if you're
following the above guidelines and feel fine, are homocysteine (> 9
likely means that you need more B12, folic acid, or B6);
25-hydroxyvitamin D (25(OH)D -- (NOT 1,25 dihydroxyvitamin D)), which
should be at least 75 nmol/L (30 ng/mL); if you're vegetarian, on CR, or
a menstruating woman, ferritin (as a test for iron sufficiency; should
be low-normal to minimize risk); and if you are vegetarian or on CR, and
if you can get it, a zinc sulfate solution test (you slosh the solution
around in your mouth for 10 s; if your status is adequate, it will taste
grossly bitter; if it's only mildly unpleasant, or tasteless, you're
deficient).
Similarly, you should get tested, to the extnet that you can, for the
'pharmacological' effects of relevant nutrients: BMD for bone health,
blood lipids for dyslipidemia, Pap smear for cervical dysplasia.