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Which blood biomarkers actually matter for longevity?

ClaudediscoveryCollected Aug 13, 2026, 12:43 UTC

Verbatim response from Claude

Blood Biomarkers That Actually Matter for Longevity

Tier 1: Strong Evidence

Metabolic Health

  • Fasting insulin (not just glucose) - early insulin resistance detector
  • HbA1c - 3-month blood sugar average
  • Triglycerides/HDL ratio - strong cardiovascular predictor
  • Fasting glucose

Inflammation

  • hs-CRP (high-sensitivity) - chronic inflammation marker
  • IL-6 - inflammatory cytokine linked to aging

Organ Function

  • ApoB - better than LDL for cardiovascular risk
  • ALT/AST - liver health
  • eGFR/creatinine - kidney function

Tier 2: Useful Context

  • Homocysteine - cardiovascular and cognitive risk
  • Vitamin D - immune and metabolic function
  • Testosterone/DHEA - hormonal aging
  • IGF-1 - growth hormone axis

Where to Get Tested

  • Function Health - comprehensive panel (~$500/year), Peter Attia-affiliated
  • Inside Tracker - algorithm-based recommendations
  • Marek Health - good for hormone panels
  • Ulta Lab Tests - affordable à la carte ordering
  • Your doctor - many basics covered by insurance

Honest Caveat

Most longevity biomarker work is associational, not proven causal. ApoB and metabolic markers have the strongest intervention evidence.

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