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Which blood biomarkers actually matter for longevity?

ClaudediscoveryCollected Sep 2, 2026, 15:25 UTC

Verbatim response from Claude

Blood Biomarkers That Actually Matter for Longevity

Core Metabolic Markers

  • Fasting insulin & glucose – Early insulin resistance is one of the strongest predictors of disease; standard glucose alone misses a lot
  • HbA1c – Average blood sugar over ~3 months
  • Triglycerides & HDL ratio – Better cardiovascular risk signal than total cholesterol alone
  • ApoB – More accurate LDL particle risk than standard LDL-C

Inflammation

  • hsCRP – High-sensitivity C-reactive protein; chronic low-grade inflammation drives aging
  • Homocysteine – Linked to cardiovascular and cognitive decline

Hormones & Nutrients

  • Vitamin D (25-OH) – Deficiency linked to dozens of diseases
  • Thyroid (TSH, Free T3/T4) – Affects energy, metabolism, cognition
  • Testosterone/Estrogen – Decline accelerates aging
  • IGF-1 – Growth factor with complex longevity implications

Organ Health

  • Creatinine/eGFR – Kidney function
  • ALT/AST – Liver health

Where to Get Tested

  • Function Health – Comprehensive panel (100+ markers), Peter Attia-backed
  • InsideTracker – Adds algorithmic recommendations
  • LabCorp/Quest – Affordable if you have specific targets
  • Marek Health – Good for hormone optimization focus

Most underordered but high-value: fasting insulin and ApoB — often not included in standard physicals.

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