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Which blood biomarkers actually matter for longevity?

ClaudediscoveryCollected Sep 7, 2026, 16:43 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 marker; aim <5 µIU/mL
  • HbA1c - average blood sugar over 3 months; optimal around 4.8-5.2%
  • Fasting glucose - basic but essential
  • Triglycerides/HDL ratio - better cardiovascular predictor than total cholesterol alone

Inflammation

  • hsCRP (high-sensitivity C-reactive protein) - chronic inflammation marker; want <1 mg/L
  • IL-6 - upstream inflammatory cytokine

Cardiovascular

  • ApoB - best predictor of cardiovascular risk (better than LDL)
  • Lp(a) - genetic risk factor most people never check

Hormonal/Cellular

  • IGF-1 - growth factor linked to both longevity and cancer risk
  • DHEA-S - declines with age, proxy for biological aging

Tier 2: Worth Tracking

  • Homocysteine, ferritin, vitamin D, thyroid (TSH/free T3), uric acid, albumin

Where to Get Tested

  • Function Health - comprehensive panels, Peter Attia-affiliated
  • Inside Tracker - analyzes results with personalized recommendations
  • Life Extension Foundation - affordable à la carte testing
  • Your doctor - best starting point for insurance coverage

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