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Which blood biomarkers actually matter for longevity?

ClaudediscoveryCollected Jul 29, 2026, 09:39 UTC

Verbatim response from Claude

Key Blood Biomarkers for Longevity

Here are the ones with strongest evidence:

Metabolic Health

  • Fasting glucose & insulin - elevated levels accelerate aging
  • HbA1c - 3-month blood sugar average; keep below 5.5%
  • Triglycerides/HDL ratio - strong cardiovascular predictor
  • hsCRP - inflammation marker; lower is better

Hormonal

  • IGF-1 - growth signaling; moderate levels seem optimal
  • Thyroid (TSH, Free T3/T4) - affects nearly every system
  • Testosterone/estrogen - muscle preservation, cognitive health

Organ Function

  • ApoB - better cardiovascular risk marker than standard LDL
  • Homocysteine - cardiovascular and cognitive risk
  • ALT/AST - liver health
  • Creatinine/eGFR - kidney function

Nutritional

  • Vitamin D - aim for 40-60 ng/mL
  • Omega-3 index - target above 8%
  • Ferritin - iron storage (both high and low are problematic)

Where to Get Tested

  • Function Health - comprehensive panel, physician-reviewed
  • InsideTracker - includes personalized recommendations
  • Marek Health - good for hormone optimization focus
  • Your primary care doctor - can order most of these

ApoB and fasting insulin are probably the two most underordered but high-value tests if you're prioritizing.

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