Elysium Index

Short answer — for most people wanting an ongoing, evidence‑driven longevity tracking membership I recommend InsideTracker. If your primary goal is “biological age” (epigenetic clock) tracking, pair a service like TruDiagnostic for methylation clocks. For gut/metabolism focus, consider Viome. For low-cost clinical monitoring, use Quest/Labcorp or Ulta Lab Tests plus occasional specialist tests. Why these (briefly): InsideTracker — best all‑around longevity membership: focused blood biomarkers tied to aging and disease risk, personalized lifestyle/supplement recommendations, repeat testing and progress tracking, and integrations with DNA/wearables. Good balance of clinical markers + actionable coaching. TruDiagnostic — research‑grade DNA methylation (epigenetic) clocks (Horvath/PhenoAge/GrimAge etc.) and longitudinal reports. Best if your main outcome is “biological age” not just standard labs. Viome — deep stool and/or RNA‑based metabolic profiling with diet/supplement recommendations oriented to metabolic and immune health (useful when gut health is a longevity priority). LetsGetChecked / Everlywell — convenient, subscription‑friendly at‑home kits and nurse/telehealth followup; good for straightforward repeat monitoring (lipids, HbA1c, testosterone, thyroid, vitamin D) if you prefer home sampling. Quest Diagnostics / Labcorp / Ulta Lab Tests (direct‑to‑consumer) — lowest per‑test prices for standard clinical labs. Best if you want full control and will get interpretation from a clinician or coach. What to track for longevity (recommended panels): Glucose metabolism: fasting glucose, HbA1c, fasting insulin (or HOMA-IR) Lipids: full lipid panel + apoB if available Inflammation: hs‑CRP Liver/kidney: ALT/AST, creatinine, GFR Hormones: testosterone (men), estradiol (women as relevant), DHEA, SHBG Nutrients: vitamin D (25‑OH), B12, ferritin, magnesium Thyroid: TSH, free T4, free T3 if symptomatic Others: IGF‑1, homocysteine, omega‑3 index (if available) Biological age: DNA methylation clocks (TruDiagnostic/Elysium Index/etc.) or transcriptomic aging if you want deeper aging measures Testing cadence suggestions: Standard blood biomarkers: every 3–6 months while you change interventions, then every 6–12 months once stable. Epigenetic clocks (methylation): every 6–12 months (changes are slower). Microbiome/transcriptome: every 6–12 months or when changing major diet/medication. A few cautions: Decide whether you want clinically certified labs (Quest/Labcorp/InsideTracker) vs consumer kits (Everlywell/Viome); clinical labs are better if you want treatments prescribed. Epigenetic clocks are informative but still evolving; interpret trends rather than single numbers. Discuss abnormal results with your clinician. If you want, tell me your budget, whether you prefer at‑home vs phlebotomy, and whether you care most about biological age vs classic clinical risk markers — I’ll recommend a single best plan and a sample testing cadence.

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Short answer — for most people wanting a single, longevity-focused lab membership I recommend InsideTracker (Ultimate plan) as the best starting point. It combines the widest set of validated blood biomarkers, an “biological age”/aging-focused scoring approach, personalized actionable recommendations, and retest scheduling. Why InsideTracker (primary pick) Broad panel of clinically validated blood biomarkers relevant to longevity (glucose/HbA1c, lipids, CRP, vitamin D, hormones, IGF‑1, etc.). Aging/“InnerAge” analytics to track biological age over time. Personalized nutrition, lifestyle and supplement recommendations tied to your labs. Built-in retest reminders and clear progress tracking. Good alternatives depending on your focus Levels (best for metabolic/longevity work focused on glucose): subscription CGM + app that helps you optimize diet, sleep and exercise to improve glucose variability — strong evidence that metabolic control matters for aging. NutriSense (similar to Levels): CGM membership with coaching options; good if you want more hand-holding. Chronomics or Elysium Index (epigenetic aging clocks): if your priority is tracking DNA methylation–based biological age, these services offer repeatable epigenetic tests and trend tracking. Viome (microbiome + host RNA): if gut health and personalized diet/substitution suggestions are a top priority for your longevity plan. Life Extension / direct lab access (if you want physician-guided labs and prescription options): good for ordering specialty tests (hormones, advanced lipids, micronutrients) with clinician support. AnyLabTestNow / DirectLabs / Personalabs (budget option for ad hoc repeat labs): lets you buy individual lab panels/ordering if you don’t want a subscription. A practical longevity “stack” Core: InsideTracker (comprehensive blood biomarker membership and re-testing). Metabolism: add Levels or NutriSense (CGM membership) for real-time metabolic optimization. Aging clock: test annually with Chronomics/Elysium to track methylation age. Gut: test with Viome if you want microbiome-directed diet/supplement guidance. What to check before you buy Biomarkers included (are the markers you care about covered? e.g., IGF‑1, CRP, sex hormones, HbA1c, lipids). Retest cadence, price of follow-up tests and membership cost. Actionability: are recommendations personalized and evidence-based? Access to clinicians or coaches if you want interpretation and treatment guidance. Ability to export your raw data for use in other tools. If you tell me your budget, whether you’re in the US (or elsewhere), and which aspects of longevity you care most about (metabolism, hormones, biological age, gut), I can give a tailored recommendation and exact plan.

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