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Longevity
intermediate
Strong Evidence

Biomarker Monitoring

Quarterly or semi-annual comprehensive blood work to detect dysfunction early and optimize interventions. Track metabolic, inflammatory, hormonal, and nutrient markers.

Time
1-2 hours every 3-6 months
Cost
$50+
Equipment
None required
Min. Trial
Ongoing

Dosage & Timing

Duration
1-2 hours per panel
Frequency
Every 3-6 months
Best Time
morning

Evidence Strength

4/5 — Strong

Strong rationale for early detection and intervention. Specific biomarkers like ApoB, fasting insulin, and hs-CRP have robust predictive value for cardiometabolic disease.

Overview

Regular blood work and health metrics tracking to catch dysfunction early and measure protocol effectiveness. Key panels include metabolic (glucose, insulin, lipids), inflammatory (hs-CRP, homocysteine), hormonal, and nutrient status (D, B12, iron, omega-3 index).

How To Do It

1

Get a comprehensive panel

Key markers: Fasting glucose, fasting insulin (calculate HOMA-IR), HbA1c, lipid panel with ApoB, hs-CRP, homocysteine, 25(OH)D, omega-3 index, CBC, metabolic panel.

2

Request the right tests

Standard panels miss critical markers. Specifically ask for: ApoB, fasting insulin, Lp(a) (once), hs-CRP.

3

Track trends over time

Single readings matter less than trends. Use a spreadsheet or app to track over time.

4

Adjust protocols based on results

Use data to titrate supplement doses, adjust diet, and verify your protocols are working.

The Evidence

Each claim is linked to its source study. Confidence reflects the study design — systematic reviews and RCTs rank highest.

Broad health checks have mixed outcome evidence, so biomarker testing should be targeted and actionable.

Primary Literature

Cochrane Review:General health checks in adults for reducing morbidity and mortality from disease (https://doi.org/10.1002/14651858.CD009009.pub3)

Who Popularized This

Peter Attia
Rhonda Patrick

Interactions & Warnings

Interactions

  • Use results to adjust supplement and nutrition protocols

Measurable Outcomes

Optimized biomarker values
Early detection of metabolic dysfunction
Data-driven protocol adjustments
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