Prepare for your assessment

Build a lab discussion list.

Choose the assessment inputs you want to discuss with your clinician, then take a clear list to your appointment.

For discussion, not a medical order. Tests may not be appropriate or needed for everyone. Your clinician and laboratory can help decide what to test, whether existing results are usable, and any preparation, timing, costs or coverage. Test names and panel contents vary by lab.

The Longevity Score uses book-based scoring ranges that can differ from laboratory reference ranges and clinical decision thresholds. The score is not a screening recommendation, diagnosis or treatment target.

Do not fast or change medicines without advice from your clinician, especially if you use insulin or other diabetes medicines. Tell your clinician and laboratory about medicines and supplements, including biotin, which can affect some test results. Coverage varies by test, indication and insurance plan.

Ask whether recent exercise, creatine, shift work or menstrual-cycle timing affects preparation. Do not change supplements without advice.

Age, pregnancy, kidney disease, hormone therapy and other medicines can affect whether a test is appropriate and how its result is interpreted. An unexpected result may need follow-up; ask your clinician what to do.

1. Choose assessment inputs

Start with the calculator's short-form lab inputs, select all, or choose individual items. The short-form set is not a medical recommendation.

These are assessment inputs, not a screening panel. Discuss with your clinician which tests, if any, are appropriate for you.

Some inputs share a test; the preview groups those together. Inputs labeled “Context only — not scored” are not scored; other inputs may be scored only in some circumstances. Blood pressure, fitness and other non-lab measurements are not listed here.

If the selection controls remain disabled, reload the page to activate the builder.

Metabolic
Atherogenic
Inflammatory
Organ
Cognitive
Hormonal

2. Review and share

0 assessment inputs selected · 0 distinct tests to discuss

LAB TEST DISCUSSION LIST

For discussion with a qualified clinician. This is not a medical order or a recommendation to obtain every test listed.
Confirm which tests are appropriate, whether existing results can be used, and any preparation, timing, costs and coverage with your clinician and laboratory.
The calculator's book-based scoring ranges can differ from clinical ranges. Its score is not a screening recommendation, diagnosis or treatment target.
Do not fast or change medicines without advice from your clinician, especially if you use insulin or other diabetes medicines. Tell your clinician and laboratory about medicines and supplements, including biotin.
Ask whether recent exercise, creatine, shift work or menstrual-cycle timing affects preparation. Do not change supplements without advice.
Age, pregnancy, kidney disease, hormone therapy and other medicines can affect whether tests are appropriate and how results are interpreted.

No tests selected.

Generated by the 8 Dials of Longevity lab discussion list. No results or personal details are included.

Selections stay on this page and are not saved or sent by the builder. The list includes no results or personal details. It is cleared on reload and may be lost when you leave.

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The bigger picture

Bring your results to the Longevity Score assessment.

When you have results, enter the values you have. Selecting lab inputs does not transfer results to the assessment or guarantee a composite score; other measurements may also be needed.

Start the assessment →
Not medical advice. These are longevity-optimised reference ranges, which are deliberately stricter than standard clinical "normal" values. A value outside them does not mean you have a disease. Speak to a qualified healthcare professional before changing medication, supplements or training. Full disclaimer.
Ask Us

Choose a question. Answers come from this site, and nothing you open is sent anywhere.

What is biological age?

Chronological age counts birthdays. Biological age estimates how old your body appears to be functioning, based on measurable biomarkers. Two people born the same year can differ by a decade or more in vascular stiffness, insulin signalling or cardiorespiratory fitness. Biological age makes that gap explicit — and unlike your birthday, it can move in either direction.

How is the Longevity Score calculated?

Each biomarker you enter is scored against longevity-optimised reference ranges and grouped into one of eight dials. Every dial produces its own biological age, and those are combined using fixed weights into a single composite, then expressed as a Longevity Score from 0 to 100. The weighting reflects how strongly each system predicts healthspan: structural and vascular carry the most, hormonal the least.

Do I need all 53 biomarkers?

No. The short form contains a subset of scoring inputs plus context-only fields, and you can leave any of them blank. It is not a recommendation to obtain tests. Missing values are excluded from the calculation — never treated as zero or as 'normal'. A dial with no scored data is dropped entirely and the remaining weights renormalise.

What can I measure without a blood test?

Some inputs can be measured without bloodwork. Blood pressure needs a home cuff and waist-to-height needs a tape measure. Wearable estimates vary; the floor-based sitting-rising test carries a fall risk and should only be attempted if safe.

Is this an anti-aging calculator? Is it a healthspan calculator?

Both terms describe what this tool does, and which one fits depends on what you are asking. "Anti-aging" is the term most people search, and loosely means anything aimed at slowing or reversing age-related decline — this tool fits that description if you score your dials and act on what you find. "Healthspan calculator" is the more precise term: healthspan is the number of years lived without serious chronic disease or disability, and that cannot be measured directly, so this tool scores eight systems that each function as an early-warning proxy for it. Either way, the method is the same: real biomarkers, published thresholds, no vanity-metric framing.

Why don't you have a quick quiz that skips biomarkers entirely?

Several popular tools ask only about habits — exercise days, sleep hours, smoking, diet quality — and return a single precise-looking age. We looked at the research behind that approach and chose not to build it. Published studies do show real, individually-measured links between specific habits and epigenetic age acceleration, but those effect sizes come from different study populations, different DNA-methylation clocks and different measurement units. Adding them together into one number is not something the underlying research actually supports — it produces a precise-looking result built on an imprecise method. Our dials use direct physiological measurements instead: a real blood pressure reading, a real VO₂ max, a real ApoB value. Several dials score from home-measurable data alone with no quiz-guessing involved — see what you can measure without a blood test, above.

Why are your 'optimal' ranges stricter than my lab's normal range?

Standard reference ranges describe what is common in a general population, which now includes a great deal of metabolic dysfunction. They are tuned to flag disease, not to identify what is optimal for a long healthspan. A fasting insulin of 20 µIU/mL sits inside most labs' normal range and is strongly associated with insulin resistance. This tool uses longevity-optimised thresholds instead, so a flag here means room for optimisation — not a diagnosis.

Why not just upload my labs to ChatGPT?

For understanding a single result, do — a frontier chat model is genuinely good at that, often clearer than most medical sites, and it handles markers no fixed tool covers. The limitation is different from the one most people assume. A language model produces a plausible response rather than a computed one, so the same panel can score differently on different days. That is fine when exploring an idea and disqualifying when measuring change, because you cannot tell how much of a difference is you and how much is the method. Use both: a chat model to understand, a fixed instrument to track.

Is my health data private?

Biomarker values, assessment history and visit-preparation drafts are stored in your browser. The visit draft is separate from assessment exports and share links; copying or printing it can leave a copy outside the browser. There are no user accounts or third-party tracking. We keep anonymous usage totals on our own server, such as how many people reached a results screen on a given day; browsers sending Do Not Track or Global Privacy Control are not counted. Optional lab-report upload and AI coach features send data to Anthropic. Optional retest reminders send an email address, date and reminder label to our service and email provider. See our privacy policy for details.

Is this a medical diagnosis?

No. It is an educational and personal-tracking tool. The estimates are not clinically validated and must not replace evaluation by a qualified healthcare professional. If a result concerns you — particularly kidney markers, blood pressure or ApoB — take it to a doctor rather than acting on it alone.

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