The 4 Blood Tests That Tell You
More About Your Real Age Than Any Mirror
Your reflection shows surface aging. Your blood shows cellular truth. IL-6, CRP, GGT, and HbA1c reveal what's actually happening at the biological level — and most standard panels miss all four. Here's what each measures, what optimal actually looks like, and how to get tested.
What your annual physical doesn't actually measure
A standard annual physical gives you a lipid panel, complete blood count, and basic metabolic markers. Useful tests — designed to catch illness. But they weren't designed to tell you how fast you're aging, or whether you're on a trajectory toward the conditions most likely to shorten your healthspan.
The biomarkers that best predict biological aging, cognitive decline, and all-cause mortality are a different list entirely. Well-validated across decades and millions of participants. Available at any major reference lab. Simply not on the default menu — because the default menu wasn't built with longevity medicine in mind.
"The goal of medicine should be to extend the healthspan, not just diagnose disease at the finish line. The biomarkers that predict healthspan are available to any physician — they simply require asking for them."
Peter Attia, MD · Medicine 3.0 FrameworkThe four tests below are not exotic. Available at LabCorp, Quest, or any major reference lab. Combined, they cost less than most people spend on supplements in a month. And the information they contain is qualitatively different from a standard panel — because they measure the processes that drive biological aging, not the damage already done.
|
40%
of biological age variance explained by chronological age — 60% is modifiable
|
2.3×
higher all-cause mortality at IL-6 >3.0 pg/mL in adults 50+ (Harris et al., JAMA 1999)
|
~$90
typical direct-to-consumer cost for all 4 tests through major reference labs
|
Four tests. Four different windows into how fast you're aging
Key distinction: Standard CRP catches infection-level inflammation above 10 mg/L. High-sensitivity CRP (hsCRP) measures the 0.1–10 mg/L range where chronic disease risk lives. Always confirm your lab report shows hsCRP, not standard CRP — and verify units.
Lab normal vs. longevity optimal — the gap that matters
Lab reference ranges are population averages — built to include people aging at typical rates. Longevity research consistently uses tighter targets. A person at IL-6 of 4.2 pg/mL is technically "normal." The longitudinal data shows that number predicts meaningfully accelerated biological aging versus someone at 0.8 pg/mL.
| Biomarker | Lab "Normal" | Longevity Optimal | Elevated Risk | Source |
|---|---|---|---|---|
| IL-6 | <7.0 pg/mL | <1.0 pg/mL | >3.0 pg/mL | Harris et al., JAMA 1999 |
| hsCRP | <10 mg/L | <1.0 mg/L | >3.0 mg/L | Danesh et al., NEJM 2004 |
| GGT | <55 U/L (M) / <38 (F) | <20 U/L | >40 U/L | Fraser et al., Lancet 2007 |
| HbA1c | <5.7% | 4.8 – 5.2% | >5.5% | UK Biobank / Attia M3.0 |
The 2025 Valverde study baselines — what typical middle-age looks like
In the peer-reviewed RCT (Valverde, Gavrilova, Churganov & Korotkov, 2025, Int. Journal of Studies in Psychology), 70 adults aged 50±14 entered with average IL-6 of 1.39 pg/mL, CRP of 2.13 mg/L, and GGT of 25.4 U/L. Not sick people — typical adults following typical lifestyle patterns. Which is exactly why the results mattered: 30 days of IgniLongevity™ moved all three measurably toward longevity-optimal range, with the cold plasma-enhanced formula outperforming the unenhanced version on every marker.
How to actually get these tests ordered
The barrier is simply knowing what to ask for. Many primary care physicians will order all four without hesitation if you frame it as a comprehensive longevity panel.
|
🏥
Ask your doctor
Request "high-sensitivity CRP, IL-6, GGT, and HbA1c as part of a comprehensive longevity panel." Most physicians will order these. If asked why: proactive inflammaging monitoring.
|
🔬
Order directly
Most US states allow self-ordered tests through LabCorp, Quest, Function Health, Marek Health, or InsideTracker — no physician required. All four tests: ~$80–$150 out-of-pocket. Results in 2–5 days.
|
📅
Timing and retesting
Fast 8–12 hours before drawing. Avoid intense exercise 24 hours prior. Retest every 6–12 months when actively intervening — trajectory matters more than any single result.
|
"A single test gives you a position. Serial testing gives you a trajectory. Your IL-6 moving from 2.8 to 1.1 pg/mL over 12 months is quantified evidence that your biology is responding to your choices."
Medicine 3.0 Framework · AttiaWhat actually changes these markers
All four are highly responsive to lifestyle intervention. Unlike genetic risk, they're not fixed. They respond to diet, exercise, sleep, and targeted supplementation within weeks.
For IL-6 and hsCRP: Anti-inflammatory diet (Mediterranean, whole food), Zone 2 aerobic exercise (150–180 min/week), 7–9 hours quality sleep, and visceral fat reduction. Resveratrol, Berberine, and omega-3s all have supporting trial data for CRP reduction.
For GGT: Reflects glutathione status. Effective interventions: reducing processed food and alcohol, increasing cruciferous vegetables, and supplementing with reduced glutathione or NAC. Reduced Glutathione is one of IgniLongevity's eight compounds — included specifically for this pathway.
For HbA1c: Glycemic control through dietary composition, time-restricted eating, and post-meal walking. Berberine has the strongest supplement evidence — comparable to low-dose metformin in some trials. Also one of IgniLongevity's eight compounds.
What the IgniLongevity™ study showed — 30-day biomarker changes
The 2025 Valverde et al. RCT (70 adults, 3 groups: enhanced/unenhanced/placebo) produced: IL-6: 1.39 → 0.88 pg/mL (p<0.01) — shifted from elevated zone into optimal. CRP: 2.13 → 1.54 mg/L (p<0.01) — toward cardiovascular protection range. GGT: 25.4 → 22.2 U/L (p<0.05) — meaningful reduction from near-normal baseline. Critically, the unenhanced formula showed smaller, statistically weaker changes on every marker — suggesting the cold plasma enhancement is doing measurable biological work.
|
← Pillar guide
Your Biological Age Is Not Your Birthday
|
Next in series →
Inflammaging: The Invisible Fire That Starts in Your 40s
|