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Biomarker Targets for Longevity

Standard reference ranges are designed to detect acute pathology. Optimization requires targeting the percentiles associated with the lowest all-cause mortality. We break down the evidence for aggressive targets.

Cardiovascular (Lipid & Endothelial)

  • ApoB (Apolipoprotein B)

    The primary driver of atherosclerosis. Why LDL-C is an incomplete metric and the case for targeting ApoB < 60 mg/dL.

  • Lp(a) (Lipoprotein(a))

    The genetic risk factor present in ~20% of the population. Testing protocols and emerging therapeutics.

Metabolic & Glycemic

  • Fasting Insulin & HOMA-IR

    Detecting insulin resistance years before HbA1c elevation. The argument for targeting Fasting Insulin < 5 μIU/mL.

  • Uric Acid

    Beyond gout: Uric acid as a marker of fructose metabolism and metabolic syndrome risk.