Ultimate Longevity Bible

Biomarker

PhenoAge

Last updated Sun May 17 2026 00:00:00 GMT+0000 (Coordinated Universal Time)

What it is

PhenoAge (Levine 2018) is a biological-age metric derived from nine common clinical lab values:

  • Albumin
  • Creatinine
  • Glucose
  • C-reactive protein
  • Lymphocyte percent
  • Mean cell volume
  • Red cell distribution width
  • Alkaline phosphatase
  • White blood cell count
  • (Chronological age)

The weights were trained against mortality in NHANES data.

Why it matters

PhenoAge is computable from any standard blood panel, with no extra testing. It predicts all-cause mortality better than chronological age alone and has been adapted into the DNAm-PhenoAge epigenetic clock (Levine 2018) which projects PhenoAge onto methylation data.

Practical use

  • Track over annual labs.
  • Same caveats as any biological-age score: single readings are noisy; trends are more informative.
  • Free online calculators reproduce the public Levine equation.

What moves PhenoAge

  • Improving any of the underlying biomarkers (especially inflammation, glucose, kidney function).
  • Lifestyle changes (exercise, weight loss, Mediterranean-style diet).
  • Caloric-restriction interventions (CALERIE data).

Related entries

Epigenetic clocks, hsCRP, Morgan Levine.

References

  • Levine, M. E. et al. An epigenetic biomarker of aging for lifespan and healthspan. Aging 10, 573–591 (2018).

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