Keep strength in the picture
Make space for movement, strength, balance, and recovery suited to your ability. The goal is a routine that supports the activities you want to keep doing.
01 / The introduction
The Longevity Edit
A longer view of living well.
When I think about longevity, I think about the life within those years: moving with confidence, enjoying food, staying curious, and having the energy for what matters. My collection explores cellular and botanical research within that much larger picture.
02 / A note from Dr. Michele
A note from Dr. Michele.
For me, longevity is about preserving the capacity to live well: strength, energy, intention, and connection. I begin with the foundations that support that life—nourishment, movement, restorative sleep, and a closer understanding of your metabolic health.
This edit explores the nutrients, botanicals, and microbial formulations that interest me within that wider picture. Testing can help us ask more precise questions. A supplement earns its place when there is a clear reason for choosing it and a meaningful way to assess its role.
03 / Begin with the foundations
Build a life that supports the years ahead.
Nourish, rest, connect
Enough food and protein, varied plants, restorative sleep, and relationships belong at the center. A cellular supplement is a small part of this wider conversation.
Know your everyday measures
Review blood pressure, glucose, lipids, and relevant family history with your clinician. Follow changes over time and ask what action a new measurement would change.
04 / Inside the Edit
A place for each selection.
These are distinct options to consider individually. Explore the preparation before deciding what belongs in your care.
01 / MITOCHONDRIA & MUSCLE
Mitochondria & muscle.
Individual selections, considered alongside the foundations of care.
02 / CELLULAR NUTRITION
Cellular nutrition.
Individual selections, considered alongside the foundations of care.
- VIEW ON FULLSCRIPT →NMN - Healthy Aging SupportInfiniWell
- VIEW ON FULLSCRIPT →NAC/Enhanced Antioxidant FormulaAllergy Research Group
- VIEW ON FULLSCRIPT →Resveratrol 500mgReserveage
03 / BOTANICAL CONSIDERATIONS
Botanical considerations.
Individual selections, considered alongside the foundations of care.
- VIEW ON FULLSCRIPT →Gotu KolaOrganic India
- VIEW ON FULLSCRIPT →Brain Cell Support™Metabolic Maintenance
- VIEW ON FULLSCRIPT →CarditoneAyush Herbs
04 / METABOLIC & MICROBIAL HEALTH
Metabolic & microbial health.
Individual selections, considered alongside the foundations of care.
- VIEW ON FULLSCRIPT →ProOmega® 2000, Softgels, LemonNordic Naturals
- VIEW ON FULLSCRIPT →Pendulum AkkermansiaPendulum
05 / The science behind my selections
Read a little deeper.
Timeline
Cellular Longevity PRO, Mitopure (Urolithin A) 1000mg
Why I chose it
The formulation. A urolithin A supplement branded Mitopure.
The physiology. Urolithin A is studied for mitophagy, a process that helps cells remove damaged mitochondria.
The human evidence. In a four-month trial in older adults, some muscle-endurance measures improved, but the main walking-distance and ATP-production outcomes did not significantly improve versus placebo. These findings do not establish longer lifespan.
Individual considerations. Review pregnancy, breastfeeding, significant illness and the full medication plan; long-term use across different patient populations is less well established than short trials.
Shop This ProductResearch & references
Needed
Creatine Powder
Why I chose it
The formulation. A creatine monohydrate powder.
The physiology. Creatine increases the muscle phosphocreatine pool, helping rapidly replenish ATP during short, demanding efforts; it is best considered alongside progressive strength work.
The human evidence. Human evidence for strength and training support is stronger than lifespan claims. A small six-week trial in perimenopausal women reported exploratory sleep-consistency and symptom findings with exercise; cognitive reaction-time changes did not differ between groups. This is not proof of cognitive rejuvenation or hormone balancing.
Individual considerations. Review kidney disease, pregnancy or breastfeeding and the full health history before use. Tell the clinician interpreting kidney blood tests that creatine is being taken; use the current product label rather than adding a generic loading protocol.
Shop This ProductInfiniWell
NMN - Healthy Aging Support
Why I chose it
The formulation. A combination of nicotinamide mononucleotide, resveratrol and pterostilbene.
The physiology. NMN is a precursor in NAD metabolism, while the added polyphenols are studied for cell-signaling and antioxidant-related effects.
The human evidence. Small, short human NMN trials have assessed biomarkers and selected metabolic measures. They do not establish lifespan extension, dementia prevention or the outcomes of this exact three-ingredient blend.
Individual considerations. Review use during pregnancy or breastfeeding and with medicines or cancer treatment, where evidence is limited. It already contains resveratrol, so combining it with Reserveage or Mito-Gevity duplicates ingredients.
Shop This ProductResearch & references
Organic India
Gotu Kola
Why I chose it
The formulation. An organic whole-herb Centella asiatica capsule.
The physiology. Gotu kola has a traditional Ayurvedic role in mental well-being; triterpene compounds are among the plant constituents studied biologically.
The human evidence. Human cognitive evidence is limited and does not establish prevention of dementia, improved lifespan or a replacement for assessing new memory problems.
Individual considerations. Review pregnancy, breastfeeding, liver history and sedating medicines. Check for duplication because Brain Cell Support also includes gotu kola.
Shop This ProductResearch & references
Metabolic Maintenance
Brain Cell Support™
Why I chose it
The formulation. A blend of acetyl-L-carnitine, citicoline, DMAE, phosphatidylserine, ginkgo and gotu kola.
The physiology. These ingredients relate to cellular energy, membrane phospholipids or neurotransmitter pathways, which explains their inclusion in a cognitive-health formula.
The human evidence. Research on separate ingredients does not establish that this blend prevents dementia or improves cognition in every healthy adult. Ginkgo itself has not prevented dementia in large trials.
Individual considerations. Ginkgo requires review with anticoagulants and other medicines, and pregnancy use is inappropriate without specific clinical guidance. Review overlapping gotu kola and other cognitive formulas.
Shop This ProductResearch & references
Ayush Herbs
Carditone
Why I chose it
The formulation. An herbal-mineral formula with magnesium, coral calcium, rauwolfia, arjuna, shankhpushpi and other botanicals.
The physiology. Its constituents can influence vascular tone and blood pressure; this makes it a targeted clinical selection rather than a general longevity supplement.
The human evidence. A small six-month, single-arm safety study reported lower blood pressure but had no placebo comparison; 30% withdrew citing nonserious adverse effects. This does not establish prevention of heart attack, stroke or longer life.
Individual considerations. Use only with an individualized blood-pressure plan. Combining it with blood-pressure medicines can cause excessive lowering; the study included a withdrawal for reported hypotension during concomitant treatment. Monitor dizziness, fatigue and readings, review low pulse or mood history, and never stop prescribed medication to substitute this formula.
Shop This ProductResearch & references
Allergy Research Group
NAC/Enhanced Antioxidant Formula
Why I chose it
The formulation. A combination of NAC, trimethylglycine, RNA and alpha-lipoic acid.
The physiology. NAC supplies a glutathione precursor, trimethylglycine participates in methyl-group metabolism, and alpha-lipoic acid supports redox and energy pathways.
The human evidence. Biochemical plausibility does not establish rejuvenation, removal of unspecified toxins or longer lifespan from the complete blend.
Individual considerations. Review pregnancy, medications and total antioxidant intake. This is not plain NAC: it overlaps with stand-alone NAC and alpha-lipoic acid products and warrants additional review with glucose-lowering treatment.
Shop This ProductResearch & references
Nordic Naturals
ProOmega® 2000, Softgels, Lemon
Why I chose it
The formulation. A concentrated fish oil supplying EPA and DHA in triglyceride form.
The physiology. These fatty acids are incorporated into membranes and participate in lipid signaling; higher therapeutic amounts can influence triglycerides under clinical care.
The human evidence. That does not establish that this supplement extends lifespan or prevents cardiovascular events in every user. Indication and baseline diet matter.
Individual considerations. Review fish allergy, anticoagulants, heart-rhythm history and overlapping fish oils. ProOmega 2000 and ProOmega 2000-D are different products; the latter includes vitamin D.
Shop This ProductPendulum
Pendulum Akkermansia
Why I chose it
The formulation. A live Akkermansia muciniphila probiotic with chicory-derived inulin.
The physiology. Akkermansia interacts with the intestinal mucus environment, while inulin provides a fermentable substrate for gut microbes.
The human evidence. Human research is early and depends on strain, live versus pasteurized preparation and population. It does not establish this retail product as a weight-loss treatment, a GLP-1 drug substitute or a way to extend life.
Individual considerations. Inulin can cause gas or bloating. Live-microbe supplementation deserves clinician review in severe illness or immunocompromise; the product should not replace evaluation of persistent digestive symptoms.
Shop This ProductNatura Health Products
Mito-Gevity Mitochondrial Redox Support
Why I chose it
The formulation. A multi-ingredient formula with ubiquinol, trans-resveratrol, R-lipoic acid, selenium, quercetin and botanicals including hawthorn, ginkgo and ginger.
The physiology. It combines a mitochondrial electron-transport cofactor with redox-active compounds and plant constituents.
The human evidence. Ingredient research does not demonstrate that this complete formula reverses aging, treats cardiovascular disease or increases human lifespan.
Individual considerations. Review anticoagulants, heart and blood-pressure medicines, and other supplements before use. It overlaps with CoQ10, resveratrol, alpha-lipoic acid, ginkgo and selenium selections; the black-pepper component also makes medication review important.
Shop This Product
Reserveage
Resveratrol 500mg
Why I chose it
The formulation. A resveratrol-based polyphenol supplement; Reserveage currently markets more than one 500 mg formulation.
The physiology. Resveratrol is studied for cellular signaling, including pathways often discussed in aging research.
The human evidence. Laboratory and animal findings do not establish longer human life, and human studies cannot be generalized across all resveratrol doses and combinations.
Individual considerations. Review medicines, particularly anticoagulants, pregnancy or breastfeeding, and other polyphenol products. InfiniWell NMN and Mito-Gevity already contain resveratrol, so combining these is not automatically appropriate.
Shop This ProductResearch & references
MUSCLE ENDURANCE & CELLULAR RENEWAL
Cellular Longevity PRO · Mitopure · Timeline
Urolithin A is a compound that some gut microbes produce from plant-derived ellagitannins. Mitopure supplies a defined urolithin A preparation directly. Its research centers on mitochondrial maintenance and muscle function as we age.
A human trial reported improvements in specific muscle-endurance measures, which makes this an interesting addition to the conversation about maintaining capacity. Strength training, adequate protein, and regular movement remain the daily foundation.
A four-month trial in 66 older adults found improvements in selected muscle-endurance measures with urolithin A. The primary outcomes—six-minute walking distance and maximal muscle ATP production—did not significantly improve versus placebo. The study was not a test of human lifespan.
Research & references
A PRECURSOR IN THE NAD+ PATHWAY
NMN · InfiniWell
Nicotinamide mononucleotide, or NMN, is a building block used to make NAD+, a coenzyme involved in cellular energy metabolism. That role has prompted studies of how NMN affects metabolic function in humans.
InfiniWell pairs NMN with the plant compounds resveratrol and pterostilbene. I distinguish the function of the nutrient pathway from the effects of a finished blend, and look at the full formula when considering how it fits.
Nicotinamide mononucleotide is a precursor used in NAD+ metabolism. InfiniWell’s formula also contains resveratrol and pterostilbene. A small human NMN trial reported a change in muscle insulin sensitivity in a particular study population; it did not test this complete formula or establish a longer life. Long-term benefits and safety remain unsettled.
Research & references
TWO DIFFERENT ROUTES INTO THE LONGEVITY CONVERSATION
Mito-Gevity & botanical selections
Cellular-health formulas and traditional botanicals ask different questions. My collection includes Mito-Gevity alongside botanical choices such as gotu kola, Centella asiatica, a plant with a long place in traditions of vitality and clarity.
With a multi-ingredient formula, I begin with the complete current label. With a plant, I begin with its identity, part, and extract. That attention helps make each selection purposeful and makes overlapping ingredients easier to recognize.
My collection also includes Mito-Gevity and botanical choices such as Gotu Kola. Read each current ingredient list before combining products. Gotu kola, Centella asiatica, has a long traditional history, but preliminary research does not establish dementia prevention or universal cognitive benefit.
Research & references
A RESIDENT OF THE GUT ECOSYSTEM
Pendulum Akkermansia
Akkermansia muciniphila is a bacterium associated with the mucus layer of the gut. Its relationship with the intestinal environment and metabolic health has made it a lively area of research. This product combines a live strain with inulin, a fermentable fiber.
I place this within the larger story of a well-fed microbial community: varied plant foods, digestive comfort, and the individual situation. The organism’s strain and whether it is live or pasteurized matter when reading a study.
This formula contains a live strain of Akkermansia muciniphila with inulin. Research on a different strain or a pasteurized preparation does not automatically apply to this live product. Keep dietary plant diversity and the wider digestive picture in view; medically vulnerable people should discuss probiotic use with their clinician.
Research & references
06 / Shop the Edit
Check out the full protocol
Explore the complete collection, then choose the individual products that fit your care. Fullscript provides current labels, pricing and availability.
Shop the Full Edit07 / Functional laboratory testing
A Closer Look Through Testing
A test begins with a question. These are options to explore when your history, symptoms, or existing results call for more information. You do not need every test in this directory.
Questions connected with this Edit.
3X4 Genetics
3X4 Genetics Test + Blueprint Report
- What it measures
- Inherited genetic variants used to describe selected nutritional, metabolic, and lifestyle-related pathways.
- Why it is here · When it may be useful
- A person wants to discuss inherited tendencies in nutrition and lifestyle with a clinician familiar with genetic interpretation.
- What ordering involves
- Buccal swab collected with the at-home kit. Follow the instructions supplied with the exact order. Fasting and medication timing may change when tests are combined.
- Keep in mind
- Inherited risk is probabilistic. Performance varies by condition and the ancestry of the populations used to develop the model; a risk score does not establish disease.
Test information & references
Quest Diagnostics
Hemoglobin A1c
- What it measures
- Glycated hemoglobin, reflecting average blood glucose over approximately two to three months.
- Why it is here · When it may be useful
- Longer-term glucose trends would inform metabolic care.
- What ordering involves
- Whole blood from a blood draw. A1c alone does not require fasting; other tests in the same order may.
- Keep in mind
- Anemia, hemoglobin variants, recent blood loss or transfusion, and altered red-cell turnover can affect interpretation. It does not reveal individual meal-related glucose peaks.
Test information & references
Quest Diagnostics
hs-CRP
- What it measures
- Low concentrations of C-reactive protein using a high-sensitivity assay.
- Why it is here · When it may be useful
- Cardiovascular risk assessment would benefit from an additional inflammation marker when acute illness is absent.
- What ordering involves
- Serum from a blood draw. Follow the instructions supplied with the exact order. Fasting and medication timing may change when tests are combined.
- Keep in mind
- Inflammatory results are nonspecific and may change after recent illness or injury. They do not identify the source of inflammation or measure emotional grief. These two high-sensitivity CRP listings are alternatives, not a reason to order duplicate measurements.
Test information & references
Quest Diagnostics
Cardio IQ hs-CRP
- What it measures
- Low concentrations of C-reactive protein using a high-sensitivity assay; a separate ordering option within the Cardio IQ range.
- Why it is here · When it may be useful
- Cardiovascular risk assessment calls for high-sensitivity CRP; choose this or the other hs-CRP option rather than ordering both routinely.
- What ordering involves
- Serum from a blood draw. Follow the instructions supplied with the exact order. Fasting and medication timing may change when tests are combined.
- Keep in mind
- Inflammatory results are nonspecific and may change after recent illness or injury. They do not identify the source of inflammation or measure emotional grief. These two high-sensitivity CRP listings are alternatives, not a reason to order duplicate measurements.
Test information & references
Quest Diagnostics
Micronutrient, Coenzyme Q10 (CoQ10)
- What it measures
- Circulating coenzyme Q10, a compound involved in energy metabolism and antioxidant activity.
- Why it is here · When it may be useful
- A targeted nutritional question makes a circulating CoQ10 measurement relevant.
- What ordering involves
- Serum from a blood draw. Follow the instructions supplied with the exact order. Fasting and medication timing may change when tests are combined.
- Keep in mind
- Circulating CoQ10 is affected by supplementation and lipoproteins. It is not a direct measure of whole-body mitochondrial performance.
Test information & references
SpectraCell
Micronutrient Test
- What it measures
- The response of living white blood cells to different nutrient conditions in a laboratory assay.
- Why it is here · When it may be useful
- A clinician is exploring a nutritional question and can relate the assay to intake, symptoms, and established nutrient testing.
- What ordering involves
- Whole blood collected by a phlebotomist using the supplied kit. Follow the selected laboratory collection and shipping schedule; SpectraCell currently says no fasting is needed for its individual Micronutrient Test.
- Keep in mind
- An ex-vivo cell-response assay is different from a serum nutrient concentration. Use alongside diet, symptoms, and established tests rather than assuming every flagged result requires high-dose supplementation.
Test information & references
Boston Heart Diagnostics
Polygenic Risk Map - Female Complete
- What it measures
- Combinations of inherited variants used to estimate susceptibility to selected conditions.
- Why it is here · When it may be useful
- A genetics-informed prevention conversation includes family history, current biomarkers, the limitations of risk scores, and privacy considerations.
- What ordering involves
- Saliva collected with the at-home kit. Follow the instructions supplied with the exact order. Fasting and medication timing may change when tests are combined.
- Keep in mind
- Risk estimates are probabilistic, not diagnoses. The current listing describes comparison with a European reference dataset, so applicability across ancestries needs particular care.
Test information & references
Jona
Jona Clinical Gut Microbiome Analysis Advanced
- What it measures
- Microbial DNA from shotgun metagenomic sequencing together with selected stool chemistry markers.
- Why it is here · When it may be useful
- Persistent digestive concerns warrant a discussion about whether microbial and stool-chemistry information would change care.
- What ordering involves
- Stool collected with the at-home kit. Follow the selected laboratory instructions for collection days, sample handling, and recent antimicrobial or supplement use.
- Keep in mind
- A stool result is a snapshot. Microbial associations do not prove a cause of symptoms or establish one ideal microbiome; individual markers differ in clinical validation.
Test information & references
TruDiagnostic
TruAge + TruHealth
- What it measures
- DNA-methylation-based estimates of biological aging and related health patterns.
- Why it is here · When it may be useful
- An informed longevity discussion includes exploratory aging estimates alongside established metabolic markers and physical function.
- What ordering involves
- Bloodspot collected with the at-home kit. The current storefront marks this test as requiring fasting. Follow the exact order instructions for duration and other preparation; discuss medication timing with the ordering clinician.
- Keep in mind
- Methylation-derived estimates are not direct measurements of serum nutrients or hormones, a disease diagnosis, or proof of lifespan extension.
Test information & references
Explore All Lab Tests 29 more options
Precision Analytical (DUTCH)
DUTCH Complete
- What it measures
- Sex hormones and selected metabolites, daily cortisol and cortisone patterns, and selected organic-acid markers.
- Why it is here · When it may be useful
- A clinician has a specific hormone-metabolism or daily rhythm question after reviewing cycle history, symptoms, and hormone use.
- What ordering involves
- Timed dried urine samples collected with the at-home kit. Record sleep timing, cycle day when relevant, hormone use, and collection times. Do not substitute DUTCH Complete, Plus, or Cycle Mapping schedules for one another.
- Keep in mind
- Daily patterns are affected by timing, medicines, and collection conditions. These tests do not diagnose grief or adrenal fatigue.
Test information & references
Genova Diagnostics
GI Effects® Comprehensive Profile - 1 day
- What it measures
- Selected markers of digestion, intestinal inflammation, and organisms in a one-day stool sample.
- Why it is here · When it may be useful
- Persistent digestive symptoms warrant a closer look after the diet, bowel pattern, medication history, and clinical assessment have been reviewed.
- What ordering involves
- Stool collected with the one-day at-home kit. Follow the selected laboratory instructions for collection days, sample handling, and recent antimicrobial or supplement use.
- Keep in mind
- A stool result is a snapshot. Microbial associations do not prove a cause of symptoms or establish one ideal microbiome; individual markers differ in clinical validation.
Test information & references
Quest Diagnostics
Comprehensive Metabolic Panel
- What it measures
- Glucose, electrolytes, proteins, and markers related to liver and kidney function.
- Why it is here · When it may be useful
- A broader metabolic baseline or follow-up may clarify symptoms or previous results.
- What ordering involves
- Serum from a blood draw. Follow the instructions supplied with the exact order. Fasting and medication timing may change when tests are combined.
- Keep in mind
- Interpret with the reason for testing, symptoms, medical history, and the laboratory method. An isolated result is not a diagnosis.
Test information & references
Quest Diagnostics
Iron, TIBC and Ferritin Panel
- What it measures
- Serum iron, iron-binding capacity, transferrin saturation, and ferritin as a marker of iron stores.
- Why it is here · When it may be useful
- Heavy menstrual bleeding, dietary limitation, suspected depletion, or possible iron overload makes the iron pattern clinically relevant.
- What ordering involves
- Serum from a blood draw. The current storefront marks this test as requiring fasting. Follow the exact order instructions for duration and other preparation; discuss medication timing with the ordering clinician.
- Keep in mind
- Interpret with the reason for testing, symptoms, medical history, and the laboratory method. An isolated result is not a diagnosis.
Test information & references
Quest Diagnostics
TSH with Reflex to Free T4
- What it measures
- Thyroid-stimulating hormone, with free T4 added if the laboratory reflex criteria are met.
- Why it is here · When it may be useful
- Symptoms or history suggest a possible thyroid contribution to changes in energy, temperature tolerance, bowel habits, or cycles.
- What ordering involves
- Serum from a blood draw. Follow the instructions supplied with the exact order. Fasting and medication timing may change when tests are combined.
- Keep in mind
- Interpret with the reason for testing, symptoms, medical history, and the laboratory method. An isolated result is not a diagnosis.
Test information & references
Quest Diagnostics
Apolipoprotein B
- What it measures
- Apolipoprotein B, a protein that helps estimate the burden of atherogenic lipoprotein particles.
- Why it is here · When it may be useful
- A cardiovascular risk review would benefit from particle-related information beyond a standard cholesterol result.
- What ordering involves
- Serum from a blood draw. Follow the instructions supplied with the exact order. Fasting and medication timing may change when tests are combined.
- Keep in mind
- Interpret with the reason for testing, symptoms, medical history, and the laboratory method. An isolated result is not a diagnosis.
Test information & references
Quest Diagnostics
Hemoglobin A1c with eAG
- What it measures
- Glycated hemoglobin and calculated estimated average glucose over roughly two to three months.
- Why it is here · When it may be useful
- There is a reason to assess longer-term glucose regulation alongside nourishment, movement, and sleep.
- What ordering involves
- Whole blood from a blood draw. A1c alone does not require fasting; other tests in the same order may.
- Keep in mind
- Anemia, hemoglobin variants, recent blood loss or transfusion, and altered red-cell turnover can affect interpretation. It does not reveal individual meal-related glucose peaks.
Test information & references
Tiny Health
Vaginal Health Test
- What it measures
- Vaginal microbial DNA using shotgun metagenomics, including relative abundance patterns and vaginal community state type.
- Why it is here · When it may be useful
- Persistent or recurrent vaginal symptoms raise a question about microbial patterns, with findings interpreted alongside examination and tissue health.
- What ordering involves
- Vaginal swab collected with the at-home kit. The listing describes this test for women over 18. Follow Tiny Health’s supplied vaginal-swab instructions for timing and preparation; do not apply another laboratory’s kit instructions.
- Keep in mind
- Interpret microbial detection with symptoms and examination. This is not a urine culture or a complete explanation for recurrent urinary symptoms.
Test information & references
Quest Diagnostics
Anti-Mullerian Hormone (AMH), Female
- What it measures
- Anti-Mullerian hormone, a marker that adds information about ovarian reserve.
- Why it is here · When it may be useful
- A fertility evaluation needs ovarian-reserve context, especially for anticipating response to ovarian stimulation.
- What ordering involves
- Serum from a blood draw. AMH can generally be measured on any cycle day; discuss recent hormone use and relevant clinical context.
- Keep in mind
- AMH informs ovarian reserve and anticipated response to stimulation. It does not measure egg quality or provide a definitive prediction of natural conception.
Test information & references
Quest Diagnostics
Vitamin D, 25-Hydroxy, Total, Immunoassay
- What it measures
- 25-hydroxy vitamin D, the main circulating marker used to assess vitamin D status.
- Why it is here · When it may be useful
- Diet, limited outdoor exposure, bone health, or another clinical factor makes vitamin D assessment useful.
- What ordering involves
- Serum from a blood draw. Follow the instructions supplied with the exact order. Fasting and medication timing may change when tests are combined.
- Keep in mind
- Interpret with the reason for testing, symptoms, medical history, and the laboratory method. An isolated result is not a diagnosis.
Test information & references
Precision Analytical (DUTCH)
DUTCH Adrenals Only Panel
- What it measures
- Daily free cortisol and cortisone, associated metabolites, and DHEA-S in dried urine.
- Why it is here · When it may be useful
- A clinician has a defined question about adrenal hormone patterns after reviewing sleep timing and relevant symptoms.
- What ordering involves
- Timed dried urine samples collected with the at-home kit. Use the supplied DUTCH Adrenals Only dried-urine schedule and record collection and sleep times. Review medications and supplements with the ordering clinician.
- Keep in mind
- Daily patterns are affected by timing, medicines, and collection conditions. These tests do not diagnose grief or adrenal fatigue.
Test information & references
Quest Diagnostics
C-Reactive Protein (CRP)
- What it measures
- C-reactive protein, a nonspecific marker of inflammation.
- Why it is here · When it may be useful
- An inflammatory condition is suspected or an established inflammatory pattern needs monitoring.
- What ordering involves
- Serum from a blood draw. Follow the instructions supplied with the exact order. Fasting and medication timing may change when tests are combined.
- Keep in mind
- Inflammatory results are nonspecific and may change after recent illness or injury. They do not identify the source of inflammation or measure emotional grief.
Test information & references
Quest Diagnostics
Sed Rate by Modified Westergren
- What it measures
- The rate at which red blood cells settle, an indirect marker of inflammation.
- Why it is here · When it may be useful
- The clinical picture calls for an additional nonspecific inflammation marker.
- What ordering involves
- Whole blood from a blood draw. Follow the instructions supplied with the exact order. Fasting and medication timing may change when tests are combined.
- Keep in mind
- Inflammatory results are nonspecific and may change after recent illness or injury. They do not identify the source of inflammation or measure emotional grief.
Test information & references
Quest Diagnostics
Cardio IQ Advanced Lipid Panel with Inflammation
- What it measures
- Standard and advanced lipid-related markers plus selected inflammation markers, including ApoB, lipoprotein(a), and high-sensitivity CRP.
- Why it is here · When it may be useful
- A cardiovascular assessment calls for additional lipid and inflammation detail beyond routine testing.
- What ordering involves
- Serum from a blood draw. The current storefront marks this test as requiring fasting. Follow the exact order instructions for duration and other preparation; discuss medication timing with the ordering clinician.
- Keep in mind
- Inflammatory results are nonspecific and may change after recent illness or injury. They do not identify the source of inflammation or measure emotional grief.
Test information & references
Quest Diagnostics
Thyroid Panel (FT3, FT4, TSH)
- What it measures
- TSH, free T4, and free T3: the thyroid-regulating signal and circulating thyroid hormones.
- Why it is here · When it may be useful
- Persistent symptoms or prior results justify assessment of thyroid function.
- What ordering involves
- Serum from a blood draw. Follow the instructions supplied with the exact order. Fasting and medication timing may change when tests are combined.
- Keep in mind
- Interpret with the reason for testing, symptoms, medical history, and the laboratory method. An isolated result is not a diagnosis.
Test information & references
Quest Diagnostics
Hepatic Function Panel
- What it measures
- Liver-related enzymes, proteins, and bilirubin.
- Why it is here · When it may be useful
- History, symptoms, medications, or prior findings give a specific reason to assess liver health.
- What ordering involves
- Serum from a blood draw. Follow the instructions supplied with the exact order. Fasting and medication timing may change when tests are combined.
- Keep in mind
- Interpret with the reason for testing, symptoms, medical history, and the laboratory method. An isolated result is not a diagnosis.
Test information & references
Quest Diagnostics
Micronutrients, Antioxidants Panel
- What it measures
- Selected antioxidant nutrients: vitamins A, C, E, and coenzyme Q10.
- Why it is here · When it may be useful
- Diet, absorption, or supplementation raises a focused question about selected antioxidant nutrients.
- What ordering involves
- Serum from a blood draw. The current storefront marks this test as requiring fasting. Follow the exact order instructions for duration and other preparation; discuss medication timing with the ordering clinician.
- Keep in mind
- This panel measures vitamins A, C, E, and CoQ10, not collagen, skin appearance, or every antioxidant system.
Test information & references
Quest Diagnostics
Heavy Metals Panel (Venous)
- What it measures
- Arsenic, lead, and mercury in venous blood.
- Why it is here · When it may be useful
- An occupational, household, dietary, or environmental history suggests exposure to one of the measured metals.
- What ordering involves
- Whole blood from a blood draw. Follow the instructions supplied with the exact order. Fasting and medication timing may change when tests are combined.
- Keep in mind
- Interpret with the reason for testing, symptoms, medical history, and the laboratory method. An isolated result is not a diagnosis.
Test information & references
Quest Diagnostics
Heavy Metals Panel, 24-Hour Urine
- What it measures
- Selected metals excreted in urine over a complete 24-hour collection.
- Why it is here · When it may be useful
- A specific exposure question requires assessment of metal excretion over a full day.
- What ordering involves
- Complete 24-hour urine collection using the laboratory container. Follow the exact start/stop and storage instructions. Incomplete collection affects results; do not add a chelation challenge.
- Keep in mind
- Excretion over one day is not total body burden. Recent exposures and specimen handling matter.
Test information & references
RealTime Labs
Environmental Toxins Panel
- What it measures
- Selected environmental chemical metabolites in a urine specimen.
- Why it is here · When it may be useful
- A relevant exposure history supports a discussion about whether measured urinary chemical metabolites would change practical exposure reduction.
- What ordering involves
- Urine collected with the at-home kit. Use the RealTime Labs urine kit and its current collection, storage, and shipping instructions. Do not substitute blood-collection instructions.
- Keep in mind
- A spot urine finding reflects the substances measured and recent exposure or excretion. It does not establish total body burden, locate the source, or prove the cause of symptoms.
Test information & references
Access Labcorp Draw
Arsenic, Lead, Mercury, Random Urine
- What it measures
- Arsenic, lead, and mercury in a random urine sample.
- Why it is here · When it may be useful
- The exposure history points toward arsenic, lead, or mercury and the selected specimen fits the clinical question.
- What ordering involves
- Random urine sample collected according to the order instructions. Follow the exact assay instructions and disclose recent seafood intake when arsenic is measured. Do not add a chelation challenge.
- Keep in mind
- Speciation may be needed to distinguish arsenic forms. Concentration and recent exposure affect urine findings; results are not a total toxin burden.
Test information & references
Quest Diagnostics
PFAS (FOREVER CHEM) 9
- What it measures
- Nine per- and polyfluoroalkyl substances and the reported combined concentration.
- Why it is here · When it may be useful
- A credible exposure history makes a PFAS measurement useful for an informed exposure-reduction conversation.
- What ordering involves
- Serum from a blood draw. Follow the instructions supplied with the exact order. Fasting and medication timing may change when tests are combined.
- Keep in mind
- The result cannot identify the exposure source, attribute symptoms, predict individual disease, or establish a treatment by itself.
Test information & references
Quest Diagnostics
Lipid Panel, Standard
- What it measures
- Total cholesterol, HDL cholesterol, LDL cholesterol, triglycerides, and calculated lipid measures.
- Why it is here · When it may be useful
- A baseline or follow-up cardiovascular assessment is needed.
- What ordering involves
- Serum from a blood draw. The current storefront marks this test as requiring fasting. Follow the exact order instructions for duration and other preparation; discuss medication timing with the ordering clinician.
- Keep in mind
- Interpret with the reason for testing, symptoms, medical history, and the laboratory method. An isolated result is not a diagnosis.
Test information & references
Quest Diagnostics
Comprehensive Metabolic Panel without CO2, ALT
- What it measures
- Selected metabolic, electrolyte, protein, kidney, and liver-related markers. This specific panel omits carbon dioxide and ALT.
- Why it is here · When it may be useful
- A clinician specifically selects this reduced metabolic panel and confirms that omitted markers are not needed for the question.
- What ordering involves
- Serum from a blood draw. Follow the instructions supplied with the exact order. Fasting and medication timing may change when tests are combined.
- Keep in mind
- This is not the same panel as the Women’s Health Comprehensive Metabolic Panel: CO2 and ALT are omitted. Confirm which measurements are needed before ordering.
Test information & references
Precision Point Diagnostics
Comprehensive Thyroid Panel w/ Antibodies
- What it measures
- TSH, free and total T3, free and total T4, plus thyroid peroxidase and thyroglobulin antibodies.
- Why it is here · When it may be useful
- Symptoms, family history, or previous thyroid findings call for both thyroid-function and antibody assessment.
- What ordering involves
- Serum collected by a phlebotomist using the supplied kit. Follow the instructions supplied with the exact order. Fasting and medication timing may change when tests are combined.
- Keep in mind
- Interpret with the reason for testing, symptoms, medical history, and the laboratory method. An isolated result is not a diagnosis.
Test information & references
Quest Diagnostics
Functional Health Panel (Female)
- What it measures
- A broad set of 55 reported biomarkers selected for an assessment of female health; review the current analyte list to avoid duplicate orders.
- Why it is here · When it may be useful
- A wider baseline is clinically justified after reviewing existing results and the risk of unnecessary overlapping tests.
- What ordering involves
- Blood draw; the listing specifies plasma, serum, and whole blood. The current storefront marks this test as requiring fasting. Follow the exact order instructions for duration and other preparation; discuss medication timing with the ordering clinician.
- Keep in mind
- This Quest panel overlaps with individual tests. Review the exact 55-marker list and existing results before ordering; a broad panel can produce incidental findings.
Test information & references
Quest Diagnostics
CBC (includes Differential and Platelets)
- What it measures
- Red-cell measures, hemoglobin, hematocrit, platelets, and a white-cell differential.
- Why it is here · When it may be useful
- Fatigue, suspected anemia, immune-cell changes, or another clinical question warrants a blood count.
- What ordering involves
- Whole blood from a blood draw. Follow the instructions supplied with the exact order. Fasting and medication timing may change when tests are combined.
- Keep in mind
- Interpret with the reason for testing, symptoms, medical history, and the laboratory method. An isolated result is not a diagnosis.
Test information & references
US BioTek
Oral Microbiome Profile
- What it measures
- Selected oral organisms and oral pH using a targeted quantitative PCR profile.
- Why it is here · When it may be useful
- A dental or medical clinician considers a targeted microbial profile useful alongside oral examination and daily oral-care history.
- What ordering involves
- Oral specimen using the supplied kit; the storefront lists saliva. Confirm the kit method before collection. The storefront lists saliva, while manufacturer instructions describe an oral collection kit. Confirm and follow the supplied kit method and restrictions on recent eating, drinking, and oral products.
- Keep in mind
- A targeted profile is not a complete census of the oral ecosystem. Detection does not independently establish active dental disease or systemic disease causation.
Test information & references
Access Medical Labs
Urinalysis w/ Reflex to Culture
- What it measures
- Urine chemistry and microscopic findings, with culture performed only when the laboratory reflex criteria are met.
- Why it is here · When it may be useful
- Current urinary symptoms require evaluation for infection or another urinary problem.
- What ordering involves
- Urine collected according to the laboratory instructions. Obtain during symptoms when evaluation is needed. Collect before antimicrobial treatment when feasible, without delaying necessary assessment or treatment.
- Keep in mind
- A culture is not automatic for every sample. Reflex criteria, contamination, and recent antimicrobials affect interpretation; persistent symptoms may require reassessment.
Test information & references
Ordering eligibility, availability and collection fees can vary by test and location. Confirm the current listing and your clinician’s instructions before ordering. Laboratory results belong within your history and care; no single result identifies the whole cause of a symptom.
08 / The physician behind the Edit
09 / Related reading & collections
Keep exploring.
Do I need everything in The Longevity Edit?
No. These are individual options, not a universal protocol. Review overlapping ingredients and choose only what fits your history and care.
Where do the foundations fit?
They come first. Nourishment, sleep, movement, and relevant daily or environmental factors help determine whether a supplement or test has a useful role.
Can I read the collection without a Fullscript account?
Yes. The educational guide is open to everyone. Fullscript manages current labels, availability, account requirements, and purchases separately.
10 / Research & references
The details behind the Edit.
Research & references
- Timeline · Mitopure research
- Human NMN trial · Science, 2021
- InfiniWell · NMN formulation
- Pendulum · Akkermansia formulation
- MedlinePlus · Hemoglobin A1c
- Cellular nutrient testing
- Epigenetic testing
- Cellular assessment method
- Polygenic risk interpretation
- Read the randomized urolithin A trial
- Read the small gotu kola cognition study
- NIH LiverTox · Centella asiatica
- NIH · probiotic evidence and safety
Individual preparation references appear with each selection. Traditional uses and laboratory findings are distinguished from human clinical evidence. These educational collections do not establish a physician–patient relationship. Purchases through the Fullscript links may financially support my practice.
Review overlapping ingredients and medicines before combining longevity formulas. Research is evolving, and more products do not necessarily mean more benefit. Pregnancy, breastfeeding, cancer treatment, significant illness, or new cognitive symptoms call for individual medical advice.
The Foundations · My gift to you
Return to the ground
your body knows.
Before protocols. Before supplements. Begin with water, nourishment, breath, and the everyday environment that supports your health.
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