Metrics Reference
Twenty (-ish) metrics. That's it. Below is the complete list of what we track and why each one made the cut.
Why These Metrics?
Not everything your doctor orders belongs in a tracking dashboard. These twenty metrics were chosen because they meet specific criteria:
- ● They move slowly. These aren't diagnostic tests for acute problems. They're markers that change gradually over months and years.
- ● They predict outcomes. Each metric has evidence linking it to healthspan - the years you live in good health, not just alive.
- ● You can act on them. Tracking is pointless if you can't do anything about the number. These metrics respond to lifestyle changes, medication, or both.
- ● They're trackable over time. Measured the same way each time, with consistent reference ranges. Not one-off screening tests.
What's Deliberately Excluded
This isn't a comprehensive list of every useful medical test. We deliberately exclude:
- • Cancer markers (PSA, CA-125, etc.) - important for screening, but not continuous tracking metrics
- • Highly diagnostic tests - things you order when investigating a specific problem
- • One-off screening labs - useful once, not worth tracking every 6-12 months
- • Rapidly changing markers - anything that fluctuates day-to-day isn't suited to quarterly tracking
If your doctor orders these tests, that's appropriate care. They're just not what this tool is designed to track.
The Twenty Metrics
Cardiovascular Health
Heart disease remains the leading cause of death. These markers help assess and reduce cardiovascular risk over a lifetime.
LDL Cholesterol
The amount of cholesterol carried inside LDL particles. It measures cholesterol mass, not the number of particles.
LDL-C delivers cholesterol into the arterial wall and contributes to plaque formation. Lower LDL-C is associated with lower cardiovascular risk, but LDL-C can mislead when particle number is high but cholesterol per particle is low (discordance).
HDL Cholesterol
The amount of cholesterol carried within HDL particles, traditionally labelled "good cholesterol."
HDL-C is an association marker, not a causal one. Higher HDL-C often tracks with better metabolic health, but raising HDL-C itself does not reduce risk. Very high or very low values can both signal underlying dysfunction.
Triglycerides
The main form of circulating fat, carried mostly in VLDL and chylomicrons. Reflects how the body is handling energy and carbohydrate load.
Elevated triglycerides signal impaired metabolic health and are tightly linked to insulin resistance, fatty liver, and higher atherosclerotic risk. They also drive ApoB by increasing VLDL particle production.
ApoB
Apolipoprotein B is present on every atherogenic lipoprotein (LDL, VLDL, IDL, Lp(a)), so it represents the total number of cholesterol-carrying particles in circulation.
Atherosclerosis is driven by particle number, not cholesterol mass. ApoB predicts risk better than LDL-C, especially with insulin resistance, metabolic syndrome, or LDL discordance.
hs-CRP
High-Sensitivity C-Reactive Protein (hs-CRP) is a blood marker of low-grade systemic inflammation.
Chronic inflammation accelerates atherosclerosis and tracks with cardiometabolic risk. hs-CRP reflects inflammatory burden, not a specific disease.
Metabolic Health
Insulin resistance and metabolic dysfunction are root causes of many chronic diseases. These metrics catch dysfunction early, often years before standard tests show problems.
HbA1c
The percentage of haemoglobin that is glycated, reflecting average blood glucose over the prior ~2–3 months.
HbA1c captures chronic glycaemic exposure, which drives microvascular damage and long-term cardiometabolic risk. It misses short-term spikes and early insulin resistance.
Fasting Glucose
Blood glucose measured after an overnight fast, reflecting hepatic glucose output and basal insulin control.
Elevated fasting glucose indicates impaired glucose regulation and increased diabetes risk. It is easy to measure but can remain normal despite significant insulin resistance.
Fasting Insulin
Insulin concentration after an overnight fast, reflecting how hard the pancreas is working to maintain normal glucose.
Fasting insulin is a sensitive marker of insulin resistance and metabolic dysfunction, often rising years before glucose or HbA1c become abnormal.
ALT
Alanine Aminotransferase (ALT) is a liver enzyme released into the blood when liver cells are stressed or damaged.
ALT is a marker of liver health and metabolic stress. Mild elevations often reflect fatty liver or insulin resistance rather than overt liver disease.
GGT
Gamma-Glutamyl Transferase (GGT) is a liver enzyme involved in glutathione metabolism and oxidative stress.
GGT is a sensitive marker of liver stress, alcohol exposure, and cardiometabolic risk. It often rises before ALT in fatty liver and insulin resistance.
Blood Pressure
Blood pressure is the force your blood exerts on artery walls. Elevated levels directly damage arteries and accelerate disease.
Systolic Blood Pressure
The peak arterial pressure during heart contraction.
Systolic pressure is the strongest blood pressure–related predictor of cardiovascular events. Elevated levels directly damage arteries and accelerate atherosclerosis.
Diastolic Blood Pressure
The arterial pressure during heart relaxation between beats.
Diastolic pressure reflects baseline vascular tone. Very high levels increase risk, while very low levels may impair coronary perfusion in older adults.
Resting Heart Rate
The number of heartbeats per minute at rest.
Resting heart rate reflects autonomic balance and cardiorespiratory fitness. Lower rates generally indicate better cardiovascular efficiency.
Kidney Function
Your kidneys filter waste and regulate fluid balance. Declining kidney function increases cardiovascular risk and affects overall health.
Creatinine
A breakdown product of muscle metabolism, cleared by the kidneys.
Creatinine is used to estimate kidney function but is strongly influenced by muscle mass, age, and sex, which can obscure early kidney disease.
eGFR
estimated Glomerular Filtration Rate (eGFR) is a calculated estimate of kidney filtration capacity, usually derived from creatinine, age, and sex.
eGFR is the standard marker for staging chronic kidney disease and correlates with cardiovascular and mortality risk.
Cystatin C
A low–molecular weight protein filtered by the kidneys, largely independent of muscle mass.
Cystatin C provides a cleaner estimate of kidney function than creatinine and improves risk prediction for cardiovascular disease and mortality.
Body Composition & Foundational Markers
Muscle mass, bone density, and baseline blood markers form the foundation of healthspan. These metrics reflect your body's capacity and resilience.
Body Fat Percentage
The proportion of total body weight made up of fat tissue.
Excess body fat, particularly visceral fat, drives insulin resistance, inflammation, and cardiometabolic disease. Body fat percentage is more informative than weight or BMI alone.
Lean Mass
All non-fat tissue, primarily skeletal muscle.
Lean mass is a major determinant of strength, metabolic health, glucose disposal, and resilience with aging. Loss of lean mass predicts frailty and higher mortality.
Bone Density
A measure of mineral content in bone, reflecting bone strength.
Low bone density increases fracture risk and is associated with frailty and loss of independence later in life.
Hemoglobin
The oxygen-carrying protein in red blood cells.
Hemoglobin reflects oxygen delivery capacity. Low levels impair exercise tolerance and cognition; high levels may indicate dehydration or underlying pathology.
Ferritin
A marker of stored iron in the body.
Low ferritin indicates depleted iron stores; very high levels may reflect iron overload or inflammation. Both extremes are associated with adverse health outcomes.