Allostatic Load
Chronic stress burden
Aging
The cumulative wear-and-tear on the body from repeated activation of the stress response. One of the strongest predictors of accelerated aging and disease. Driven by chronic psychological stress, poor sleep, and inflammation.
Read deeper → Meditation Effect
Autophagy
Cellular cleanup
Aging
The process by which cells digest and recycle damaged components. Activated by fasting, exercise, and rapamycin. Declines with age, contributing to accumulation of cellular damage.
Read deeper → Biological Age Drop
Aerobic Capacity
See VO2 Max
Cardiovascular
The maximum rate at which the body can consume oxygen during exercise. The single best predictor of all-cause mortality.
Read deeper → Zone 2 Cardio
Atrial Fibrillation (AFib)
A-fib, irregular rhythm
Cardiovascular
Irregular and often rapid heart rhythm. Massively elevates stroke risk. Often detected first by smartwatches. Risk increases with age, alcohol, obesity, and overtraining.
Read deeper → Wearable Comparison
Alzheimer's Biomarkers
Amyloid beta, Tau, p-Tau
Cognitive
Blood and CSF markers that detect Alzheimer's pathology decades before symptoms. Modern blood tests (Quest, LabCorp) can now detect amyloid/tau accumulation.
Read deeper → Blood Tests
APOE4
Apolipoprotein E ε4
Cognitive
A genetic variant that increases Alzheimer's risk 3-12x depending on copies. ~25% of the population carries 1 copy; ~2% carry 2. Modifiable through lifestyle: Mediterranean diet, exercise, sleep, lipid management.
Read deeper → Biological Age Drop
AGEs Reader
Skin autofluorescence
Diagnostics
A device that measures accumulated AGEs (Advanced Glycation End-products) in the skin via UV fluorescence. Non-invasive proxy for tissue aging. Available at some clinics.
Read deeper → Blood Tests
AMH (Anti-Müllerian Hormone)
Ovarian reserve marker
Hormones
A hormone reflecting the remaining egg supply in females. Used to assess fertility and predict timing of menopause. Declines with age.
Read deeper → Blood Tests
Apolipoprotein B (ApoB)
apoB
Lipid
The single most important biomarker for cardiovascular disease risk. Counts every atherogenic particle in your blood. More predictive than LDL cholesterol.
Read deeper → Blood Tests
Autonomic Nervous System (ANS)
Sympathetic + Parasympathetic
Nervous System
The involuntary control system regulating heart rate, breathing, digestion, and stress response. Split into sympathetic (fight-or-flight) and parasympathetic (rest-and-digest). HRV measures the balance.
Read deeper → HRV Guide
AOD-9604
Fat-loss peptide
Peptides
A fragment of growth hormone marketed for fat loss. Evidence is modest at best. Less robust than the marketing claims.
Read deeper → Longevity Stack
Acarbose
Glucose blocker
Pharmaceuticals
An α-glucosidase inhibitor that slows carbohydrate absorption. Extends lifespan in mice; modest data in humans. Cheap and well-tolerated except for GI side effects.
Read deeper → Longevity Stack
AHI (Apnea-Hypopnea Index)
Sleep apnea severity
Sleep
Number of apneas/hypopneas per hour of sleep. The standard severity measure for sleep apnea.
Read deeper → Sleep Rules
AG1 (Athletic Greens)
Greens powder
Supplements
A multivitamin/multimineral/greens powder blend. $99/month — expensive for what it is. Useful for those who don't eat varied diets; replaceable with a $20 multivitamin + actual vegetables.
Read deeper → AG1 Review
Ashwagandha
KSM-66, Sensoril
Supplements
An adaptogenic herb that reduces cortisol and improves sleep. Moderate evidence for stress and anxiety reduction.
Read deeper → Sleep Rules
Biological Age
Evolving Age™
Aging
An estimate of how old your body actually is, based on biomarkers — not your birthday. Measured via blood-based clocks (Horvath, GrimAge, PhenoAge, DunedinPACE) or composite scores from wearable + lifestyle data.
Read deeper → Biological Age Drop
BMI (Body Mass Index)
kg/m²
Body Comp
A height-to-weight ratio. Useful as a rough screen, terrible for athletes and muscular individuals. Body fat percentage and waist circumference are more meaningful for most people.
Read deeper → Protein Experiment
Body Fat Percentage
BF%
Body Comp
The proportion of total body weight that's fat tissue. Measured most accurately via DEXA scan. Far more meaningful than BMI for health and aesthetics.
Read deeper → Protein Experiment
Brown Adipose Tissue (BAT)
Brown Fat
Body Comp
A type of fat tissue that burns calories to generate heat (thermogenesis). Activated by cold exposure. Adults typically have very little, but it can be increased with regular cold exposure.
Read deeper → Cold Plunge Data
BDNF
Brain-Derived Neurotrophic Factor
Cognitive
A protein that supports neuron survival and growth. "Miracle-Gro for the brain." Boosted by exercise (especially Zone 2), intermittent fasting, sleep, and some supplements (Lion's Mane, omega-3).
Read deeper → Zone 2 Cardio
Blue Zones
Longevity hotspots
Diet
Five regions with extraordinarily high concentrations of centenarians: Sardinia, Okinawa, Nicoya, Ikaria, Loma Linda. Common traits: plant-heavy diet, daily movement, social connection, sense of purpose.
Read deeper → Daily Three
BPC-157
Body Protection Compound
Peptides
A peptide derived from a stomach protein, popular for tendon, ligament, and gut healing. Strong animal data, limited human trials. Sold via compounding pharmacies and gray-market sources.
Read deeper → Longevity Stack
Bempedoic Acid
Nexletol
Pharmaceuticals
A non-statin lipid-lowering drug. Good option for statin-intolerant patients. Lowers LDL ~20%.
Read deeper → Blood Tests
Berberine
Plant alkaloid
Supplements
A natural compound that lowers blood glucose, improves insulin sensitivity, and reduces lipids. "Nature's metformin" — though less potent.
Read deeper → Longevity Stack
Blood Flow Restriction (BFR)
Occlusion training
Recovery
Light-weight training with cuffs restricting venous return. Builds muscle and strength at low loads — useful for injury recovery and older adults.
Read deeper → Strength Training
Berberine
See Pharmaceuticals
Supplements
See Pharmaceuticals section. Plant compound that mimics metformin.
Read deeper → Longevity Stack
Cellular Senescence
Zombie cells
Aging
Cells that have stopped dividing but refuse to die — they secrete inflammatory signals (SASP) that damage neighboring tissue. One of the 12 hallmarks of aging. Cleared by senolytic compounds like fisetin and quercetin.
Read deeper → Biological Age Drop
Cardiac Output
CO
Cardiovascular
The amount of blood the heart pumps per minute. Heart rate × stroke volume. Higher cardiac output at lower heart rates indicates better cardiovascular fitness.
Read deeper → HRV Guide
Coronary Artery Calcium Score (CAC)
Calcium scan
Cardiovascular
A CT scan measuring calcified plaque in coronary arteries. The best single predictor of heart attack risk. Score of 0 = essentially zero 10-year risk. Costs $100-300.
Read deeper → Blood Tests
Carotid Intima-Media Thickness (CIMT)
Carotid ultrasound
Cardiovascular
Ultrasound measurement of artery wall thickness in the carotid arteries. Detects early atherosclerosis before plaque forms. Often used in younger people where CAC is still zero.
Read deeper → Blood Tests
Cognitive Reserve
Brain resilience
Cognitive
The brain's capacity to compensate for damage. Built by education, lifelong learning, social engagement, exercise, and second-language acquisition.
Read deeper → Daily Three
CT Calcium Scan
Coronary calcium scan
Diagnostics
See Coronary Artery Calcium Score (CAC). Low-dose CT of the heart to detect plaque calcification.
Read deeper → Blood Tests
Caloric Restriction (CR)
CR
Diet
Reducing calorie intake (typically 20-30%) while maintaining nutrient density. The most consistently life-extending intervention across species. Hard to sustain in humans.
Read deeper → Longevity Stack
Cortisol
Stress hormone
Hormones
A glucocorticoid hormone with a natural daily rhythm. High in the morning, low at night. Chronic elevation from stress damages sleep, immune function, body composition, and HRV.
Read deeper → Evening Routine
Cerebrolysin
Neurotrophic peptide complex
Peptides
A peptide mix derived from pig brain, used in Europe and Asia for stroke recovery and dementia. Some evidence for cognitive support. Not FDA-approved in the US.
Read deeper → Biological Age Drop
CJC-1295
GHRH analog
Peptides
A growth hormone-releasing hormone analog that stimulates pulsatile GH release. Often stacked with Ipamorelin. Half-life ~7 days with DAC version, hours without.
Read deeper → Longevity Stack
Contrast Therapy
Hot-Cold alternation
Recovery
Alternating sauna and cold plunge. May produce greater HRV benefit than either alone, though personal data varies.
Read deeper → Sauna and Cold
Chronotype
Sleep type
Sleep
Your innate disposition toward being a morning or evening person. Genetically determined (~50%) and influences when you naturally feel alert vs. sleepy.
Read deeper → Evening Routine
Circadian Rhythm
Body clock
Sleep
Your roughly-24-hour internal biological clock regulating sleep, hormones, body temperature, and metabolism. Disrupted by inconsistent sleep, late light exposure, and shift work.
Read deeper → Bedtime Protocol
CPAP
Continuous Positive Airway Pressure
Sleep
The standard treatment for obstructive sleep apnea. A mask delivering pressurized air to keep the airway open.
Read deeper → Sleep Rules
Creatine Monohydrate
CM
Supplements
A naturally-occurring compound that increases ATP regeneration. The most-researched supplement in existence. Benefits: strength, muscle, cognition, sleep, bone density.
Read deeper → Creatine Experiment
DunedinPACE
Pace of Aging clock
Aging
A DNA methylation clock that measures the pace at which you are aging (years per chronological year), rather than total biological age. Sensitive to lifestyle interventions over short timeframes.
Read deeper → Biological Age Drop
DEXA Scan
DXA
Diagnostics
Dual-energy X-ray absorptiometry. The gold standard for measuring body composition — lean mass, fat mass, visceral fat, and bone density. Costs $50-150 per scan.
Read deeper → Protein Experiment
DHEA
Dehydroepiandrosterone
Hormones
A precursor hormone made by the adrenals that converts to testosterone and estrogen. Declines 80%+ from age 25 to 75. Supplementation modestly studied; mixed results.
Read deeper → Blood Tests
DHT (Dihydrotestosterone)
Active T metabolite
Hormones
The most potent androgen, formed from testosterone via 5α-reductase. Drives muscle, libido, but also hair loss and prostate enlargement. Blocked by finasteride.
Read deeper → Blood Tests
DSIP (Delta Sleep-Inducing Peptide)
Sleep peptide
Peptides
A neuropeptide that promotes slow-wave (deep) sleep. Modest evidence; popular in biohacker circles.
Read deeper → Sleep Rules
Deep Sleep
Slow-Wave Sleep, SWS, N3
Sleep
The deepest, most physically restorative stage of sleep. When growth hormone releases, immune function strengthens, and physical recovery happens.
Read deeper → Sleep Rules
Epigenetic Clock
DNAm age
Aging
Algorithms that estimate biological age from DNA methylation patterns. The gold standard for measuring biological aging. Most popular: Horvath, Hannum, GrimAge, PhenoAge, DunedinPACE.
Read deeper → Biological Age Drop
Epigenetics
Above the gene
Aging
Changes in gene expression that don't alter DNA sequence — driven by methylation, histone modifications, and non-coding RNA. Highly responsive to lifestyle, nutrition, stress, and toxins.
Read deeper → Biological Age Drop
Evolving Age™
EL Biological Age
Aging
Evolving Longevity's proprietary biological age estimate based on 8-11 wearable + lifestyle inputs. Calculated against published population norms for your cohort. Updates daily with new data.
Read deeper → Biological Age Drop
Endothelial Function
Vascular health
Cardiovascular
How well your blood vessel lining dilates in response to stimuli. The earliest measurable sign of cardiovascular disease. Measured via flow-mediated dilation (FMD).
Read deeper → Sauna and Cold
Estradiol (E2)
Primary estrogen
Hormones
The main estrogen in cycling females, also important in males. Critical for bone density, cardiovascular health, libido, and mood in both sexes.
Read deeper → Blood Tests
Epitalon
Epithalon
Peptides
A 4-amino acid peptide developed in Russia, marketed for telomere lengthening and longevity. Limited high-quality human evidence, mostly Russian studies.
Read deeper → Biological Age Drop
Eccentric Loading
Negative phase training
Training
Emphasizing the lengthening phase of a lift (lowering). More muscle damage and growth per rep than concentric work. Useful for hypertrophy and tendon strength.
Read deeper → Strength Training
Excess Post-Exercise Oxygen Consumption (EPOC)
Afterburn
Training
The elevated oxygen consumption (and calorie burn) that continues after exercise ends.
Read deeper → Zone 2 Cardio
Full-Body MRI
Prenuvo, Ezra, Galleri
Diagnostics
A whole-body MRI screening for early cancer, aneurysms, organ abnormalities. Controversial: catches problems early but also generates false positives. Costs $1,000-2,500.
Read deeper → Biological Age Drop
Fasting-Mimicking Diet (FMD)
ProLon, Longo protocol
Diet
5-day low-calorie, low-protein diet designed to trigger autophagy and stem cell renewal without complete fasting. Developed by Dr. Valter Longo; commercially available as ProLon (~$200).
Read deeper → Biological Age Drop
Free Testosterone
Bioavailable T
Hormones
The portion of testosterone not bound to SHBG/albumin — the biologically active form. Often more meaningful than total T, especially when SHBG is abnormal.
Read deeper → Blood Tests
Fasting Glucose
FBG
Metabolic
Blood glucose measured after 8+ hours of fasting. Key marker of metabolic health. Persistently elevated values predict diabetes, cardiovascular disease, and accelerated aging.
Read deeper → Blood Tests
Fasting Insulin
Insulin Sensitivity
Metabolic
Blood insulin measured fasted. Often elevated long before fasting glucose rises — making it an earlier warning sign of insulin resistance.
Read deeper → Blood Tests
Fibrinogen
Coagulation marker
Inflammation
A clotting protein that's also an acute-phase inflammation marker. Elevated fibrinogen predicts cardiovascular events and inflammation.
Read deeper → Blood Tests
Fisetin
Senolytic flavonoid
Supplements
A plant flavonoid with senolytic activity. Clears senescent cells in animal models; human evidence emerging.
Read deeper → Longevity Stack
Glycation (AGEs)
Advanced Glycation End-products
Aging
Damage caused when sugar binds to proteins, creating dysfunctional cross-linked molecules. Drives skin aging, arterial stiffening, kidney disease. Reduced by lower-sugar diets and lower cooking temperatures.
Read deeper → Blood Tests
GrimAge
Mortality clock
Aging
A DNA-methylation-based biological age estimator that specifically predicts mortality and disease onset. One of the most validated aging clocks. Available via TruDiagnostic.
Read deeper → Biological Age Drop
Galleri Test
Multi-cancer early detection
Diagnostics
A blood test that screens for 50+ cancers via circulating tumor DNA. FDA-approved early detection, but expensive (~$950) and not yet covered by insurance.
Read deeper → Blood Tests
Growth Hormone (GH)
Somatotropin
Hormones
Pulsatile hormone released primarily during deep sleep and intense exercise. Drives recovery, fat metabolism, and protein synthesis. Declines ~14% per decade after 30.
Read deeper → Sleep Rules
GGT (Gamma-Glutamyl Transferase)
Liver/oxidative stress marker
Metabolic
A liver enzyme also elevated by alcohol, oxidative stress, and metabolic dysfunction. An under-recognized marker of aging and mortality.
Read deeper → Blood Tests
GHK-Cu
Copper Peptide GHK-Cu
Peptides
A copper-binding tripeptide used topically for skin and hair, injected for tissue repair. Robust evidence for skin and wound healing.
Read deeper → Longevity Stack
GLP-1 Agonists
Semaglutide, Tirzepatide, Liraglutide
Pharmaceuticals
A class of diabetes/weight loss drugs that mimic the GLP-1 hormone. Among the most impactful medications of the past decade: weight loss, cardiovascular protection, possibly Alzheimer's prevention.
Read deeper → Longevity Stack
Glutathione
GSH
Supplements
The body's master antioxidant. Oral supplementation is poorly absorbed; precursors (NAC, glycine) are better than direct GSH.
Read deeper → Longevity Stack
Grip Strength
Hand dynamometry
Training
The maximum force you can squeeze. One of the strongest predictors of all-cause mortality.
Read deeper → Strength Training
Hallmarks of Aging
12 hallmarks (López-Otín)
Aging
The 12 interconnected mechanisms driving aging: genomic instability, telomere attrition, epigenetic alterations, loss of proteostasis, disabled autophagy, deregulated nutrient sensing, mitochondrial dysfunction, cellular senescence, stem cell exhaustion, altered intercellular communication, chronic inflammation, dysbiosis.
Read deeper → Biological Age Drop
Healthspan
Years of healthy life
Aging
The number of years lived in good health, free from chronic disease. Most longevity research targets healthspan extension, not just lifespan. Average healthspan in the US is ~14 years shorter than lifespan.
Read deeper → Biological Age Drop
Horvath Clock
DNAm age
Aging
The original epigenetic age clock (Steve Horvath, 2013). Uses 353 CpG methylation sites to estimate biological age. The foundational biological age measurement.
Read deeper → Biological Age Drop
Heart Rate Reserve (HRR)
HRmax − HRrest
Cardiovascular
The difference between max heart rate and resting heart rate. Larger HRR = better cardiovascular fitness. Used for calculating heart rate training zones via Karvonen method.
Read deeper → Zone 2 Cardio
HRV
Heart Rate Variability
Cardiovascular
The natural variation in time between heartbeats. The single best wearable-measurable marker of nervous system health. Higher = more parasympathetic dominance, better recovery, lower stress.
Read deeper → HRV Guide
HRT (Hormone Replacement Therapy)
Menopause HRT
Hormones
Replacement of estrogen ± progesterone in menopausal women. Modern evidence (vs. 2002 WHI scare) shows benefit when started within 10 years of menopause — improves bone density, cardiovascular health, cognition.
Read deeper → Biological Age Drop
HbA1c
Glycated hemoglobin
Metabolic
A measure of average blood glucose over the prior 3 months. Standard for diabetes diagnosis and management. Slightly imperfect: anemia and high red cell turnover skew it.
Read deeper → Blood Tests
HOMA-IR
Insulin resistance index
Metabolic
A calculated value from fasting glucose and insulin. Quantifies insulin resistance with one number.
Read deeper → Blood Tests
Homocysteine
Hcy
Cardiovascular
An amino acid intermediate that, when elevated, predicts cardiovascular disease and cognitive decline. Lowered by B12, folate, B6.
Read deeper → Blood Tests
hs-CRP
High-sensitivity C-Reactive Protein
Inflammation
The standard blood marker for systemic inflammation. Predicts cardiovascular events, accelerated aging, and all-cause mortality.
Read deeper → Blood Tests
HPA Axis
Hypothalamic-Pituitary-Adrenal
Nervous System
The body's central stress response system. Chronic activation dysregulates cortisol, sleep, and immune function.
Read deeper → Meditation Effect
Hexarelin
GH secretagogue
Peptides
A potent GH-releasing peptide. More aggressive than Ipamorelin but also raises cortisol and prolactin. Largely superseded by safer alternatives.
Read deeper → Longevity Stack
HBOT (Hyperbaric Oxygen Therapy)
Pressure chamber
Recovery
Breathing 100% oxygen at elevated pressure (2-2.4 ATA). Strong evidence for wound healing; emerging evidence for cognitive function, telomere length, and recovery. Sessions are 60-90 min, courses 20-40.
Read deeper → Biological Age Drop
HIIT (High-Intensity Interval Training)
Interval training
Training
Short bursts of near-maximum effort alternated with rest. Time-efficient for VO2 Max gains but more recovery-taxing than Zone 2.
Read deeper → Zone 2 Cardio
Hypertrophy
Muscle growth
Training
Increase in muscle cell size from resistance training. Driven by mechanical tension, with adequate protein and progressive overload.
Read deeper → Strength Training
Inflammaging
Chronic low-grade inflammation
Aging
The chronic, sterile, low-grade inflammation that develops with age. Drives basically every age-related disease — cardiovascular, cognitive, metabolic, autoimmune.
Read deeper → Blood Tests
Intermittent Fasting (IF)
16:8, time-restricted eating
Diet
Cycling between periods of eating and not eating. Most popular: 16:8 (eat in an 8-hour window). Less impressive than the hype suggests, but useful for caloric control and circadian alignment.
Read deeper → Morning Routine
IGF-1
Insulin-like Growth Factor 1
Hormones
A hormone mediating most growth hormone effects. U-shaped curve with longevity — too low = frailty, too high = cancer risk. Modifiable via protein intake.
Read deeper → Protein for Longevity
Insulin
See Fasting Insulin
Hormones
The hormone that regulates blood glucose. Chronic elevation drives nearly every chronic disease. Modifiable via diet, exercise, sleep, body composition.
Read deeper → Blood Tests
IL-6
Interleukin-6
Inflammation
A pro-inflammatory cytokine elevated with infection, injury, obesity, and aging. Chronic elevation drives inflammaging.
Read deeper → Blood Tests
Ipamorelin
Selective GHRP
Peptides
A selective growth hormone-releasing peptide. Stimulates GH without raising cortisol or prolactin — making it the most popular GHRP in anti-aging circles. Commonly stacked with CJC-1295.
Read deeper → Longevity Stack
IV Therapy
IV vitamin therapy
Recovery
Intravenous administration of vitamins, minerals, or amino acids. Most common formulations have weak evidence; targeted forms (iron, vitamin D) for documented deficiency are different.
Read deeper → Longevity Stack
Insulin Resistance
Metabolic syndrome precursor
Metabolic
When cells stop responding properly to insulin. The root cause of type 2 diabetes and a driver of most chronic disease. Reversible early via exercise, diet, and weight loss.
Read deeper → Blood Tests
Lifespan
Total years alive
Aging
The total number of years lived from birth to death. Healthspan is usually a more important target. Top mortality predictors: VO2 Max, grip strength, body composition, fasting glucose, ApoB.
Read deeper → Biological Age Drop
Lean Body Mass (LBM)
Fat-free mass
Body Comp
Everything in your body that isn't fat — muscle, bone, organs, water. The most important body composition target for healthy aging. Preserving LBM is the single biggest determinant of physical function in old age.
Read deeper → Protein Experiment
Lactate Threshold
LT, Anaerobic Threshold
Cardiovascular
The exercise intensity above which lactate accumulates faster than it can be cleared. The boundary between Zone 2 and Zone 3. Endurance training pushes this threshold higher.
Read deeper → Zone 2 Cardio
Longevity Diet (Longo)
Pescatarian-Mediterranean hybrid
Diet
Dr. Valter Longo's evidence-based diet: pescatarian, high-vegetable, moderate-protein, with periodic FMD cycles. Designed for longevity, not weight loss.
Read deeper → Protein for Longevity
LH / FSH
Luteinizing / Follicle-Stimulating Hormone
Hormones
Pituitary hormones that control gonadal function. Elevated in primary hypogonadism, suppressed in TRT use.
Read deeper → Blood Tests
Lipoprotein(a) [Lp(a)]
Lp little a
Lipid
A genetic variant of LDL that's independently atherogenic. ~20% of the population has elevated Lp(a). Check once in your lifetime — it doesn't change with lifestyle.
Read deeper → Blood Tests
Light Sleep
N1 + N2
Sleep
The largest portion of overnight sleep — not "shallow" or low-quality. Plays roles in memory consolidation and motor learning.
Read deeper → Sleep Rules
Lion's Mane
Hericium erinaceus
Supplements
A medicinal mushroom that supports BDNF and NGF (nerve growth factor). Modest evidence for cognitive enhancement.
Read deeper → Longevity Stack
mTOR
mechanistic Target of Rapamycin
Aging
A central cellular sensor that triggers growth pathways when nutrients (especially leucine and insulin) are high. Suppressed by fasting, rapamycin, and caloric restriction — which extends lifespan in nearly every species tested.
Read deeper → Protein for Longevity
Mitochondrial Dysfunction
Mito decay
Aging
Age-related decline in mitochondrial number, efficiency, and DNA integrity. Drives fatigue, cognitive decline, sarcopenia, and metabolic disease. Improved by Zone 2 cardio, creatine, NAD precursors.
Read deeper → Zone 2 Cardio
Maximum Heart Rate (HRmax)
Peak HR
Cardiovascular
The highest heart rate achievable during all-out effort. The "220 minus age" formula is wildly inaccurate — actual HRmax varies ±20 bpm between individuals. Test directly via VO2 Max protocol.
Read deeper → Zone 2 Cardio
Mediterranean Diet
Med diet
Diet
Olive oil, fish, vegetables, whole grains, nuts, legumes, moderate wine. The most consistently health-promoting diet in nutritional research. Tied to lower all-cause mortality, cardiovascular disease, dementia.
Read deeper → Protein for Longevity
mTOR Cycling
Protein cycling
Diet
Intentionally alternating between high-protein/anabolic days and lower-protein days to balance mTOR activation. Theoretically optimal but practically complex.
Read deeper → Protein for Longevity
Melanotan II
MT-II
Peptides
A synthetic melanocortin agonist marketed for tanning, libido (PT-141 derivative). Side effects significant: nausea, blood pressure changes, mole darkening.
Read deeper → Longevity Stack
MOTS-c
Mitochondrial peptide
Peptides
A 16-amino acid peptide encoded by mitochondrial DNA. Improves insulin sensitivity, metabolic flexibility, and exercise capacity in animal models. Human data emerging.
Read deeper → Longevity Stack
Metformin
Glucophage
Pharmaceuticals
A diabetes drug studied extensively for longevity. Evidence is mixed: may extend healthspan but also blunts exercise adaptations. The TAME trial will provide better data.
Read deeper → Longevity Stack
Melatonin
Sleep hormone
Sleep
A hormone released by the pineal gland in darkness, signaling sleep. Supplemental doses are usually too high — 0.3-0.5mg is more physiological than 5-10mg.
Read deeper → Evening Routine
Magnesium Glycinate
Bisglycinate
Supplements
A highly bioavailable form of magnesium. Best for sleep, anxiety, and recovery. Most adults are deficient.
Read deeper → Evening Routine
MAF Method
180-age formula
Training
Phil Maffetone's aerobic training approach: train below (180 − your age) bpm. A practical Zone 2 proxy, though imperfect.
Read deeper → Zone 2 Cardio
Metabolic Flexibility
Fuel switching
Metabolic
The ability to efficiently switch between burning fat and carbohydrates depending on availability. Lost in metabolic disease; restored by Zone 2 training and dietary variation.
Read deeper → Zone 2 Cardio
Metabolic Syndrome
MetS
Metabolic
A cluster of 5 markers: elevated waist, blood pressure, triglycerides, low HDL, elevated fasting glucose. Having 3+ predicts massively increased disease risk.
Read deeper → Blood Tests
Mitochondria
Cellular powerhouses
Metabolic
The energy-producing organelles in cells. Mitochondrial health drives basically everything — energy, cognitive function, aging, recovery.
Read deeper → Zone 2 Cardio
Mitophagy
Mitochondrial cleanup
Metabolic
The selective removal of damaged mitochondria. A subset of autophagy. Boosted by exercise, fasting, urolithin A.
Read deeper → Longevity Stack
Neurogenesis
New neuron formation
Cognitive
The growth of new neurons, primarily in the hippocampus. Active throughout adult life but declines with age. Boosted by exercise, sleep, BDNF, and learning.
Read deeper → Zone 2 Cardio
Neuroplasticity
Brain rewiring
Cognitive
The brain's ability to reorganize itself by forming new neural connections. Persists throughout life, though slower with age. Driven by novelty, learning, exercise, and quality sleep.
Read deeper → Daily Three
Nootropics
Cognitive enhancers
Cognitive
Substances that enhance cognitive function. Best-evidence options: caffeine + L-theanine, creatine, omega-3, Lion's Mane, modafinil (Rx). Most "nootropic stacks" are marketing.
Read deeper → Creatine for Longevity
NAD+ IV
NAD infusion
Recovery
IV administration of NAD+. Hyped beyond the evidence. Oral NMN/NR likely more practical for most. Useful in some specific addiction recovery protocols.
Read deeper → NAD/NMN/NR Guide
NAC (N-Acetylcysteine)
NAC
Supplements
A glutathione precursor and antioxidant. Used for liver protection, mucolysis, and possibly cognitive/mood benefits.
Read deeper → Longevity Stack
NAD+
See Aging section
Supplements
See Aging section. Boosted via NMN, NR, or NAD IV.
Read deeper → NAD/NMN/NR Guide
NMN (Nicotinamide Mononucleotide)
NAD precursor
Supplements
A direct NAD+ precursor. Better-absorbed than NR in some studies, popularized by David Sinclair.
Read deeper → NAD/NMN/NR Guide
NR (Nicotinamide Riboside)
Tru Niagen, Basis
Supplements
An NAD+ precursor. More research than NMN in humans, though NMN is more popular in biohacker culture.
Read deeper → NAD/NMN/NR Guide
Oxidative Stress
Free radical damage
Aging
Imbalance between reactive oxygen species (ROS) and the body's antioxidant defenses. Drives DNA damage, protein dysfunction, and inflammation. Counteracted by glutathione, NAC, vitamin C, sleep.
Read deeper → Evening Routine
OGTT (Oral Glucose Tolerance Test)
2-hour glucose test
Diagnostics
Blood glucose measured fasting, then 1-2 hours after 75g glucose drink. The gold standard for diagnosing prediabetes — catches dysfunction missed by fasting glucose alone.
Read deeper → Blood Tests
OMAD (One Meal A Day)
23:1 fasting
Diet
Eating only one meal per day. Extreme version of intermittent fasting. Effective for some, but risks muscle loss and adherence issues. Not optimal for athletes or those needing high protein.
Read deeper → Protein Experiment
Omega-3 Index
EPA + DHA
Lipid
The percentage of EPA + DHA in red blood cell membranes. Below 4% strongly predicts cardiovascular mortality. Above 8% is the goal.
Read deeper → Longevity Stack
OSA (Obstructive Sleep Apnea)
Sleep apnea
Sleep
Repeated airway collapse during sleep. Often undiagnosed; massively impacts HRV, recovery, cardiovascular health, and cognition. Worth ruling out if HRV is chronically low.
Read deeper → Sleep Rules
Omega-3 (EPA + DHA)
Fish oil
Supplements
Essential fatty acids with strong cardiovascular and cognitive benefits. Optimize via Omega-3 Index test.
Read deeper → Longevity Stack
PhenoAge
Phenotypic Age
Aging
A biological age estimator derived from 9 standard blood markers (albumin, creatinine, glucose, CRP, lymphocytes, mean cell volume, red cell distribution width, alkaline phosphatase, WBC). Cheap and accessible — calculable from a basic blood panel.
Read deeper → Blood Tests
Polyphenols
Plant compounds
Diet
Antioxidant compounds in plants (berries, dark chocolate, green tea, olive oil). Mechanism behind much of the "Mediterranean diet is healthy" finding.
Read deeper → Protein for Longevity
Protein Leverage Hypothesis
Protein priority
Diet
The theory that humans eat to meet a fixed protein target, and will overeat carbs/fats if protein is insufficient. Explains why high-protein diets reduce hunger.
Read deeper → Protein Experiment
Prolactin
PRL
Hormones
A hormone elevated by stress, sleep, and pituitary tumors. High prolactin suppresses testosterone and libido. Worth checking in males with low libido despite normal T.
Read deeper → Blood Tests
Progesterone
P4
Hormones
A reproductive hormone that opposes estrogen. Crucial for female cycle, pregnancy, sleep, and mood. Declines sharply in perimenopause.
Read deeper → Blood Tests
Parasympathetic Nervous System
Rest-and-Digest
Nervous System
The "rest" arm of the autonomic nervous system. Dominates during sleep, meditation, and digestion. High HRV reflects strong parasympathetic activity.
Read deeper → Meditation Effect
PT-141 (Bremelanotide)
Vyleesi
Peptides
A melanocortin agonist that increases sexual desire in both sexes. FDA-approved for HSDD in premenopausal women (Vyleesi). Off-label use in men.
Read deeper → Longevity Stack
PCSK9 Inhibitors
Repatha, Praluent
Pharmaceuticals
Monoclonal antibodies that dramatically lower LDL/ApoB. For patients with familial hypercholesterolemia or who can't reach targets on statins. Expensive.
Read deeper → Blood Tests
PEMF
Pulsed Electromagnetic Field
Recovery
Therapeutic electromagnetic field application. Strong evidence for bone healing; mixed for recovery and pain.
Read deeper → Biological Age Drop
PSG (Polysomnography)
Sleep study
Sleep
The clinical gold standard for sleep measurement. EEG + ECG + respiratory monitoring + oximetry. Required to diagnose sleep apnea formally.
Read deeper → Sleep Rules
Pterostilbene
Resveratrol analog
Supplements
A naturally-occurring compound similar to resveratrol with better bioavailability. Activates sirtuins; antioxidant effects.
Read deeper → Longevity Stack
Periodization
Training cycles
Training
Systematic variation in training volume and intensity over weeks/months. Prevents plateaus and overtraining. Linear, undulating, and block periodization are common models.
Read deeper → Strength Training
Progressive Overload
Gradual increase
Training
Gradually increasing demand on the body. The fundamental principle of strength training. Via weight, reps, sets, range of motion, or tempo.
Read deeper → Strength Training
Reactive Oxygen Species (ROS)
Free radicals
Aging
Highly reactive oxygen-containing molecules generated by mitochondria. Necessary in small amounts (signal for adaptation), damaging in excess. Hormetic — moderate exercise creates beneficial ROS exposure.
Read deeper → Zone 2 Cardio
Resting Heart Rate (RHR)
Pulse at rest
Cardiovascular
Heart rate during deep rest. One of the simplest and most predictive longevity biomarkers. Lower (within reason) is better.
Read deeper → WHOOP vs Oura
rMSSD
Root Mean Square of Successive Differences
Cardiovascular
The specific HRV calculation used by most wearables. Measures beat-to-beat variability that reflects parasympathetic activity. The "WHOOP HRV" number is rMSSD.
Read deeper → HRV Guide
Retatrutide
Triple agonist
Peptides
A GLP-1/GIP/glucagon triple agonist by Eli Lilly. Phase 3 trials show ~24% weight loss — the most powerful weight loss medication yet developed. Likely approval 2025-2026.
Read deeper → Longevity Stack
Rapamycin
Sirolimus
Pharmaceuticals
An mTOR inhibitor and the most consistently life-extending drug in mammals. Off-label use for longevity is growing rapidly. Dosed weekly to balance benefits and side effects.
Read deeper → Longevity Stack
Red Light Therapy
Photobiomodulation, PBM
Recovery
Exposure to red and near-infrared light (~660nm and ~850nm). Evidence for skin health, muscle recovery, joint pain, and modest cognitive benefits.
Read deeper → Longevity Stack
REM Sleep
Rapid Eye Movement
Sleep
The dream stage of sleep. Critical for emotional regulation, memory consolidation, and creativity. Concentrated in the second half of the night. Disrupted by alcohol.
Read deeper → Sleep Rules
Resveratrol
Red wine compound
Supplements
A sirtuin-activating compound from red wine and Japanese knotweed. The hype outpaced the evidence, but it remains a reasonable longevity adjunct.
Read deeper → Longevity Stack
RER (Respiratory Exchange Ratio)
VCO2/VO2
Training
The ratio of CO2 produced to O2 consumed. Reflects fuel use — 0.7 = pure fat, 1.0 = pure carbohydrate.
Read deeper → Zone 2 Cardio
RIR / RPE
Reps in Reserve / Rate of Perceived Exertion
Training
Subjective intensity measures. RIR = how many more reps you could do; RPE = 1-10 scale of effort. Modern programming uses these instead of %1RM.
Read deeper → Strength Training
Senolytics
Senescent cell clearance
Aging
Compounds that selectively kill senescent ("zombie") cells. Most-studied: fisetin, quercetin, dasatinib. Typically dosed cyclically (5 days/month) rather than daily.
Read deeper → Longevity Stack
Sirtuins
SIRT1-7
Aging
A family of 7 enzymes regulating DNA repair, mitochondrial function, and inflammation. Activated by NAD+, caloric restriction, exercise. Inhibited by chronic high blood sugar.
Read deeper → NAD/NMN/NR Guide
Sarcopenia
Age-related muscle loss
Body Comp
The progressive loss of muscle mass and strength with age. Begins as early as the 30s; accelerates after 50. The single biggest reversible threat to healthy aging.
Read deeper → Protein for Longevity
Skeletal Muscle Index (SMI)
Appendicular lean mass / height²
Body Comp
A standardized measure of muscle mass relative to height. Used to diagnose sarcopenia clinically. Below cutoff = sarcopenic.
Read deeper → Protein for Longevity
SDNN
Standard Deviation of NN Intervals
Cardiovascular
An alternative HRV calculation reflecting overall autonomic activity over longer windows (5+ minutes). Used by Apple Watch and some others. Not directly comparable to rMSSD.
Read deeper → HRV Guide
Stroke Volume
Blood per beat
Cardiovascular
The volume of blood pumped per heartbeat. Larger stroke volume = more cardiovascular efficiency. Endurance training increases stroke volume dramatically (sometimes called "athletic heart").
Read deeper → Zone 2 Cardio
SHBG
Sex Hormone Binding Globulin
Hormones
A protein that binds testosterone and estradiol, reducing their bioavailability. High SHBG can mask low free testosterone despite normal total T.
Read deeper → Blood Tests
Sympathetic Nervous System
Fight-or-Flight
Nervous System
The "action" arm of the autonomic nervous system. Activated during stress, exercise, and excitement. Chronic dominance suppresses HRV and harms recovery.
Read deeper → Meditation Effect
Selank
Anxiolytic peptide
Peptides
A Russian anxiolytic peptide with mild cognitive enhancement. Limited Western research, popular in biohacker circles.
Read deeper → Longevity Stack
Semaglutide
Ozempic, Wegovy
Peptides
A GLP-1 receptor agonist for type 2 diabetes and obesity. ~15% average weight loss in obesity trials. Recently shown to reduce cardiovascular events 20%.
Read deeper → Longevity Stack
Semax
Russian nootropic peptide
Peptides
A Russian heptapeptide marketed as a nootropic and neuroprotective agent. Limited Western trials; popular in biohacking.
Read deeper → Longevity Stack
Sermorelin
GHRH analog
Peptides
A growth hormone-releasing hormone analog. Older than CJC-1295 and shorter-acting. Prescribed legally in the US in some states.
Read deeper → Longevity Stack
SGLT2 Inhibitors
Jardiance, Farxiga
Pharmaceuticals
Diabetes drugs that cause glucose excretion in urine. Strong cardiovascular and kidney protection independent of glucose effects. Likely future longevity candidates.
Read deeper → Blood Tests
Statins
Atorvastatin, Rosuvastatin
Pharmaceuticals
Class of LDL-lowering drugs. Most-studied medication in cardiovascular medicine. Modern view: nearly everyone over 50 with elevated ApoB benefits from a low-dose statin.
Read deeper → Blood Tests
Sleep Architecture
Sleep stages
Sleep
The pattern of how sleep cycles through light, deep, and REM stages. Disrupted by alcohol, late eating, cannabis, and overheating.
Read deeper → Evening Routine
Sleep Debt
Accumulated sleep deficit
Sleep
The cumulative difference between sleep needed and sleep obtained. You cannot fully "catch up" on weekends. Chronic sleep debt drives every metric of health downward.
Read deeper → Sleep Rules
Sleep Efficiency
Sleep quality %
Sleep
The percentage of time in bed actually asleep. Time Asleep ÷ Time In Bed × 100.
Read deeper → Bedtime Protocol
Sleep Latency
Sleep onset
Sleep
The time it takes to fall asleep after lights out. Both extremes are problematic.
Read deeper → Evening Routine
Spermidine
Autophagy supplement
Supplements
A polyamine that induces autophagy. Found naturally in wheat germ, aged cheese, mushrooms. Emerging longevity supplement.
Read deeper → Longevity Stack
Telomeres
Chromosome caps
Aging
Protective DNA-protein structures at the ends of chromosomes. Shorten with each cell division and act as a biological aging clock. Lengthened modestly by exercise, meditation, and certain interventions.
Read deeper → Biological Age Drop
Telomerase
TERT enzyme
Aging
The enzyme that maintains telomere length. Active in stem cells and immune cells, mostly inactive in adult somatic cells. TA-65 and similar supplements aim to activate it modestly.
Read deeper → Longevity Stack
Time-Restricted Eating (TRE)
See Intermittent Fasting
Diet
See Intermittent Fasting. Eating within a defined window (e.g. 12pm-8pm) and fasting the rest.
Read deeper → Morning Routine
Testosterone (Total)
T
Hormones
The primary androgen in males (also present in females). Drives muscle mass, libido, mood, cognition, and energy. Declines ~1% per year after 30.
Read deeper → Blood Tests
Thyroid Panel
TSH, Free T4, Free T3, Reverse T3
Hormones
Comprehensive thyroid assessment. TSH alone is insufficient. Free T3 is the active form; reverse T3 elevation indicates stress/conversion issues. Antibodies (TPO, TG) screen for autoimmune thyroid.
Read deeper → Blood Tests
TRT (Testosterone Replacement Therapy)
Exogenous T
Hormones
Medical replacement of testosterone in hypogonadal men. Standard protocols: testosterone cypionate injections weekly (or 2x/week), gels, or pellets. Requires monitoring of estradiol, hematocrit, PSA.
Read deeper → Blood Tests
TNF-α
Tumor Necrosis Factor alpha
Inflammation
A pro-inflammatory cytokine central to chronic inflammation. Elevated in autoimmune disease, metabolic syndrome, and inflammaging.
Read deeper → Blood Tests
Triglycerides
TG
Lipid
Blood fats reflecting recent carbohydrate intake and metabolic health. High TG with low HDL is the most telling pattern for metabolic syndrome.
Read deeper → Blood Tests
TB-500
Thymosin Beta-4
Peptides
A peptide promoting tissue repair and reduced inflammation. Used for soft tissue healing. Banned by WADA.
Read deeper → Longevity Stack
Tesamorelin
Egrifta
Peptides
A GHRH analog FDA-approved for reducing visceral fat in HIV-associated lipodystrophy. Off-label use for visceral fat reduction in non-HIV adults.
Read deeper → Longevity Stack
Thymosin Alpha-1
Tα1
Peptides
An immune-modulating peptide. Approved for hepatitis B in some countries; used off-label for immune support and post-viral recovery.
Read deeper → Longevity Stack
Tirzepatide
Mounjaro, Zepbound
Peptides
A dual GLP-1/GIP agonist by Eli Lilly. ~20% average weight loss in obesity trials — more powerful than semaglutide. FDA-approved for diabetes and obesity.
Read deeper → Longevity Stack
Thermal Stress
Heat shock / cold shock
Recovery
Exposing the body to extreme temperatures (sauna or cold plunge) to trigger adaptive responses. Sauna 4x/week 20+ min reduces all-cause mortality 40% in Finnish studies.
Read deeper → Sauna and Cold
TUDCA
Tauroursodeoxycholic acid
Supplements
A bile acid that supports liver and mitochondrial health. Popular as a liver-protective add-on to TRT or other liver-stressing protocols.
Read deeper → Longevity Stack
Visceral Fat
Belly fat (deep)
Body Comp
Fat stored around organs in the abdomen. The most metabolically dangerous fat depot — drives insulin resistance, cardiovascular disease, and inflammation. Measured via DEXA.
Read deeper → Protein Experiment
VO2 Max
Maximum oxygen consumption
Cardiovascular
The peak rate the body can use oxygen during exercise. The strongest single predictor of all-cause mortality. Improvable at any age via Zone 2 + interval training.
Read deeper → Zone 2 Cardio
VO2 Max Test
Maximal exercise test
Diagnostics
A clinical test measuring peak oxygen uptake on a treadmill or bike with a mask. The only way to accurately measure VO2 Max. Wearable estimates are useful but ~10-15% off true value.
Read deeper → Zone 2 Cardio
Vagus Nerve
CN X
Nervous System
The 10th cranial nerve and the longest in the body. Carries 75% of parasympathetic signals. Stimulated by deep breathing, cold exposure, humming, gargling, meditation.
Read deeper → Cold Plunge Data
Vitamin D3
Cholecalciferol
Supplements
Essential fat-soluble vitamin. Most adults are deficient. Co-supplement with K2 (MK-7) to prevent arterial calcification.
Read deeper → Longevity Stack
Vitamin K2 (MK-7)
Menaquinone-7
Supplements
A vitamin that directs calcium away from arteries into bones. Critical co-factor with Vitamin D and calcium supplementation.
Read deeper → Longevity Stack