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Which Blood Tests or Health Screenings Should I Get to Track How Well I'm Aging?

Why Tracking Matters
Many age-related conditions—like heart disease, type 2 diabetes, and osteoporosis—develop silently for years. Regular testing helps you catch changes early, when they're easiest to address.
Key Blood Tests
Metabolic health:
- Hemoglobin A1c: Average blood sugar over three months
- Fasting glucose and fasting insulin: Early signs of insulin resistance
- Comprehensive metabolic panel (CMP): Kidney and liver function, electrolytes
Heart health:
- Lipid panel: LDL, HDL, triglycerides
- ApoB: Number of cholesterol-carrying particles
- Lipoprotein(a): Genetic heart risk factor—check at least once
- hs-CRP: Marker of inflammation
Hormones:
- Thyroid panel
- Testosterone, estradiol, and SHBG as appropriate
Nutrients:
- Vitamin D
- Vitamin B12 and folate
- Ferritin and iron studies
General:
- Complete blood count (CBC)
Key Health Screenings
- Blood pressure: At least yearly, ideally checked at home too
- Colorectal cancer screening: Starting at age 45 for average-risk adults
- Breast cancer screening: Mammograms for women starting at 40
- Cervical cancer screening for women as recommended
- Prostate cancer screening: A discussion about PSA testing for men starting around 50 (earlier for higher risk)
- Lung cancer screening: For adults 50–80 with a significant smoking history
- Bone density (DEXA): Women 65+ and younger postmenopausal women with risk factors
- Skin, eye, and hearing checks
Functional Markers of Aging
- VO2 max or fitness level
- Grip strength
- Body composition (muscle vs. fat)
- Balance and walking speed
How Often to Test
Many people benefit from a comprehensive panel at least once a year, with more frequent testing when making changes or managing a condition.
Learn more about comprehensive lab testing here: Heva Lab Testing
The Bottom Line
Tracking metabolic, heart, hormone, and nutrient markers—along with key screenings and fitness measures—gives you a clear picture of how you're aging and where to focus.