Guide · Longevity medicine

How to lower your biological age

A doctor-led guide to the interventions that consistently move a Blood Age Score in the right direction — and the ones that don't. Reviewed by Dr Vahe Karimyan, MD.

What "lower biological age" actually means

Your chronological age counts birthdays. Your biological age estimates how your body is actually functioning at the cellular, metabolic, hormonal and inflammatory level. At Dr Vahe Clinic we express this as a Blood Age Score, derived from up to 120 biomarkers across five systems. Lowering it means moving those markers into the ranges typical of a healthier, better-functioning physiology — not chasing a single number in isolation.

The Dr Vahe Longevity Assessment is a preventative health and wellness service. The Blood Age Score and biological-age estimate are tools to communicate and track your health, not a medical diagnosis. This service does not replace NHS screening programmes or care from your GP. Results are interpreted by a GMC-registered doctor.

1. Sleep: the single highest-leverage intervention

Chronic short sleep raises hs-CRP, fasting glucose, cortisol and blood pressure — markers that all feed into biological age scoring. Prioritise 7–9 hours, a consistent wake time, morning daylight, and a cool, dark bedroom. If you snore or wake unrefreshed, ask us about screening for obstructive sleep apnoea.

2. Nutrition: protein, plants, and metabolic control

  • Protein. 1.2–1.6 g/kg/day preserves muscle, which is the strongest predictor of healthy ageing on labs and function.
  • Fibre and polyphenols. 30+ plant foods a week supports the gut microbiome and lowers inflammatory markers such as hs-CRP.
  • Glycaemic control. HbA1c, fasting glucose and triglyceride:HDL ratio dominate metabolic-age scoring. Reduce ultra-processed carbohydrates and eat protein and fibre first.
  • Alcohol. Even moderate intake raises GGT, blood pressure and inflammation. Reducing is one of the fastest visible wins on repeat testing.

3. Training: strength plus cardiovascular fitness

VO₂ max is one of the strongest independent predictors of all-cause mortality. Combine:

  • Zone 2 cardio — 150–200 minutes/week at conversational pace.
  • VO₂-max intervals — one to two short sessions per week.
  • Resistance training — 2–4 sessions/week, compound lifts, progressive load.

This combination improves insulin sensitivity, lipids, muscle mass and cardiorespiratory fitness — four of the biggest contributors to the metabolic and cardiovascular pillars of your Blood Age Score.

4. Address hidden inflammation

Elevated hs-CRP, ferritin, homocysteine or fibrinogen are common findings on the longevity assessment and often silent. Root causes we screen for include periodontal disease, visceral fat, subclinical thyroid disorders, iron dysregulation and untreated food-driven inflammation. Treating the driver — not just the marker — is what shifts biological age.

5. Hormone optimisation, where clinically appropriate

Testosterone in men, oestrogen and progesterone in women (particularly through peri-menopause), thyroid, cortisol and IGF-1 all influence body composition, sleep, cognition and cardiovascular risk. Where levels are suboptimal and there is a clinical indication, doctor-supervised hormone therapy can meaningfully improve function and downstream biomarkers. This is individualised care — not a shortcut.

The Dr Vahe Longevity Assessment is a preventative health and wellness service. The Blood Age Score and biological-age estimate are tools to communicate and track your health, not a medical diagnosis. This service does not replace NHS screening programmes or care from your GP. Results are interpreted by a GMC-registered doctor.

6. Targeted micronutrient and metabolic support

We routinely correct deficiencies (vitamin D, B12, folate, iron, omega-3 index, magnesium) that suppress function and skew biological age upwards. IV therapy, glutathione support and, where appropriate, GLP-1 receptor agonists for weight and metabolic disease are part of the wider care pathway at DRV Clinic.

7. Cardiovascular and cancer risk reduction

ApoB, Lp(a), blood pressure and coronary risk scoring form the cardiovascular pillar. Add age-appropriate cancer surveillance through the NHS and private pathways. Lifespan gains from catching these early dwarf the gains from most supplements.

8. Stress physiology and recovery

Chronic sympathetic drive raises cortisol, glucose and blood pressure and worsens sleep — every one of which pushes biological age up. Practical wins: daily down-regulation (walk, breathwork, sauna), meaningful social connection, and protected recovery days.

What doesn't reliably lower biological age

  • Random supplement stacks without a baseline test.
  • Single-metric obsession (chasing one number while ignoring the system).
  • Extreme caloric restriction in already-lean adults — often costs muscle and hormones.
  • One-off IV drips with no measurement before or after.

How we measure the change

The only way to know an intervention is working is to re-measure. Most patients repeat their longevity assessment at 6–12 months and compare Blood Age Score, pillar-level scores, and individual markers against baseline. Changes of 2–5 biological years are common with a well-executed plan.

The Dr Vahe Longevity Assessment is a preventative health and wellness service. The Blood Age Score and biological-age estimate are tools to communicate and track your health, not a medical diagnosis. This service does not replace NHS screening programmes or care from your GP. Results are interpreted by a GMC-registered doctor.

Ready to see your starting point?

The Dr Vahe Longevity Assessment measures where you are today and gives you the plan that fits — from lifestyle changes through to doctor-supervised therapies at Dr Vahe Clinic, Chelsea.