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Biological age

What drives your PhenoAge

PhenoAge turns nine routine blood markers plus your age into a single biological-age number. Here's what each marker measures and what moves your score.

7 min read Updated July 8, 2026 Verith Team
A biological-age curve tracking below the straight chronological-age reference line, then rising with time
Your biological age
Chronological age

PhenoAge — short for phenotypic age — was published by Morgan Levine and colleagues in 2018. Instead of guessing your health from your birthday, it reads it from your blood. Nine standard lab values, weighted and combined with your chronological age, produce an estimate of how old your body actually behaves.

If your PhenoAge is lower than your chronological age, your biology is running younger than the calendar says. If it's higher, that's an early signal worth paying attention to — often years before a standard "normal/abnormal" flag would ever trip.

The one-sentence version
PhenoAge answers a single question: given these nine blood markers, what age would a typical person be? That answer is your biological age.

The nine markers — and what each one reflects

Each marker is a window into a different system. None is decisive alone; PhenoAge is a weighted composite, so a single high value rarely swings the result on its own. Here's what they capture and which direction tends to age you.

Albumin
A liver and nutrition protein; higher is generally protective.
Higher = younger
Creatinine
A kidney-function marker; elevated levels push the score up.
Higher = older
Glucose (fasting)
Metabolic control; higher fasting glucose ages the estimate.
Higher = older
C-reactive protein (CRP)
Systemic inflammation. Enters the formula on a log scale and carries real weight.
Higher = older
Lymphocyte percent
Immune balance; a higher share of lymphocytes is protective.
Higher = younger
Mean cell volume (MCV)
Average red-blood-cell size; larger cells nudge the score older.
Higher = older
Red cell distribution width (RDW)
Variation in red-cell size — a quiet but powerful aging signal.
Higher = older
Alkaline phosphatase (ALP)
A liver and bone enzyme; higher values raise the estimate.
Higher = older
White blood cell count
Overall immune activity; a chronically high count ages the score.
Higher = older

Plus your chronological age, which anchors the estimate. Directions above describe the typical contribution within normal physiological ranges — clinical context always matters.

Which markers move it most?

Three tend to do the heavy lifting for most people: CRP, RDW, and fasting glucose. Inflammation, red-cell instability, and blood-sugar control each track closely with how the body ages — and, helpfully, all three respond to things you can influence.

"The value of PhenoAge isn't the number itself — it's watching the number bend as you change what you can."

What tends to lower it

PhenoAge is responsive — it can shift meaningfully between blood draws. The levers that show up most often:

A quick caveat. PhenoAge is an educational estimate, not a diagnosis. Any marker can be temporarily skewed by an acute illness, dehydration, or a recent workout. Track the trend across several tests rather than reacting to a single result — and discuss anything concerning with your doctor.

See your own number

The best way to understand PhenoAge is to run your own labs through it. Our free calculator does the full Levine computation in your browser — nothing is uploaded — and Verith for iPhone tracks the number over time as new results come in.

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Calculate your PhenoAge