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The Slow Aging Guide

What the science actually says about living longer

The internet is full of longevity claims—from $1000/day biohacking protocols to "this one weird trick" supplements. Most of it is nonsense. This guide cuts through the noise to focus on what actually works in 2025, what's promising but unproven, and what's pure hype. No products to sell. Just the evidence.

Biggest lever
Exercise
Top predictor
VO₂ Max
Goal
Healthspan
Last updated: December 2025

The honest truth about longevity

Here's something most longevity content won't tell you: the interventions with the best evidence are boring. Exercise, sleep, not smoking, maintaining social connections—these have decades of research behind them. Meanwhile, the exciting stuff—rapamycin, NAD+ precursors, senolytics—is still being figured out. Some of it may turn out to be transformative. Much of it probably won't. This guide is organized by evidence level: • **Tier 1 (Strong Evidence):** Interventions proven in large human studies to extend lifespan or healthspan • **Tier 2 (Promising):** Interventions with good mechanistic rationale and encouraging early data • **Tier 3 (Speculative):** Interventions that work in animals or have limited human data We'll be honest about what we know and what we don't. The goal isn't to live forever—it's to live well for as long as possible.
Interactive

The 12 Hallmarks of Aging

Scientists have identified 12 biological processes that drive aging. Click each hallmark to learn what it is and how to potentially address it.

Cause cellular damage

Based on López-Otín et al., “Hallmarks of aging: An expanding universe” Cell (2023)

Find Your Longevity Path

Longevity interventions work best when built on a solid lifestyle foundation. Tell us where you are.

Your Options

There's no single right path. Choose based on your situation, and know that you can combine approaches.

Tier 1: Strong Evidence

Proven in humans

These interventions have robust evidence from large human studies showing they extend lifespan, delay disease, or improve healthspan. They're not glamorous, but they work. The good news: these are mostly free or cheap. The challenge: they require consistent effort over decades.

What to do
  • Cardiorespiratory fitness (VO₂ max is the strongest predictor of all-cause mortality)
  • Resistance training (prevents sarcopenia, maintains independence)
  • Sleep optimization (7-8 hours, consistent timing, good quality)
  • Not smoking (still the single biggest modifiable risk factor)
  • Moderate alcohol or none (the "healthy glass of wine" data has been debunked)
  • Maintaining healthy weight (especially avoiding central obesity)
  • Social connection (loneliness rivals smoking for mortality risk)
Avoid
  • Thinking supplements can replace these fundamentals
  • Extreme interventions before mastering the basics
  • Pursuing "biohacks" that lack human evidence
  • Ignoring mental health and stress management

Tier 2: Promising Evidence

Good data, not yet definitive

These interventions have solid mechanistic rationale and encouraging human data, but we don't yet have definitive proof they extend lifespan. Many are actively being studied. Some of these may graduate to Tier 1 as more data comes in. Others may not pan out.

What to do
  • Heat therapy (sauna: 4x/week associated with 40% lower all-cause mortality)
  • Time-restricted eating (may improve metabolic health, unclear on lifespan)
  • Cold exposure (dopamine, mood, inflammation—but hypertrophy concerns)
  • Zone 2 cardio emphasis (mitochondrial benefits, sustainable long-term)
  • Protein optimization (1.2-1.6g/kg, especially for muscle preservation)
  • Mediterranean diet pattern (consistent disease reduction data)
Avoid
  • Extreme fasting without medical supervision
  • Assuming "promising" means "proven"
  • Neglecting Tier 1 while chasing Tier 2
  • Ignoring individual response variation

Tier 3: Speculative

Early days, proceed with caution

These interventions work in animals or have limited human data. They're exciting for researchers but shouldn't be considered "anti-aging" interventions for regular people—yet. Some longevity enthusiasts experiment with these, but they're accepting real risks in exchange for uncertain benefits.

What to do
  • Understand the evidence before trying anything
  • Work with a doctor who understands these interventions
  • Track your biomarkers if experimenting
  • Be honest about risk/benefit tradeoffs
Avoid
  • Taking rapamycin without medical supervision
  • Buying peptides from unverified sources
  • Assuming mouse data translates to humans
  • Spending significant money on unproven interventions
  • Treating supplements as safe just because they're "natural"

Your Toolkit

Exercise: The Single Biggest Lever

Sleep: When You Actually Repair

Heat & Cold Therapy

Nutrition: Evidence Over Ideology

Speculative Interventions (Tier 3)

Daily Routine

Morning (6-8am)

Light + movement

Get outside within an hour of waking—morning light anchors your circadian rhythm. Even 10-15 minutes helps. Add a 10-minute walk if possible.

Mid-morning

First eating window

If doing time-restricted eating, start here rather than immediately upon waking. Protein-forward breakfast to start your eating window strong.

Midday

Movement break + Zone 2

Walk after lunch (improves blood sugar). If possible, this is a great time for Zone 2 cardio—30-60 minutes at conversation pace.

Afternoon

Resistance training (if scheduled)

2-3 sessions per week, 30-45 minutes each. Full body or upper/lower split. Progressive overload is key. Don't skip this.

Evening

Last meal + wind-down

Finish eating 2-3 hours before bed. Dim lights after sunset. This is when sauna fits well if you have access—relaxes you for sleep.

Night (9-10pm)

Sleep optimization

Cool, dark room. Consistent bedtime. No screens 1 hour before (or use night mode). Aim for 7-8 hours of actual sleep, not just time in bed.

What Longevity Interventions Cost

Good news: the most effective interventions are cheap or free. The expensive stuff often has the weakest evidence.

The Free Tier (Tier 1 evidence)

$0/month

Walking, bodyweight exercise, sleep optimization, not smoking, social connection, sunlight exposure

Pros

  • Strongest evidence for lifespan extension
  • Improves quality of life immediately
  • No side effects when done properly
  • Sustainable for life

Cons

  • Requires consistent effort over decades
  • Not glamorous or exciting
  • Results take time to manifest

The Affordable Tier

$20-100/month

Gym membership, sauna access, basic supplements (vitamin D, omega-3, creatine), quality food

Pros

  • Good evidence for most items
  • Sustainable for most budgets
  • Synergistic with free tier interventions

Cons

  • Sauna access can be limited
  • Supplement quality varies
  • Food quality costs more than processed alternatives

The Enthusiast Tier

$200-500/month

Regular blood work, home sauna, cold plunge, NAD+ precursors, advanced testing

Pros

  • Better data on your health status
  • Convenient access to therapies
  • May provide marginal additional benefits

Cons

  • Diminishing returns vs. lower tiers
  • Many supplements lack strong evidence
  • Testing without action is pointless

The Experimental Tier

$500-2000+/month

Physician-supervised rapamycin, peptides, senolytics, comprehensive hormone optimization, advanced diagnostics

Pros

  • Access to cutting-edge interventions
  • Medical supervision reduces risk
  • May provide benefits we don't yet understand

Cons

  • Weakest evidence tier
  • Real risks with uncertain benefits
  • Very expensive for unproven outcomes
  • The money might be better spent on Tier 1

Ways to Save Money

  • Master the free tier before spending money—it has the strongest evidence
  • A $30/month gym membership outperforms most supplements
  • Community center or YMCA often have sauna access for less than boutique gyms
  • Buying frozen vegetables is as nutritious as fresh and much cheaper
  • Walking is free and one of the best longevity interventions we have
Read the complete costs & coverage guide

Insurance strategies, savings programs, telehealth options, and compounding explained.

Troubleshooting

Tap an issue to see the fix.

Deep Dives

Common Questions

Take Action

Ready to Start?

Pick your entry point based on where you are now.

🌿 Starting with Lifestyle Changes

Start with the fundamentals

Before anything else, nail the big three: consistent exercise, 7-8 hours of sleep, and daily movement. These outperform any supplement or drug.

See Daily Routine

Learn about sauna benefits

Regular sauna use is one of the few heat therapies with strong longevity evidence. Learn the protocols backed by research.

Read Sauna Guide

Understand cold exposure

Cold plunges have real benefits—but also real trade-offs. Know the evidence before jumping in.

Read Cold Guide

💊 Exploring Medication Options

Explore GLP-1 medications

Weight loss is a powerful longevity intervention. If you have significant weight to lose, these medications are worth understanding.

Weight Loss Guide

Understand the evidence hierarchy

Before experimenting with rapamycin, metformin, or senolytics, understand what level of evidence supports each intervention.

Read Evidence Guide

Glossary

Healthspan
The years of life lived in good health, free from chronic disease and disability. For many people, this matters more than total lifespan.
VO₂ max
Maximum oxygen consumption—a measure of cardiorespiratory fitness. The strongest predictor of all-cause mortality in the scientific literature.
Hallmarks of aging
The 12 biological processes identified as fundamental drivers of aging: genomic instability, telomere attrition, epigenetic alterations, loss of proteostasis, disabled macroautophagy, deregulated nutrient-sensing, mitochondrial dysfunction, cellular senescence, stem cell exhaustion, altered intercellular communication, chronic inflammation, and dysbiosis.
Cellular senescence
When cells stop dividing but don't die. They become "zombie cells" that secrete inflammatory signals damaging nearby tissue. Accumulation of senescent cells is a hallmark of aging.
Senolytics
Drugs that selectively kill senescent cells. Examples include dasatinib + quercetin (D+Q) and fisetin. Still experimental for longevity use.
Sarcopenia
Age-related loss of muscle mass and function. A major driver of frailty and loss of independence. Preventable with resistance training and adequate protein.
mTOR
Mechanistic target of rapamycin—a cellular nutrient sensor. When suppressed (by fasting or rapamycin), it activates autophagy and other repair processes. Overactivation is associated with aging.
Autophagy
Cellular cleanup process where damaged proteins and organelles are recycled. Activated by fasting, exercise, and certain compounds like rapamycin. Declines with age.
Zone 2 cardio
Aerobic exercise at moderate intensity where you can still hold a conversation. Builds mitochondrial density and fat oxidation capacity. The foundation of cardiovascular fitness.
Epigenetic clock
A biochemical test that estimates biological age by measuring DNA methylation patterns. Examples include Horvath Clock, GrimAge, and DunedinPACE. Research tools with individual limitations.
Inflammaging
Chronic, low-grade inflammation that develops with age. Contributes to most age-related diseases. Can be measured via markers like CRP and IL-6.