Crystal DNA helix representing epigenetic biological age testing at Rewind Anti-Aging Miami
Epigenetic Age Testing

TrueAge Epigenetic Diagnostic Test

Your birth certificate says one age. Your cells may tell a very different story. The TrueAge test measures your biological age at the molecular level — and gives you a concrete number to track as you work to reverse the clock.

Medically Supervised Data-Driven Treatment Personalized Protocols Ongoing Monitoring

Chronological vs. Biological Age

Your chronological age is simply how many years you've been alive. It's fixed, immutable, and tells you almost nothing about how your body is actually aging. Two 50-year-olds can have vastly different biological ages — one might have the cellular health of a 42-year-old, while the other's cells look closer to 60.

The difference comes down to genetics, lifestyle, stress, sleep quality, nutrition, exercise, environmental exposures, and — critically — the interventions you choose. Biological age is modifiable. You can measure it, and you can change it. Therapies like peptide therapy are among the tools that can address the biological aging process.

Microscopic 3D biological cells representing the cellular aging process measured by the TrueAge epigenetic test

Understanding Biological Age

The most important number in anti-aging medicine is one most people have never heard of.

What It Is

Biological age measures how old your cells actually are based on DNA methylation patterns — chemical markers that change predictably as your body ages. It reflects the cumulative impact of your genetics, lifestyle, environment, and health choices.

Why It Matters

Biological age is a stronger predictor of disease risk, healthspan, and mortality than chronological age. Someone biologically older than their years faces higher risk of chronic disease, cognitive decline, and reduced lifespan — regardless of how old they actually are.

It's Modifiable

Unlike chronological age, biological age can be reversed. Research demonstrates that hormone optimization, exercise, nutrition, stress management, and targeted supplementation can reduce biological age by 1-3 years in as little as 8-12 months.

Glowing cells and DNA strands illustrating how DNA methylation patterns reveal biological age

DNA Methylation and Epigenetic Clocks

DNA methylation is a process where methyl groups (chemical tags) are added to specific locations on your DNA. These tags don't change your genetic code — they change how your genes are expressed. As you age, methylation patterns change in predictable ways across hundreds of thousands of sites in your genome.

Scientists have mapped these age-related methylation changes and built epigenetic clocks — algorithms that calculate biological age based on methylation patterns. The TrueAge test uses multiple validated clocks for the most comprehensive analysis available.

1st Generation

Horvath Clock

The original multi-tissue epigenetic clock. Analyzes 353 CpG sites and works across virtually all human tissues and cell types.

1st Generation

Hannum Clock

Blood-based epigenetic clock using 71 CpG sites. Optimized for blood samples and validated in large population studies.

2nd Generation

PhenoAge

Second-generation clock trained on clinical biomarkers and mortality data. Predicts healthspan and disease risk, not just chronological age.

2nd Generation

GrimAge

The most predictive clock for mortality and morbidity. Incorporates smoking pack-years, plasma protein levels, and other health indicators.

What TrueAge Measures

The TrueAge test analyzes approximately 900,000 DNA methylation sites from a blood sample. This isn't a consumer-grade saliva test — it uses clinical-grade Illumina methylation array technology, the same platform used in peer-reviewed aging research.

Biological Age

Your overall biological age calculated across multiple validated epigenetic clocks — the single most important number in aging science.

Age Acceleration

How many years older or younger you are compared to your chronological age. Negative numbers mean you are aging slower than expected.

Rate of Aging

Whether you are aging faster, slower, or at the expected rate — expressed as years of biological aging per calendar year.

Immune Age

The biological age of your immune system (immunosenescence) — a key predictor of disease susceptibility and vaccine response.

Telomere Estimation

An additional aging biomarker derived from methylation data — telomere shortening is associated with cellular aging and disease risk.

Why This Matters for Anti-Aging

Without TrueAge, anti-aging treatment is largely subjective. You might feel better on hormone therapy or peptides, but how do you know it's actually slowing or reversing aging at the cellular level?

  • Objective Baseline

    Know your true biological age before starting any intervention. This is your starting point — the number everything gets measured against.

  • Treatment Validation

    Retest at 6-12 months to prove whether HRT, peptides, lifestyle changes, or other protocols are measurably reducing biological age.

  • Protocol Optimization

    If biological age isn't improving, we know to adjust the approach. Data replaces guesswork.

  • Motivation

    Seeing your biological age decrease by 2-3 years is a powerful motivator to maintain healthy habits and continue your anti-aging program.

Lab technician processing blood samples for TrueAge epigenetic biological age testing at Rewind Anti-Aging Miami

What Affects Your Biological Age

Your biological age is not fixed. These are the factors that push it in either direction.

Factors That Accelerate Aging

  • Chronic stress and elevated cortisol
  • Poor sleep quality and duration
  • Sedentary lifestyle
  • Processed food and high sugar intake
  • Hormonal decline (low testosterone, estrogen, thyroid)
  • Chronic inflammation
  • Environmental toxin exposure
  • Excessive alcohol consumption
  • Smoking

Factors That Reverse Aging

  • Hormone optimization (TRT, HRT, thyroid)
  • Regular exercise — both resistance training and cardiovascular
  • Quality sleep (7-9 hours, consistent schedule)
  • Whole-food, nutrient-dense diet
  • Stress management and cortisol regulation
  • Peptide therapy (growth hormone secretagogues)
  • Targeted supplementation (vitamin D, omega-3, NAD+ precursors)
  • Caloric optimization and metabolic health
How It Works

What to Expect

From blood draw to actionable insights — a simple, straightforward process.

Step 01

Blood Draw

A standard venous blood sample collected at our Wynwood clinic. Quick, simple, and no special preparation required.

Step 02

Lab Processing

Your sample is analyzed using clinical-grade Illumina methylation array technology — the same platform used in peer-reviewed aging research.

Step 03

Comprehensive Report

You receive a detailed report with your biological age, rate of aging, immune age, telomere estimation, and personalized recommendations.

Step 04

Results Consultation

We review your results in detail and discuss how they inform your anti-aging treatment plan — whether it is HRT, peptides, lifestyle, or all of the above.

Your TrueAge Test Includes

Every TrueAge test comes with a comprehensive analysis and personalized consultation.

Epigenetic Biological Age

Multi-clock analysis using Horvath, Hannum, PhenoAge, and GrimAge algorithms for the most comprehensive biological age assessment available.

Extrinsic Epigenetic Age

Measures how environmental factors and lifestyle choices are impacting your aging trajectory, independent of intrinsic biological processes.

Weight Loss Response

Epigenetic markers that predict how your body responds to caloric restriction, exercise, and metabolic interventions for weight management.

2-3 Week Turnaround

Results are typically available within 2-3 weeks of your blood draw. We schedule your results consultation as soon as your report is ready.

Learn From the Experts

In-depth video explanations from leading researchers in epigenetic testing and biological aging.

Frequently Asked Questions

What is biological age?

Biological age measures how old your cells actually are based on molecular markers — specifically DNA methylation patterns. Unlike chronological age (how many birthdays you've had), biological age reflects how your lifestyle, environment, stress, diet, exercise, and genetics have actually impacted your body's aging process. Someone chronologically 50 could have a biological age of 42 or 58.

How does the TrueAge test work?

TrueAge analyzes approximately 900,000 DNA methylation sites from a blood sample. These methylation patterns — chemical tags on your DNA that regulate gene expression — change predictably with aging. By comparing your methylation profile against validated aging algorithms, the test calculates your biological age with high precision.

How accurate is the TrueAge test?

TrueAge uses multiple validated epigenetic clocks including Horvath, Hannum, PhenoAge, and GrimAge algorithms. These clocks have been validated in large population studies and are considered the gold standard for biological age measurement. The test provides a comprehensive multi-clock analysis rather than relying on a single algorithm.

Can I actually reverse my biological age?

Yes — research has demonstrated that biological age can be reduced through lifestyle interventions, hormone optimization, exercise, diet, stress management, and targeted supplementation. Studies have shown reductions of 1-3 years in biological age over 8-12 months with comprehensive interventions. The TrueAge test lets you objectively measure whether your anti-aging protocols are working.

How often should I get tested?

We recommend a baseline test before starting any anti-aging program, then a follow-up at 6-12 months to measure the impact of your interventions. Annual testing thereafter provides ongoing tracking of your aging trajectory.

Is the TrueAge test covered by insurance?

The TrueAge test is not covered by insurance. It is considered an elective wellness test. We can discuss current pricing during your consultation.

How Old Are Your Cells?

Get your biological age baseline. Then let's work together to reverse it.

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Medical Director: Dr. Jeffrey C. Lombardo, M.D. Reviewed by Alexia Padron, MSN, APRN, FNP-BC Last reviewed: April 2026

Medical Disclaimer

The information on this page is for educational purposes only and does not constitute medical advice, diagnosis, or treatment. All treatments at Rewind Anti-Aging of Miami are performed under the supervision of licensed medical professionals. Individual results may vary. Consult your physician before beginning any new treatment protocol.

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