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Body Composition

Blood Testing for Sarcopenia

Assessing sarcopenia with blood testing clarifies muscle health drivers—anabolic signaling, androgen status, and protein nutrition (IGF-1, testosterone, albumin). At Superpower, we offer IGF-1, Testosterone, and Albumin testing, in-clinic and at home. Home testing is currently available in selected states. See FAQs below for more information.

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What are Sarcopenia biomarkers

Sarcopenia biomarkers are blood signals that map the biology of age‑related muscle loss. They show how much muscle you have, how actively it’s being renewed, and whether your body is leaning toward building or breaking down. Some come directly from muscle and reflect quantity (creatinine) and local growth brakes or accelerators (myostatin, follistatin). Others capture whole‑body forces that shape muscle health—anabolic drivers that support repair and synthesis (IGF‑1, testosterone) and inflammatory cues that push tissue toward breakdown (C‑reactive protein, interleukin‑6, TNF‑α). Nutrient‑hormone supports reveal readiness of the muscle system (vitamin D). Pairing signals can sharpen the picture—comparing a muscle‑linked marker with one not tied to muscle (creatinine with cystatin C) helps estimate true muscle mass behind routine numbers. Together, these biomarkers translate invisible shifts in skeletal muscle biology into measurable data, enabling earlier recognition of sarcopenia, more tailored exercise and nutrition strategies, and objective tracking of change over time.

Why is blood testing for Sarcopenia important?

  • Check hormone and protein signals linked to sarcopenia, muscle strength, and mass.
  • Spot early muscle loss risk via low IGF-1, reflecting weaker growth signals.
  • Clarify fatigue, weakness, or low libido by detecting testosterone deficiency, especially in men.
  • Guide nutrition and training by using albumin to flag inadequate protein intake or inflammation.
  • Distinguish normal aging from treatable low testosterone using age-adjusted ranges and symptoms.
  • Inform therapy choices, including resistance training, protein targets, or hormone specialist referral when warranted.
  • Protect fertility by identifying low testosterone before considering therapies that suppress sperm.
  • Track progress by rechecking levels, best interpreted with strength tests and body composition.

What insights will I get?

Sarcopenia blood testing provides insight into the body’s ability to maintain muscle mass, strength, and function—key elements for overall vitality, mobility, and resilience as we age. Muscle health is deeply connected to energy metabolism, cardiovascular stability, cognitive performance, and immune defense. At Superpower, we assess three core biomarkers for sarcopenia risk: IGF-1, Testosterone, and Albumin.

IGF-1 (Insulin-like Growth Factor 1) is a hormone that signals muscle growth and repair, reflecting the body’s anabolic (building) capacity. Testosterone, present in all genders but at higher levels in males, also drives muscle protein synthesis and supports muscle maintenance. Albumin, a major blood protein, indicates overall nutritional status and the body’s ability to build and repair tissues, including muscle.

Healthy levels of IGF-1 and testosterone support stable muscle mass and function, helping to prevent the gradual loss of muscle (sarcopenia) that can compromise mobility and independence. Albumin acts as a marker of systemic stability; low levels may signal chronic illness, inflammation, or malnutrition, all of which can accelerate muscle loss. Together, these biomarkers provide a window into the body’s capacity to preserve muscle and adapt to physical demands.

Interpretation of these results depends on factors such as age, sex, acute or chronic illness, medication use (like steroids or hormone therapy), and laboratory assay differences. For example, normal ranges shift with age and between sexes, and temporary changes can occur during illness or recovery.

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Frequently Asked Questions About

What is Sarcopenia blood testing?

Sarcopenia blood testing evaluates the biology behind muscle loss. Superpower measures IGF-1, Testosterone, and Albumin. IGF-1 reflects growth hormone signaling and anabolic drive. Testosterone reflects androgen status, which influences muscle protein synthesis and strength. Albumin reflects protein nutrition, liver synthetic function, and systemic inflammation. Together, these biomarkers show whether reduced muscle mass and function stem from impaired anabolic signaling, endocrine deficiency, malnutrition, inflammation, or chronic illness. Blood testing does not diagnose sarcopenia on its own; it complements clinical measures of muscle mass and performance.

Why should I get Sarcopenia blood testing?

It clarifies why muscle is being lost. Low IGF-1 points to weak anabolic signaling or energy deficiency, low Testosterone signals androgen insufficiency, and low Albumin suggests poor protein status, inflammation, or liver disease. Knowing the driver helps target evaluation and track risk for frailty, falls, and functional decline. Trends over time show whether biology is stabilizing or worsening and whether a plan is changing physiology. Superpower provides IGF-1, Testosterone, and Albumin to ground your sarcopenia assessment in objective biology.

Can I get a blood test at home?

Yes. With Superpower, our team member can organize a professional blood draw in your home. You get IGF-1, Testosterone, and Albumin testing without visiting a clinic, with standard handling and lab analysis for accuracy.

How often should I test?

Start with a baseline. Recheck periodically to confirm trends, typically every 6–12 months, and sooner if there are rapid changes in strength, weight, illness, or when starting or adjusting therapies. Testosterone is diurnal and best tracked with consistent morning draws; IGF-1 changes more slowly; Albumin reflects longer-term protein status and inflammation. Frequency should match your clinical context and the pace of change you’re seeing.

What can affect biomarker levels?

Age, sex, and circadian rhythm affect hormones, with Testosterone peaking in the morning. Acute illness, chronic inflammation, liver or kidney disease, thyroid disorders, diabetes, and hydration status influence IGF-1 and Albumin. Energy and protein intake, rapid weight changes, and recent strenuous exercise can shift values. Medications such as glucocorticoids, opioids, androgens, or growth hormone therapies alter results. Posture and tourniquet time at draw can slightly change Albumin due to fluid shifts.

Are there any preparations needed before the blood test for IGF-1, Testosterone, Albumin?

Aim for a morning draw between 7–10 AM for Testosterone consistency. An 8–12 hour fast helps standardize IGF-1 and Albumin; drink water normally to avoid dehydration skewing Albumin. Avoid unusually intense exercise the day before and major alcohol intake. Rest seated for several minutes before the draw. Continue prescribed medicines unless your clinician advises otherwise, but be aware that steroids, androgens, and growth hormone can affect results.

Can lifestyle changes affect my biomarker levels?

Yes. Energy balance, protein intake, resistance activity, sleep regularity, stress load, alcohol use, and weight change all influence anabolic hormones and Albumin. Acute illness or inflammation can lower Albumin and IGF-1 temporarily. Stabilizing routines and avoiding extremes before testing make results more interpretable. Over time, shifts in these behaviors can move IGF-1, Testosterone, and Albumin in directions that mirror recovery or decline in muscle health.

How do I interpret my results?

Look at the pattern, not a single number. Low IGF-1 suggests impaired GH–IGF axis activity or undernutrition; low Testosterone indicates reduced androgen signaling; low Albumin points to poor protein status, inflammation, or liver dysfunction, while high Albumin often reflects dehydration. Concordant lows in IGF-1 and Testosterone imply weak anabolic drive; low Albumin plus inflammation markers indicates catabolic stress. Combine these labs with objective measures of muscle mass and function to confirm sarcopenia and to separate endocrine, nutritional, and inflammatory drivers. Retest to confirm trends.

How it works

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Test your whole body

Get a comprehensive blood draw at one of our 3,000+ partner labs or from the comfort of your own home.

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An Actionable Plan

Easy to understand results & a clear action plan with tailored recommendations on diet, lifestyle changes, supplements and pharmaceuticals.

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You can book additional diagnostics, buy curated supplements for 20% off & pharmaceuticals within your Superpower dashboard.

Superpower tests more than 
100+ biomarkers & common symptoms

Developed by world-class medical professionals

Supported by the world’s top longevity clinicians and MDs.

Dr Anant Vinjamoori

Superpower Chief Longevity Officer, Harvard MD & MBA

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Dr Leigh Erin Connealy

Clinician & Founder of The Centre for New Medicine

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Dr Abe Malkin

Founder & Medical Director of Concierge MD

Dr Robert Lufkin

UCLA Medical Professor, NYT Bestselling Author

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Billed annually at $199
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Your membership includes one comprehensive blood draw each year, covering 100+ biomarkers in a single collection
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