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Neurological and Mental Health Conditions

Sarcopenia

Sarcopenia reflects declining muscle mass and function driven by hormonal and nutritional signals. Biomarker testing clarifies the anabolic milieu and protein status. At Superpower, we test IGF-1, testosterone, and albumin for sarcopenia to gauge muscle-building capacity, endocrine balance, and systemic protein reserves, guiding early protection of strength and mobility.

With Superpower, you have access to a comprehensive range of biomarker tests.

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Key Benefits

  • Assess hormonal and nutritional drivers behind muscle loss and sarcopenia risk.
  • Spot anabolic hormone shortfalls via low IGF-1 or testosterone affecting muscle maintenance.
  • Clarify causes of weakness, slower recovery, or low energy related to muscle loss.
  • Flag malnutrition or inflammation with low albumin that undermines muscle rebuilding.
  • Guide targeted care: optimize protein, resistance training, vitamin D, or endocrine evaluation.
  • Protect fertility by avoiding unnecessary testosterone therapy that suppresses sperm production.
  • Track progress after nutrition or training changes by rechecking IGF-1 and albumin.
  • Best interpreted alongside grip strength, muscle mass, and functional performance measures.

What are Sarcopenia

Sarcopenia biomarkers are measurable signals in blood or urine that reflect the state of your skeletal muscle—its size, quality, and turnover. They convert silent, early muscle change into objective data, enabling earlier detection, distinguishing true muscle loss from inactivity or fluid shifts, and guiding targeted nutrition, training, and medical therapy. Some markers come directly from muscle or its metabolism, such as muscle-derived byproducts (creatinine) filtered by the kidney and proteins released with muscle stress (creatine kinase). Others capture the forces that govern muscle balance: growth signals (IGF‑1, testosterone, DHEA) that drive protein synthesis, inhibitors of growth (myostatin) that restrain it, and anti-growth immune signals (CRP, IL‑6, TNF‑α) that promote breakdown. Nutritional and mineral cues also matter, including vitamin D, which supports muscle cell function and nerve-muscle communication (neuromuscular coupling). By mapping these biological threads—muscle output, hormonal drive, inflammation, and nutrition—biomarker testing reveals why muscle is being lost and whether interventions are restoring an anabolic state, helping preserve strength, mobility, and resilience with age.

Why are Sarcopenia biomarkers important?

Sarcopenia biomarkers reflect the body’s anabolic, androgenic, and nutritional‑inflammatory balance that governs muscle building and maintenance. Because muscle is a metabolic organ, these signals forecast strength, mobility, glucose control, bone and immune resilience.

IGF‑1 is age‑specific (often ~100–300 in adults); muscle retention tends to be best with mid‑to‑upper age‑adjusted values. Total testosterone spans ~300–1000 in men and ~15–70 in women; mid‑normal supports lean mass. Albumin is typically ~3.5–5.0; upper‑normal suggests adequate protein and low inflammation.

When these sit low, physiology turns catabolic: reduced IGF‑1 and testosterone blunt muscle protein synthesis, and low albumin signals inflammation or malnutrition. Expect weaker grip, slower gait, fatigue, falls; older adults and post‑menopausal women are vulnerable, and in teens low IGF‑1 can blunt strength gains. In pregnancy, albumin runs lower from hemodilution rather than muscle loss.

Very high is not automatically better. Elevated IGF‑1 can signal growth‑hormone excess and insulin resistance; high testosterone may cause erythrocytosis or sleep apnea in men and acne, hirsutism, or cycle changes in women. High albumin often reflects dehydration, not extra muscle.

Big picture: these markers connect endocrine tone, nutrition, and inflammation to function. Tracking trends with grip strength and gait speed surfaces sarcopenia risk and links to long‑term outcomes—frailty, fractures, hospitalization, and loss of independence.

What Insights Will I Get?

Sarcopenia is the gradual loss of muscle mass and strength that disrupts mobility, glucose control, bone integrity, immune resilience, and overall metabolism. Biomarker testing reveals your anabolic capacity, protein reserves, and inflammatory load—the physiology that governs muscle maintenance. At Superpower, we test these specific biomarkers: IGF-1, Testosterone, Albumin.

IGF-1 is a liver‑made hormone that carries out growth hormone’s effects (somatomedin). It directly drives muscle protein building and repair. Lower IGF‑1 is linked with reduced synthesis, slower recovery, and higher sarcopenia risk; physiologic levels point to stable turnover. Adequate IGF‑1 supports steady renewal of contractile proteins and neuromuscular function.

Testosterone is a sex steroid from testes, ovaries, and adrenals that powers muscle building (anabolism), motor unit performance, and bone support. Lower levels correlate with reduced lean mass and strength, especially with aging; physiologic levels indicate maintained anabolic signaling. Stable testosterone helps preserve strength, power, and functional capacity.

Albumin is the main blood protein made by the liver that reflects whole‑body protein status and systemic inflammation. Low albumin often signals catabolic stress, inflammation, or inadequate protein reserves and is associated with frailty; stable albumin indicates a resilient protein economy. While not muscle‑specific, it mirrors the substrate and recovery capacity required for muscle maintenance.

Notes: Age lowers IGF‑1 and testosterone; acute illness, chronic disease, and liver or kidney dysfunction depress albumin; glucocorticoids and other drugs alter anabolic signaling; testosterone shows diurnal variation; pregnancy and oral estrogens change binding proteins and apparent levels; hydration status and assay differences affect results.

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Frequently Asked Questions About Sarcopenia

What is Sarcopenia testing?

Sarcopenia testing looks at how well your body builds and maintains muscle. It combines functional measures (strength and performance), body composition, and blood biomarkers that reflect anabolic drive and protein status. Superpower tests IGF-1 (growth hormone activity), Testosterone (androgen status), and Albumin (protein status and systemic inflammation). Together, these markers help explain whether low muscle mass or strength is driven by hormonal signaling, nutrition, or illness. The goal is to identify loss of muscle quantity and quality early and track change over time.

Why should I get Sarcopenia biomarker testing?

It helps you detect the biologic drivers of muscle loss before major functional decline. Low IGF-1 signals reduced anabolic signaling; low testosterone signals androgen deficiency risk; low albumin points to inflammation or poor protein status. These patterns correlate with frailty, falls, slower recovery from illness, and lower resilience. Results add context to strength and body composition tests so you can track the system—not just the symptom—and monitor response to any clinical plan.

How often should I test?

Start with a baseline, then recheck in 3–6 months to confirm direction and stability. If results and function are stable, annual testing is reasonable to track aging-related change. Re-test sooner after major health events, new medications affecting hormones, significant weight change, or inflammatory illness. Use the same lab, timing, and pre-test routine to reduce noise and make trends meaningful.

What can affect biomarker levels?

Age and sex shift expected ranges. Time of day strongly affects testosterone (highest in the morning). Acute illness and inflammation lower albumin (negative acute-phase reactant) and can suppress IGF-1. Hydration and liver or kidney disease change albumin levels. Calorie and protein intake, recent intense exercise, sleep, and stress alter IGF-1 and testosterone. Medications matter: glucocorticoids, opioids, and anti-androgens lower anabolic signals; androgens or growth hormone therapies raise them. Thyroid disorders and diabetes also modify these pathways.

Are there any preparations needed before Sarcopenia biomarker testing?

Fasting is not required for IGF-1, testosterone, or albumin, but keeping conditions consistent improves comparisons. Draw blood in the morning (around 7–10 a.m.) for testosterone, and use the same time for follow-ups. Avoid strenuous exercise, alcohol binges, and acute illness on test day when possible. Stay normally hydrated. Take prescribed medications as directed unless your clinician changes them. Consistency in lab, timing, and posture during draw reduces variability and clarifies trends.

Can lifestyle changes affect my biomarker levels?

Yes. Energy and protein intake influence albumin and the IGF-1 axis; resistance training and adequate recovery can shift IGF-1 and testosterone; sleep and stress strongly affect the hypothalamic–pituitary–gonadal axis. Acute inflammation and weight cycling can suppress anabolic signals. These biomarkers reflect how your system is adapting to load, nutrition, and recovery, so sustained patterns—not single days—drive meaningful change.

How do I interpret my results?

Use age- and sex-specific ranges and focus on trends. Low IGF-1 suggests reduced growth hormone signaling or catabolic stress; low testosterone indicates impaired androgen support for muscle; low albumin points to inflammation, liver dysfunction, or inadequate protein-energy status. Discordance is common—e.g., normal IGF-1 with low testosterone—so interpret as a pattern alongside grip strength, gait speed, and body composition. Rising or stabilizing IGF-1/testosterone with normal albumin supports an anabolic state; falling markers with low albumin flag catabolism and higher frailty risk.

How do I interpret my results?

Use age- and sex-specific ranges and focus on trends. Low IGF-1 suggests reduced growth hormone signaling or catabolic stress; low testosterone indicates impaired androgen support for muscle; low albumin points to inflammation, liver dysfunction, or inadequate protein-energy status. Discordance is common—e.g., normal IGF-1 with low testosterone—so interpret as a pattern alongside grip strength, gait speed, and body composition. Rising or stabilizing IGF-1/testosterone with normal albumin supports an anabolic state; falling markers with low albumin flag catabolism and higher frailty risk.

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Superpower Chief Longevity Officer, Harvard MD & MBA

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Clinician & Founder of The Centre for New Medicine

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Founder & Medical Director of Concierge MD

Dr Robert Lufkin

UCLA Medical Professor, NYT Bestselling Author

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