Longevity
Glossary
99 key terms from the science of ageing and longevity medicine. Precise definitions based on scientific literature — no sales language, no misleading simplifications.
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Molecular biology
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Treatment
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Biomarker
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Concept
Adaptogens
TreatmentPlants that modulate the stress response and allostatic load
Adaptogens are a group of medicinal plants that increase the body's resistance to physical, chemical, and biological stress by modulating the hypothal…
Read full definitionAllostatic Load
ConceptThe biological cost of chronic stress accumulated over a lifetime
Allostatic load is the biological wear and tear accumulated in the body from repeated or chronic activation of the stress response systems — HPA axis …
Read full definitionAMPK
Molecular biologyThe cellular energy sensor that activates longevity pathways when ATP runs low
AMPK (AMP-activated protein kinase) is an enzyme that senses the energy status of the cell. It is activated when the AMP/ATP ratio rises — that is, wh…
Read full definitionApoB (Apolipoprotein B)
BiomarkerThe real marker of cardiovascular risk — better than LDL-cholesterol alone
Apolipoprotein B-100 (ApoB) is the main structural protein of all atherogenic lipoproteins: LDL, VLDL, IDL, and Lp(a). Each particle contains exactly …
Read full definitionApoptosis
Molecular biologyProgrammed cellular suicide that protects the body from cancer
Apoptosis is the main form of programmed cell death in multicellular organisms. Unlike necrosis (chaotic death with inflammation), apoptosis is an ord…
Read full definitionAstaxanthin
TreatmentThe deep-red carotenoid with the highest known antioxidant capacity
Astaxanthin is a xanthophyll carotenoid of intense red colour produced by the microalga Haematococcus pluvialis, responsible for the colour of wild sa…
Read full definitionAutophagy
Molecular biologyThe cellular recycling system that activates longevity pathways
Autophagy (from the Greek for 'self-eating') is the process by which cells degrade and recycle their own damaged or defective components — misfolded p…
Read full definitionBDNF (Brain-Derived Neurotrophic Factor)
BiomarkerThe brain's 'Miracle-Gro' protein that maintains neuronal plasticity
BDNF (Brain-Derived Neurotrophic Factor) is a protein of the neurotrophin family that regulates the survival, growth, and plasticity of neurons. It is…
Read full definitionBerberine
TreatmentThe plant alkaloid acting as nature's metformin
Berberine is a yellow isoquinoline alkaloid extracted from roots and bark of plants such as Coptis chinensis, Berberis vulgaris, and Hydrastis canaden…
Read full definitionBiohacking
ConceptSystematic optimisation of the body using science and technology
Biohacking is the practice of applying scientific principles, technology, and lifestyle changes to optimise physical performance, mental performance, …
Read full definitionBiological Age
BiomarkerThe true age of your cells, independent of your date of birth
Biological age measures the functional state of the body at a molecular and cellular level, as opposed to chronological age (years lived). Two people …
Read full definitionBlue Zones
ConceptThe five regions in the world with the highest concentration of centenarians
Blue Zones are five geographical areas identified by Dan Buettner (National Geographic) and Gianni Pes (University of Sassari) with the world's highes…
Read full definitionBPC-157
TreatmentThe regenerative peptide derived from gastric juice with proven healing properties
BPC-157 (Body Protection Compound 157) is a pentadecapeptide of 15 amino acids derived from a protective protein found in human gastric juice. It work…
Read full definitionCaloric Restriction
ConceptThe most reproducible intervention to extend lifespan in all model organisms
Caloric restriction (CR) is the chronic reduction of 20-40% of habitual caloric intake without malnutrition — maintaining adequate protein, vitamin, a…
Read full definitionCellular Reprogramming (Yamanaka Factors)
ConceptThe biological revolution showing that ageing can be reversed
Cellular reprogramming is the conversion of adult somatic cells to a pluripotent state (similar to embryonic) by forced expression of four transcripti…
Read full definitionCellular Senescence
Molecular biologyThe 'zombie' cells that neither die nor divide — and poison their surroundings
Cellular senescence is a state in which a cell permanently stops dividing but does not die. These 'zombie' or senescent cells accumulate irreparable D…
Read full definitionCGM (Continuous Glucose Monitor)
BiomarkerSee your glucose minute-by-minute for 14 days, not just at a finger-prick
A CGM (Continuous Glucose Monitor) is a small subcutaneous sensor (FreeStyle Libre, Dexcom G7, Linx) that measures interstitial glucose every 1-5 minu…
Read full definitionChronotype
ConceptThe genetic predisposition that determines whether you are a lark, owl, or in-between
Chronotype is the individual circadian pattern that determines the preferred time for sleeping, waking, productivity, and eating. It is genetically de…
Read full definitionCircadian Rhythm
Molecular biologyThe 24-hour molecular clock that synchronises virtually all physiology
The circadian rhythm is the biological cycle of approximately 24 hours that regulates virtually all physiological processes: sleep-wake cycle, hormone…
Read full definitionCJC-1295
TreatmentThe GHRH analogue that extends growth-hormone release for days
CJC-1295 is a synthetic 30-amino-acid analogue of growth-hormone-releasing hormone (GHRH) that stimulates endogenous pulsatile secretion of growth hor…
Read full definitionCoenzyme Q10 (Ubiquinone)
TreatmentThe essential cofactor of the mitochondrial respiratory chain that declines with age
Coenzyme Q10 (CoQ10, ubiquinone) is a fat-soluble molecule present in all cell membranes, especially the inner mitochondrial membrane, where it acts a…
Read full definitionDasatinib + Quercetin (D+Q)
TreatmentThe first senolytic protocol tested in humans to eliminate zombie cells
The Dasatinib + Quercetin (D+Q) protocol is the most-studied senolytic combination in humans, developed by James Kirkland and Tamara Tchkonia at Mayo …
Read full definitionDEXA Scan
BiomarkerThe gold standard for measuring visceral fat, muscle mass, and bone density
DEXA Scan (Dual-Energy X-ray Absorptiometry) is the non-invasive imaging test that precisely measures body composition in three compartments: total an…
Read full definitionEpigenetic Clock
BiomarkerThe algorithm that reads your DNA and calculates how old your cells really are
An epigenetic clock is a bioinformatics algorithm that estimates biological age from DNA methylation patterns at specific genomic positions (CpG sites…
Read full definitionEpigenetics
Molecular biologyHow the environment modifies gene expression without changing the DNA
Epigenetics is the study of changes in gene expression that do not involve alterations to the DNA sequence. The main mechanisms are DNA methylation (a…
Read full definitionEpithalon (Epitalon)
TreatmentThe pineal tetrapeptide that activates telomerase and reprograms the epigenetic clock
Epithalon (Ala-Glu-Asp-Gly) is a synthetic tetrapeptide developed by Dr. Vladimir Khavinson (St. Petersburg Institute of Gerontology) from Epithalamin…
Read full definitionExosomes
TreatmentIntercellular messengers that replicate the regenerative power of stem cells
Exosomes are extracellular vesicles of 30–150 nanometres secreted by virtually all cells in the body. They transport mRNA, microRNA, proteins, and lip…
Read full definitionFaecal Microbiota Transplant (FMT)
TreatmentTransfer of a complete microbiome from a healthy donor to reset the intestinal ecosystem
Faecal microbiota transplant (FMT) is the administration of a carefully selected healthy donor's intestinal microbiota preparation into the patient's …
Read full definitionFerritin
BiomarkerThe iron reserve — and an underrated inflammatory marker
Ferritin is the intracellular protein that stores iron in a non-toxic, bioavailable form. Its serum level reflects total body iron stores: low in iron…
Read full definitionFisetin
TreatmentThe natural senolytic flavonoid with the best safety-efficacy ratio
Fisetin is a polyphenolic flavonoid present mainly in strawberries (160 μg/g), followed by apples, persimmons, grapes, and onions. It is one of the mo…
Read full definitionFOXO3 (Forkhead Box O3)
Molecular biologyThe longevity gene most reproducibly associated with centenarians
FOXO3 (Forkhead Box O3) is a transcription factor that activates expression of genes involved in oxidative stress resistance, DNA repair, programmed a…
Read full definitionFree Radicals (ROS)
Molecular biologyMolecules with unpaired electrons — necessary for life in controlled doses
Free radicals are molecules or atoms with an unpaired electron in their outer orbital, making them highly reactive. In biology, the most relevant are …
Read full definitionGHK-Cu (Copper Tripeptide)
TreatmentThe regenerative peptide that activates more than 4,000 genes associated with youth
GHK-Cu (Glycine-Histidine-Lysine with copper) is an endogenous tripeptide present in human plasma that decreases by 60% between ages 20 and 60. Its di…
Read full definitionGlutathione
BiomarkerThe body's master antioxidant
Glutathione is a tripeptide (glutamate-cysteine-glycine) considered the primary intracellular antioxidant of the human body. It acts as a cofactor for…
Read full definitionGlycation and AGEs
Molecular biologyThe biochemical 'caramelisation' of proteins that stiffens tissues with age
Glycation is the non-enzymatic reaction between reducing sugars (glucose, fructose) and proteins, lipids, or nucleic acids, forming Advanced Glycation…
Read full definitionGlycine
TreatmentThe most-underrated amino acid — essential for collagen, glutathione, and deep sleep
Glycine is the smallest and simplest amino acid, considered 'conditionally essential' in humans: the body synthesises it, but needs exceed endogenous …
Read full definitionGut Microbiome
Molecular biologyThe 39 trillion microorganisms that regulate immunity, metabolism, and brain function
The gut microbiome is the set of microorganisms (bacteria, fungi, viruses, archaea) inhabiting the human digestive tract. It is composed of approximat…
Read full definitionGut-Brain Axis
Molecular biologyThe bidirectional highway between your microbiome and your nervous system
The gut-brain axis is the bidirectional communication network between the central nervous system, the enteric nervous system (the 'second brain' with …
Read full definitionHallmarks of Aging
ConceptThe 12 molecular mechanisms that define biological ageing
The Hallmarks of Aging are the fundamental cellular and molecular processes that, together, define biological ageing. The original formulation by Lópe…
Read full definitionHbA1c (Glycated Hemoglobin)
BiomarkerThe average glucose of the last 90 days — and a longevity marker
HbA1c is the fraction of haemoglobin that has reacted non-enzymatically with glucose, reflecting the average glycaemia of the last 60-90 days (erythro…
Read full definitionHealthspan vs Lifespan
ConceptThe difference between living longer and living better — and why the former matters more
Lifespan is the total duration of life (years lived). Healthspan is the period of life during which optimal functional health is maintained — free fro…
Read full definitionHigh-sensitivity CRP (hsCRP)
BiomarkerThe most important inflammatory marker for predicting cardiovascular risk
High-sensitivity CRP (hsCRP, high-sensitivity C-Reactive Protein) is an acute-phase protein synthesised by the liver in response to systemic inflammat…
Read full definitionHistones and Epigenetic Modifications
Molecular biologyThe proteins that pack DNA and decide which genes are active
Histones are basic proteins (positively charged) around which DNA wraps to be packaged in the nucleus: 147 base pairs of DNA wrap around an octamer of…
Read full definitionHOMA-IR (Insulin Resistance)
BiomarkerThe early marker of metabolic syndrome, years before diabetes appears
HOMA-IR (Homeostatic Model Assessment of Insulin Resistance) is an index calculated mathematically from fasting glucose and insulin: HOMA-IR = (Glucos…
Read full definitionHomocysteine
BiomarkerThe amino acid whose elevated levels accelerate vascular and brain ageing
Homocysteine is a sulfur-containing amino acid intermediate of methionine metabolism. Its plasma accumulation (hyperhomocysteinemia) is toxic to vascu…
Read full definitionHormesis
Molecular biologyWhy small doses of stress make the body stronger
Hormesis is the biological phenomenon in which low-intensity exposures to a stressor produce beneficial effects, while high doses of the same agent ar…
Read full definitionHRV (Heart Rate Variability)
BiomarkerThe most powerful non-invasive biomarker of autonomic nervous system status
HRV (Heart Rate Variability) is the temporal variation between consecutive heartbeats (R-R intervals on ECG). It directly reflects the balance of the …
Read full definitionIGF-1 (Insulin-like Growth Factor 1)
BiomarkerThe cellular growth hormone — paradox between vitality and accelerated ageing
IGF-1 is a peptide hormone produced mainly by the liver in response to growth hormone (GH). It is the effector mediator of most GH effects: it promote…
Read full definitionImmunosenescence
Molecular biologyThe ageing of the immune system that reduces defences and increases inflammation
Immunosenescence is the progressive deterioration of the immune system with age, characterised by: thymic involution (the thymus, where T lymphocytes …
Read full definitionInflammaging
Molecular biologyThe chronic low-grade inflammation that accelerates ageing
Inflammaging (a contraction of 'inflammation' and 'ageing') describes the state of chronic, low-grade systemic inflammation that progressively sets in…
Read full definitionIntermittent Fasting
ConceptThe eating window that activates autophagy, sirtuins, and cellular repair
Intermittent fasting (IF) is an eating pattern that alternates periods of fasting with feeding windows. The most-studied protocols are 16:8 (16 h fast…
Read full definitionIntestinal Dysbiosis
Molecular biologyThe microbiome imbalance that triggers systemic inflammation
Intestinal dysbiosis is the qualitative and quantitative alteration of the gut microbiome: loss of bacterial diversity, overgrowth of pro-inflammatory…
Read full definitionIntestinal Permeability (Leaky Gut)
Molecular biologyToxin and bacterial leakage through the gut barrier compromises immunity
Increased intestinal permeability — colloquially known as 'leaky gut' — is the loss of integrity of the intestinal epithelial barrier, which normally …
Read full definitionIpamorelin
TreatmentThe selective GH secretagogue without cortisol or prolactin elevation
Ipamorelin is a pentapeptide GH secretagogue that acts selectively on the ghrelin receptor (GHS-R1a), inducing pulsatile endogenous release of GH from…
Read full definitionMagnesium (Forms and Bioavailability)
TreatmentThe cofactor of 600+ enzymes — deficient in 60% of the population
Magnesium is the fourth most abundant mineral in the body and an essential cofactor of more than 600 enzymes, including ATP synthase (cellular energy …
Read full definitionMediterranean Diet
ConceptThe dietary pattern with the most scientific evidence for extending healthspan
The Mediterranean diet is the traditional dietary pattern of countries around the Mediterranean basin (Spain, Italy, Greece, southern France) characte…
Read full definitionMelatonin
TreatmentThe master sleep hormone and a powerful mitochondrial antioxidant
Melatonin is a hormone derived from the amino acid tryptophan, synthesised mainly by the pineal gland in response to darkness. Its night-time peak (be…
Read full definitionMesenchymal Stem Cells (MSCs)
TreatmentThe most widely used regenerative cells in longevity and regenerative medicine
Mesenchymal stem cells (MSCs) are multipotent adult stem cells found in bone marrow, adipose tissue, umbilical cord, and other tissues. Their primary …
Read full definitionMetformin
TreatmentThe antidiabetic drug most repositioned in longevity — TAME is its great pending trial
Metformin is a biguanide derived from the plant Galega officinalis, used since 1957 for treatment of type 2 diabetes. It is the most prescribed oral a…
Read full definitionMind-Body Medicine
ConceptPractices that modulate physiology through conscious nervous system regulation
Mind-body medicine is the set of practices that use conscious regulation of the autonomic nervous system and the hypothalamic-pituitary-adrenal (HPA) …
Read full definitionMitochondria and Mitochondrial Function
Molecular biologyThe cellular power plants whose dysfunction accelerates ageing
Mitochondria are organelles present in nearly all human cells (except erythrocytes) responsible for producing the majority of cellular ATP through oxi…
Read full definitionmTOR (Mechanistic Target of Rapamycin)
Molecular biologyThe molecular switch that decides between growth and longevity
mTOR (mechanistic Target of Rapamycin) is a protein kinase that acts as a central sensor of nutrients, energy, and growth factors. When mTOR is active…
Read full definitionNAD+ (Nicotinamide Adenine Dinucleotide)
Molecular biologyThe coenzyme of life that declines with age and is key to longevity
NAD+ is a coenzyme present in all living cells, fundamental to over 500 biochemical reactions. Its primary functions are: electron transport in the mi…
Read full definitionNF-κB
Molecular biologyThe transcriptional master switch of chronic inflammation and inflammaging
NF-κB (nuclear factor kappa B) is a transcription factor controlling expression of hundreds of genes related to inflammation, immune response, cellula…
Read full definitionNMN (Nicotinamide Mononucleotide)
TreatmentThe immediate NAD+ precursor — the star oral longevity supplement
NMN (β-Nicotinamide Mononucleotide) is a nucleotide and immediate precursor of NAD+: the enzyme NMNAT directly converts it to NAD+ in the cellular cyt…
Read full definitionNR (Nicotinamide Riboside)
TreatmentThe NAD+ precursor with the most published human clinical evidence
NR (Nicotinamide Riboside, Niagen) is a form of vitamin B3 that is a NAD+ precursor, discovered by Charles Brenner (Iowa) in 2004 as substrate for the…
Read full definitionNrf2
Molecular biologyThe endogenous antioxidant master switch that activates >200 protective genes
Nrf2 (Nuclear factor erythroid 2-related factor 2) is a transcription factor that regulates the endogenous cellular antioxidant response. When activat…
Read full definitionNutritional Ketosis
ConceptThe metabolic state in which the brain uses ketones instead of glucose
Nutritional ketosis is a metabolic state in which the liver produces ketone bodies (β-hydroxybutyrate, acetoacetate, acetone) from fatty acids, typica…
Read full definitionOmega-3 (EPA and DHA)
TreatmentThe essential fatty acids with most cardiovascular, neurological, and anti-inflammatory evidence
The omega-3 fatty acids EPA (eicosapentaenoic) and DHA (docosahexaenoic) are long-chain polyunsaturated fatty acids essential for human health because…
Read full definitionOxidative Stress
Molecular biologyThe imbalance between free radicals and antioxidants that damages cellular DNA
Oxidative stress is the imbalance between the production of reactive oxygen species (ROS) and the endogenous antioxidant capacity (enzymatic and non-e…
Read full definitionp53 (Guardian of the Genome)
Molecular biologyThe transcription factor that decides whether to repair, senesce, or eliminate damaged cells
The p53 gene (TP53) encodes a 393-amino-acid protein called 'the guardian of the genome' by David Lane (1992). Activated upon DNA damage, oxidative st…
Read full definitionPersonalised Supplementation
ConceptThe post-multivitamin paradigm: each supplement responds to a measured deficit
Personalised supplementation is the approach of individualised prescription of nutrients, vitamins, minerals, polyphenols, peptides, and other bioacti…
Read full definitionPhotobiomodulation (PBM)
TreatmentThe therapeutic use of light to stimulate the mitochondria
Photobiomodulation (PBM) is the use of light at specific wavelengths (630–850 nm, red and near-infrared) to stimulate biological processes in tissues.…
Read full definitionPro-inflammatory Cytokines
BiomarkerThe proteins that control inflammation — and become dysregulated with ageing
Cytokines are signalling proteins that regulate the immune and inflammatory response. The most relevant for ageing are IL-6 (interleukin 6) and TNF-α …
Read full definitionProteostasis
Molecular biologyThe balance of protein synthesis, folding, and degradation — basis of cellular longevity
Proteostasis (protein homeostasis) is the set of cellular mechanisms that maintain correct folding, function, and timely degradation of all proteins. …
Read full definitionPRP (Platelet-Rich Plasma)
TreatmentRegeneration using the growth factors from your own blood
PRP (Platelet-Rich Plasma) is an autologous therapy that concentrates platelets and their growth factors (PDGF, TGF-β, VEGF, EGF, FGF) to 5–10 times n…
Read full definitionRapamycin
TreatmentThe only drug to have extended lifespan in mice — even when started in old age
Rapamycin (sirolimus) is a macrolide produced by the bacterium Streptomyces hygroscopicus discovered on Rapa Nui (Easter Island, from which it takes i…
Read full definitionResveratrol
TreatmentThe red-wine polyphenol that activates sirtuins — a story with lights and shadows
Resveratrol (trans-3,5,4'-trihydroxystilbene) is a stilbenoid polyphenol present in the skin of red grapes, red wine, blueberries, peanuts, and the Ja…
Read full definitionSalivary Cortisol and Diurnal Curve
BiomarkerThe biomarker of chronic stress — its PATTERN matters more than the spot value
Cortisol is the main hormone of the hypothalamic-pituitary-adrenal (HPA) axis, released in circadian pulses: peak upon awakening (CAR, Cortisol Awaken…
Read full definitionSarcopenia
Molecular biologyThe progressive loss of muscle mass associated with ageing — and preventable
Sarcopenia is the progressive and generalised loss of skeletal muscle mass and strength associated with ageing. Defined by the European consensus EWGS…
Read full definitionSASP (Senescence-Associated Secretory Phenotype)
Molecular biologyThe inflammatory cocktail that zombie cells dump into surrounding tissue
SASP (Senescence-Associated Secretory Phenotype) is the set of factors actively secreted by senescent cells: pro-inflammatory cytokines (IL-6, IL-8, I…
Read full definitionSenolytics
TreatmentDrugs that selectively eliminate senescent cells — longevity's frontier
Senolytics are drugs or natural compounds that induce selective apoptosis in senescent ('zombie') cells, exploiting their dependence on specific anti-…
Read full definitionSirtuins (SIRT1–7)
Molecular biologyThe longevity enzymes that depend on NAD+ to function
Sirtuins are a family of 7 deacylase proteins (SIRT1–7) that regulate cellular processes fundamental to longevity: DNA repair, genome stability, energ…
Read full definitionSmall Dense LDL (sdLDL)
BiomarkerThe truly atherogenic LDL fraction — penetrates the endothelium better and oxidises more
Small dense LDL (sdLDL) are LDL-cholesterol particles of subtype III/IV — smaller (<25.5 nm) and denser than large buoyant LDL (lbLDL, subtypes I/II).…
Read full definitionSpermidine
TreatmentThe natural polyamine that induces autophagy and extends lifespan in animal models
Spermidine is a natural polyamine present in all living cells and abundant in foods such as wheat germ, fermented soy (natto), aged cheese, mushrooms,…
Read full definitionSulforaphane
TreatmentThe most potent natural Nrf2 activator — extracted from broccoli sprouts
Sulforaphane is an isothiocyanate derived from glucoraphanin, present at high concentrations in broccoli, kale, cauliflower, cabbage, and especially t…
Read full definitionTB-500 (Thymosin Beta-4)
TreatmentThe systemic regenerative peptide for deep tissues — ideal complement to BPC-157
TB-500 (Thymosin Beta-4 fraction 17-23) is a synthetic peptide derived from thymosin beta-4, a 44-amino-acid protein present in high concentration in …
Read full definitionTelomeres and Telomerase
Molecular biologyThe 'caps' on chromosomes that shorten with each cell division
Telomeres are repetitive DNA sequences (TTAGGG in humans) that protect the ends of chromosomes, like the plastic tips on shoelaces. With each cell div…
Read full definitionTesamorelin
TreatmentThe GHRH analogue specifically effective in reducing visceral fat
Tesamorelin is a synthetic 44-amino-acid analogue of growth hormone-releasing hormone (GHRH) modified with a trans-3-hexenoic acid residue that increa…
Read full definitionTherapeutic Peptides
TreatmentPrecision molecular signals that repair, optimise, and rejuvenate
Therapeutic peptides are short chains of 2–50 amino acids that act as specific molecular signals in the body, activating receptors with high selectivi…
Read full definitionThermogenesis and Brown Fat
Molecular biologyThe tissue specialised in burning calories to produce heat — key in metabolic ageing
Thermogenesis is heat production by the body. Adaptive thermogenesis — increased energy expenditure in response to cold, feeding, or stress — is media…
Read full definitionVagus Nerve Stimulation (VNS)
TreatmentActivation of the body's longest parasympathetic nerve — systemic anti-inflammatory
Vagus nerve stimulation (VNS) is the deliberate activation of the tenth cranial nerve — the main component of the parasympathetic nervous system that …
Read full definitionVisceral Fat
BiomarkerThe deep abdominal fat — source of chronic inflammation and insulin resistance
Visceral fat (VAT, Visceral Adipose Tissue) is the adipose tissue located within the abdominal cavity, surrounding organs such as the liver, intestine…
Read full definitionVitamin D
BiomarkerThe 'sunshine hormone' — receptor present in virtually every cell of the body
Vitamin D is technically a fat-soluble steroid pre-hormone. Its active form, 1,25-dihydroxyvitamin D (calcitriol), binds to nuclear receptors (VDR) pr…
Read full definitionVO2 Max
BiomarkerThe cardiorespiratory fitness metric that most powerfully predicts mortality
VO2 Max (maximum oxygen consumption) is the maximum amount of oxygen the body can capture, transport, and use during aerobic exercise, expressed in mi…
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