Longevity Decision Guide

What the evidence supports, what it does not, and how sure we are.

Every review on this site carries one of three verdicts, and the verdict applies to the claim as stated — not to the general idea behind it.

A verdict of insufficient is not a statement that something does not work. It is a statement that the evidence does not currently justify the claim being made for it, which in a market built on confident claims is the more useful answer.

Current verdicts

insufficient

Routine whole-body MRI for people without symptoms or known elevated risk

Detection alone does not establish a net health benefit. Read the source-based review below.

mixed

Interpreting incidental findings

Findings need clinical context and follow-up; a scan result is not a treatment decision.

insufficient

Treating a normal scan as an all-clear

A screening result cannot answer every health question or predict future disease.

QuestionGeneral screeningDiagnostic investigation
Why is it proposed?Check for disease before symptomsInvestigate a defined concern
What should be explained?Evidence of benefit, harms and follow-upHow the test could change care
Who decides suitability?You and a qualified clinicianYou and the treating team

Latest reviews

explainer · updated 12 October 2026

Absolute versus relative risk: read the numbers behind a claim

A hypothetical worked example shows why a percentage reduction needs a baseline risk, a defined outcome and a time frame before it becomes useful.

evidence-review · updated 22 October 2026

A younger biological-age score: what would show a real health benefit?

A change in an aging marker is not, on its own, proof of extra healthy years. Separate the measurement, its intended use and the clinical outcome it is supposed to predict.

evidence-review · updated 12 October 2026

A worksheet for checking a longevity test's evidence

Record the claim, study population, comparison, outcomes and harms before deciding what the evidence does and does not establish.

explainer · updated 12 October 2026

Screening versus diagnostic testing

The purpose of a test changes the evidence it needs. Compare screening, investigation of symptoms and follow-up of an abnormal result before evaluating a claim.

evidence-review · updated 18 September 2026

Whole-body MRI for people with no symptoms: what the evidence shows

Whole-body MRI can detect abnormalities, but detection alone does not establish a health benefit. A source-based review of incidental findings, follow-up and uncertainty.

evidence-review · updated 23 October 2026

Does 'without diabetes' mean a trial studied healthy adults?

Read the rest of the eligibility criteria before applying a result to a different population. A cardiovascular trial provides a concrete example of why one absent condition does not define overall health.

For the limitations of the evidence reviewed, see the whole-body MRI article listed here. A detection rate is not a survival benefit, and a normal scan is not a promise about future health.