Aniva iOS app icon small
100+ Biomarkers | 199 € / YeAR
Start Membership
Arrow right navigation icon
Longevity Analysis · Evidence-First

Bryan Johnson spent $2,000,000 testing his body. Almost everyone missed the point.

His protocol is fascinating. His methodology is what actually matters and it’s the one thing you can replicate without a billionaire’s budget.

Editorial · Aniva Health
March 2026
6 min read
47 yrs
Chronological age
as of 2024
<0.2 mg/L
His hs-CRP · inflammation score
most men: 1.5–3.0
5.0%
His HbA1c · blood sugar control
“normal” ceiling: 5.7%
100+
Biomarkers tracked quarterly
Check-up 35 covers 5

Every few months, another wave of content arrives about Bryan Johnson. His morning routine. His 111-pill supplement stack. His “don’t die” manifesto. His meal schedules, his plasma transfusions, his 10pm bedtime.

Johnson is not interesting because of what he does. He is interesting because of how he decided to do it. He runs 100+ biomarkers every quarter, publishes the data publicly, and adjusts his protocol based on what the numbers say. He never starts from a conclusion. He starts from measurement.

The goal isn’t to replicate his results. The goal is to understand why he has data and most men don’t, and to fix that.

This is not an endorsement of Johnson’s protocol. It is a breakdown of what his published biomarker data actually shows, and what it means in the context of standard German preventive care.

The Six Biomarkers at the Core of His Protocol

Johnson publishes his health data at blueprint.bryanjohnson.com. Rather than summarising his supplement list, here are the markers he monitors most obsessively, and what his reported values reveal about the gap between population “normal” and genuine optimisation.

That principle: test first; intervene second; re-test always, is the one thing about the Blueprint protocol that every man can actually use. And in Germany, where the statutory health system tests five markers every three years and calls it preventive care, it is also the one thing almost no one is doing.

The Six Biomarkers at the Core of His Protocol

From Johnson's published Blueprint data, compared to typical reference ranges. Values not independently verified.
Cardiovascular risk · Particle count
ApoB: Apolipoprotein B
55
His reported value
“Normal” ceiling: 100
LDL cholesterol measures the weight of particles in your blood. ApoB counts the particles themselves — the ones that embed in arterial walls and drive plaque formation. A man with “normal” LDL of 110 mg/dL and elevated ApoB carries a risk profile his standard cholesterol panel would never reveal. The European Society of Cardiology now designates ApoB as the primary lipid risk marker. It is almost never included in German standard blood panels and not part of the Check-up 35.
Systemic inflammation · Silent driver
hs-CRP: High-Sensitivity C-Reactive Protein
<0.2mg/L
His reported value
“Normal” ceiling: 3.0
Chronic low-grade inflammation is the common thread running through cardiovascular disease, type 2 diabetes, and accelerated biological ageing. Johnson’s hs-CRP consistently sits below 0.2 mg/L. The average German man in his 40s is likely above 1.5 mg/L. That gap — between functionally active inflammation and truly low inflammation — is achievable, but you cannot address what you have never measured.
Blood sugar control · 3-month average
HbA1c: Glycated Haemoglobin
5.0%
His reported value
“Normal” ceiling: 5.7%
HbA1c measures the percentage of haemoglobin with glucose attached, a three-month average of blood sugar control. A reading of 5.0% puts him in the range associated with lowest long-term metabolic disease risk.

Most men in their 40s eating a standard Western diet sit between 5.4–5.6%, technically “normal,” functionally closer to the pre-diabetic trajectory than they realise. HbA1c alone is still a late signal. Fasting insulin catches metabolic dysfunction years earlier — and it is almost never included in standard panels.
Metabolic health · Early warning system
Fasting Insulin
<6 μIU/mL
His target
Lab “normal” ceiling: 25
Insulin resistance begins years, sometimes a decade, before fasting glucose or HbA1c shows any change. Fasting insulin is the only marker that catches this at Stage 1. The gap between “normal” (up to 25 μIU/mL) and optimal (under 8) is where metabolic disease silently develops. This single marker is absent from the Check-up 35, absent from most GP standard panels, and absent from the großes Blutbild. It costs roughly €8 to add to any blood draw.
Hormonal health · The full picture
Testosterone · Free T · SHBG
Full Panel
His approach
Standard GP: Total T only
Johnson explicitly tracks free testosterone alongside SHBG (Sex Hormone Binding Globulin) because up to 98% of circulating testosterone is bound and biologically inactive. Total testosterone alone tells you almost nothing about what your cells actually have access to. A man with total T of 620 ng/dL and high SHBG can have the functional hormone profile of someone with clinically low testosterone.

His strict caloric restriction elevates SHBG, which is why he monitors this panel closely and adjusts when the numbers shift. Most men who test their testosterone receive only total T. Without SHBG and free T together, the result is incomplete.
Biological ageing · Growth signalling
IGF-1 — Insulin-Like Growth Factor 1
Managed low
His approach
Standard Care: Rarely tasted
IGF-1 promotes tissue growth and muscle maintenance — but chronically elevated IGF-1 is associated in multiple large cohort studies with increased cancer risk and accelerated biological ageing. Johnson deliberately keeps his in the lower-optimal range as a longevity strategy, accepting some reduction in muscle anabolism as the trade-off.This is not the right target for everyone.

The appropriate range depends on your goals, your age, and what your other markers show. What it illustrates is the underlying principle: he is not optimising single markers in isolation. He is managing an interconnected system — and the only way to manage any system is to measure it.

// The actual insight

Everyone is copying his conclusions. He built them on a principle you can replicate for €199.

Most coverage of Bryan Johnson treats him as a protocol to be copied or dismissed. That framing misses everything. His protocol is the output. His methodology is the input. And his methodology has one irreducible principle: you never intervene without measuring first. You never continue an intervention without measuring again.

This is not so much an insight only select number of billionaires are privy too. It is basic experimental design. The same approach any scientist would apply. What makes Johnson unusual is that he applies it with obsessive consistency to his own body, and he publishes the data so others can learn from it.

The people who dismiss him as extreme are missing a useful signal. The people who copy his 111-pill stack without any baseline testing may be doing something even considerably worse: they’re skipping the one step that makes the whole approach meaningful.

Johnson doesn’t know if something is working because he feels better. He knows because his hs-CRP moved, his ApoB shifted, his fasting insulin changed. You cannot track what you haven’t measured.

A single data point is noise. Two data points are a direction. Three are a trend.

01
Establish a baseline
Run a deeper panel before changing anything. Not to detect disease, but to know where you actually stand. What is your ApoB right now? Your fasting insulin? Your hs-CRP? Without these numbers, you are doing health by intuition.
02
Identify the gaps
Compare your results not just to lab reference ranges but to evidence-backed optimal ranges. "Normal" means you're in the middle 95% of a population that is, by most biomarker measures, metabolically unwell. Normal is not the target.
03
Intervene with precision
Address the specific gaps your data reveals. Not the gaps Reddit says you probably have. Not the gaps supplement marketing suggests you probably have. The gaps your blood actually shows.
04
Re-test. Track the trend.
A single data point is noise. Two data points are a direction. Three are a trend. Johnson doesn't know if something is working because he feels better, he knows because his hs-CRP moved, his ApoB shifted, his fasting insulin changed. You cannot track what you haven't measured.

His Results Are Simply the Output. It is the Methodology Is the Part You Can Take Away.

Johnson's published data shows what is achievable when you test comprehensively, interpret against optimal ranges, and adjust based on what changes. His hs-CRP below 0.2 is not a genetic gift. It is the result of measuring it, identifying it was elevated, and systematically addressing the drivers.

His ApoB in the lowest percentile did not happen by accident. He measured it, found it too high for his goals, changed his dietary approach, and tested again. That loop — measure, act, re-measure, is available to anyone. The only barrier is having the data to start.

You do not need $2M or 111 supplements. You need a comprehensive baseline, someone qualified to interpret it, and a clear picture of where your specific gaps are. That is the one thing in his protocol that is universally applicable and it is the one thing most men in Germany have never done.

What the German Healthcare System Actually Tests and What It Leaves Blank

Bryan Johnson's protocol is built on comprehensive measurement. The German statutory health system's preventive check-up, the Check-up 35, covers five standard blood markers every three years and is presented as adequate preventive care. The gap between these two approaches is not a matter of budget. It is a matter of what you decide to look for.

5
vals
The Check-up 35 blood panel

Total cholesterol, LDL, HDL, triglycerides, fasting glucose. Five values, available once every three years from age 35. No thyroid, no iron, no inflammation markers, no hormones, no insulin. This is the statutory preventive blood testing entitlement for every GKV member in Germany.

7
minutes
Average GP consultation time

The average Hausarzt appointment in Germany lasts roughly 7–8 minutes. In that window: history, examination, prescription, and discussion. There is functionally no time for a GP to design a comprehensive preventive panel, explain results in depth, and discuss what optimal ranges actually mean for a 35-year-old who feels fine but wants to understand more.

56%
percentage
German adults with vitamin D below 50 nmol/L

According to the Robert Koch Institut's DEGS1 study, more than half of German adults have vitamin D levels below the threshold most researchers consider optimal for immune function and bone health. This is published RKI data. Vitamin D is not tested by the Check-up 35 and not routinely ordered by GPs without specific symptoms.

1
in3
Adults globally estimated to have fatty liver disease

Non-alcoholic fatty liver disease (NAFLD) is the most common liver condition worldwide, affecting an estimated third of adults. Most have no symptoms and no awareness of it. ALT and AST, the liver enzymes that show early stress, are not part of the Check-up 35 and not in the großes Blutbild. They are available on request, often as out-of-pocket costs.

What most German men have tested
✕ Total cholesterol only (no ApoB, no Lp(a))
✕ Fasting glucose (no HbA1c, no fasting insulin)
✕ No hs-CRP or inflammation markers
✕ No thyroid panel (or screening TSH only)
✕ No ferritin — only haemoglobin if ordered
✕ No free testosterone or SHBG
✕ No vitamin D, B12, or magnesium
What a genuine baseline looks like
✓ Full lipid panel including ApoB and Lp(a)
✓ HbA1c and fasting insulin together
✓ hs-CRP for systemic inflammation
✓ Full thyroid panel with antibodies
✓ Ferritin alongside haemoglobin
✓ Free testosterone, total T, and SHBG
✓ Vitamin D, B12, magnesium, and zinc

Run the same markers Bryan Johnson tracks quarterly. Accredited German labs. Clinician-reviewed action plan. €199 / year.

Start Today
Arrow right navigation icon

What Bryan Johnson's Data Actually Proves

It does not prove that his specific protocol is right for you. It does not prove that his supplement stack is optimal, or that his sleep schedule is necessary, or that his extreme caloric restriction is worth replicating.

What it proves is considerably more useful: the markers that track long-term health outcomes are measurable, they are not exotic, and most people have never seen their own numbers.

His hs-CRP below 0.2 mg/L is not genetic luck. It is a measurable outcome that tracks directly with his sleep consistency, dietary pattern, exercise volume, and absence of visceral fat. It is a feedback signal.

The number tells him, and shows anyone reading his data, that the interventions are working. Or when they are not.

His ApoB at 55 mg/dL is not a side effect of other habits. It is a directly managed target.
He knows what his ApoB is because he tests it regularly. He knows whether it is moving in the right direction because he tracks the trend over time.

Most men in Germany have never seen their ApoB at all, the marker that the European Society of Cardiology now names as the primary cardiovascular risk indicator.

The gap is not money. A deep blood panel is not expensive.

Aniva's annual membership 100+ biomarkers, tested at a certified German lab, results interpreted against optimal ranges with a clinician-reviewed action plan: costs €199 per year.

That is roughly the cost of one extended private GP visit. The gap is information access.

Bryan Johnson is spending $2,000,000 to make a point. The point is: data about your own biology is the most valuable health investment you can make. He has a lot of money and is making it very loudly. The same principle applies at €199.

References

1. Bryan Johnson Blueprint — publicly published biomarker data. blueprint.bryanjohnson.com

2. European Society of Cardiology (ESC) Guidelines on Cardiovascular Disease Prevention, 2021. ApoB recommended as primary lipid risk marker.

3. Gemeinsamer Bundesausschuss (G-BA). Gesundheitsuntersuchung Check-up 35. Richtlinie über die Früherkennungsuntersuchungen, 2023.

4. Kraft JR. Detection of diabetes mellitus in situ (occult diabetes). Lab Med. 1975. Evidence for fasting insulin as early metabolic marker.

5. Kaaks R, et al. Serum C-peptide, insulin-like growth factor (IGF)-I, IGF-binding proteins, and colorectal cancer risk. J Natl Cancer Inst. 2000.

6. Ridker PM, et al. Rosuvastatin to prevent vascular events in men and women with elevated C-reactive protein. N Engl J Med. 2008.

7. Ballantyne CM, et al. Usefulness of apolipoprotein B versus low-density lipoprotein cholesterol and non-high-density lipoprotein cholesterol to evaluate cardiovascular disease risk. Am J Cardiol. 2008.

Stop optimising blindly. Start with the numbers.

Every intervention Bryan Johnson makes is preceded by a test and followed by another. You don’t need $2M to apply the same principle. You need 100+ biomarkers, a certified German lab, and results that tell you where you actually stand. Not where you might be.

Apply for Membership
Arrow right navigation icon

Complements your GP — does not replace them · EU data privacy · No subscription traps