The twelve are not ours. They come from Hallmarks of aging: an expanding universe by Carlos López-Otín, Maria A. Blasco, Linda Partridge, Manuel Serrano and Guido Kroemer (Cell 186, 243–278, 2023), which added three to the nine the same five set out in The Hallmarks of Aging in 2013. Here we describe them to you — so you can understand them and feel them. And we filmed Guido Kroemer, one of the five, on the quest.

The fuel gauge stops reading true.
The fuel gauge stops reading true.
06

Deregulated nutrient-sensing

The fuel gauge stops reading true

Your body is always asking one question: is there food about? Insulin, mTOR, AMPK and the sirtuins are how it answers. Answer “plenty” every hour of every day and it never switches out of building mode into maintenance mode. Growth and repair are opposites, and ageing is partly the gauge jammed on full.

What you can doa lot you can do

The most answerable thing on this whole page. Eat inside a shorter window. Keep the refined carbohydrate down. Stay strong and stay lean. Walk after a meal — ten minutes moves this more than most supplements do. Metformin has convincing mouse data and has not yet shown the same in healthy people.

The science, in one sentence

The network that reads how much food is available — insulin, mTOR, AMPK, the sirtuins — stops reporting accurately, so cells keep building when they should be clearing.

Back to all twelve

All twelve, one by one

The whole list on one page →