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Discover how epigenetic age testing can provide an additional layer of insight into your biological age and overall health. Explore the potential benefits in our latest article.

What Is Epigenetic Aging Testing? A Scientific Guide to Better Understanding How You’re Aging

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Most of us think about age in terms of birthdays—but your chronological age doesn’t always reflect how well your body is functioning on a cellular level. This is where the concept of biological age and epigenetic age testing comes in. Backed by decades of epigenetics, aging research, and breakthroughs in DNA methylation science, these tests offer insights into how your body is aging—and what you can do about it.


This guide breaks down what epigenetic age is, how epigenetic clocks work, what they can reveal about an aspect of your biological age, and why they’re becoming powerful tools in modern longevity research.

Epigenetics 101: Why DNA Methylation Matters for Aging

A close-up of a hand lighting colorful birthday candles on a chocolate frosted cake.
Image from Tally Health

Your genetic code stays mostly the same throughout your life, but how your genes function can change dramatically. These functional changes—called epigenetic modifications—help determine how your cells behave, adapt, repair, and age.


One of the most widely studied epigenetic mechanisms is DNA methylation: the addition of small chemical tags (methyl groups) to specific areas of DNA known as CpG sites. These methylation patterns influence gene expression, turning genes “on” or “off” depending on the body’s needs.


Scientists have discovered that DNA methylation changes in predictable ways as we age—meaning methylation data can be used as an indicator of as an indicator of biological age far more accurately than chronological age or chronological age or other measures like telomere lengths.

What Is Epigenetic Age?

Illustration of three stylized golden mitochondria with visible inner membrane folds, floating against a white background.
Image from Tally Health

Your epigenetic age is an indicator of yourindicator of your biological age based on your body’s unique DNA methylation patterns. Unlike chronological age—which only measures time—biological age better better reflects:


  • Cellular function

  • Epigenetic changes

  • Environmental factors (pollution, toxins)

  • Lifestyle factors (sleep, alcohol consumption, stress)

  • Past experiences, including childhood trauma

  • Health conditions

  • Aging of specific cell types

Because epigenetic age is linked to all of these influences, it provides a quantitative measure of how quickly—or slowly—you’re aging on an epigenetic level.

How Epigenetic Clocks Predict Age

A woman swabbing the inside of her cheek with a collection swab for a DNA test.
Image from Tally Health

The discovery of epigenetic clocks revolutionized aging science. Pioneered by researchers such as Steve Steve Horvath and HannumHannum et al., these clocks use statistical models to analyze methylation at hundreds or thousands of CpG sites.


The process looks like this:


  1. DNA collection (often from saliva samples or blood samples).

  2. Bisulphite conversion to read methylation patterns.

  3. Analysis using a trained algorithm—often using machine learning machine learning methods like elastic net regression, LASSO, or ridge regression, LASSO, or ridge regression.

  4. Comparison to large training datasets representing diverse populations.

  5. Output: an age prediction expressed as epigeneticepigenetic age.

The best clocks maintain high quality control standards—low median absolute deviation, tight standard error, and robust performance across different tissues, ages, and populations.

What Epigenetic Age Tests Can Reveal About Your Wellness State

Three side-by-side photos showing healthy lifestyle habits: a woman running outdoors, hands chopping fresh vegetables, and a woman practicing yoga indoors.
Image from Tally Health

Because methylation patterns correlate with disease risk and cellular resilience, epigenetic age predictors can correlate with or change in response tocan correlate with or change in response to:


  • Cardiovascular disease risk

  • Brain aging related to conditions like Alzheimer’s disease

  • Lifestyle choices such as alcohol consumption, stress, or poor sleep

  • Anti-aging interventions

  • Differences in aging between individuals—even twins

  • Impact of environmental and biological factors over time

Early research shows epigenetic clocks can reflect changes from lifestyle modifications, nutritional changes, and anti-aging treatments, making them actionable tools for improving long-term health.

The TallyAge® Test: A Next-Generation Epigenetic Age Test

A split image showing a Tally Health app screen displaying an epigenetic age result on the left and a closed Tally Health test kit box on the right.
Image from Tally Health

The TallyAge Test by Tally Health uses state-of-the-art DNA methylation analysis to provide a highly accurate estimate of your epigeneticepigenetic age based on a cheek swab based on a cheek swab. Built on cutting-edge epigenetic research and validated across diverse populations, it is one of the most advanced epigenetic aging tools available today.


Unlike earlier epigenetic clocks that were trained to simply predict chronological age, thetrained to simply predict chronological age, the TallyAge Test was specifically trained to be strongly associated with holistic lifestyle and health factors. It was also heavily optimized for accuracy and reproducibility. Furthermore, the test has been shown to be significantly associated with a large number of diseases and conditions, including age-related diseases.


Your personalized report includes:

  • Your Epigenetic age

  • How it compares to your chronological age

  • Your result compared to broader populations

  • The percentage of your cheek swab sample that represents immune cells

Learn more: https://tallyhealth.com/products/test-kit

How Accurate Are Epigenetic Aging Tests?

A scatterplot comparing TallyAge results to chronological age, with data points forming a tight upward-sloping cluster.
Image from Tally Health

When built on large, diverse datasets and validated rigorously, epigenetic clocks can accurately estimate chronological age with remarkable precision—far better than other biomarkers. Studies show that DNA methylation–based clocks:


  • Predict age across different tissues

  • Perform well across ethnic and demographic groups

  • Offer lower error margins than telomere length

  • Correlate with disease conditions and overall health

While no test can predict the future with certainty, next-generation epigenetic age predictors are innovative tools that can help provide insights into how someone is aging.

Why the TallyAge® Test Stands Out

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Image from Tally Health

In addition to cutting-edge science, the TallyAge Test offers a highly accessible at-home experience. It uses simple cheek swab samples, which allows individuals tested to receive accurate epigenetic age predictions without clinical blood draws.


Developed by a world-class research team, the algorithm incorporates data from the human genome, epigenetic markers, and DNA methylation patterns to create an industry-leading age predictor with exceptional accuracy and reliability.


Its ability to track changes over time also makes it a powerful tool for evaluating the impact of lifestyle changes or anti-aging interventions.


Learn more: TallyAge Test → https://tallyhealth.com/products/test-kit

Can You Change Your Epigenetic Age?

A split image showing several stacked Tally Health test kit boxes on the left and a hand holding a smartphone displaying progress tracking in the Tally Health app on the right.
Image from Tally Health

Yes—emerging research suggests epigenetic age can be modified through lifestyle changes and targeted behavioral interventions. Factors known to influence epigenetic age include:


  • Improved sleep

  • Stress reduction

  • Nutrition and exercise

  • Reducing alcohol consumption

  • Supportive social relationships

  • Anti-aging treatments and supplements (under professional guidance)

Studies even show that individuals who adopt healthier lifestyles can reduce predicted age, improve overall health, and slow measurable epigenetic aging.

The Future of Epigenetic Aging Science

As training data expands and future studies refine the algorithms, we will gain a clearer understanding of how aging works across different tissues, cells, and disease states. This growing field will also allow researchers to:


  • Track subtle changes in aging cell populations

  • Improve early detection for disease

  • Develop better anti-aging interventions

  • Explore environmental effects on epigenetic aging

  • Create personalized longevity programs

Epigenetic clocks are still evolving, but they already represent one of the most powerful tools in modern aging research.

The Bottom Line: Epigenetic Testing Is Helping Us Better Understand How We’re Aging

An older woman smiling while talking to a child outdoors on a sunny day.
Image from Tally Health

Understanding your epigenetic age (as predicted by a next-generation clock) gives you meaningful insight into your long-term health and provides a roadmap for improving it. With the rise of advanced tools like the TallyAge Test by Tally Health, it’s now easier than ever to get a clear picture of your epigenetic age—and take steps to optimize it.


Whether you’re exploring anti-aging strategies, monitoring the effects of lifestyle changes, or simply curious about how your body is aging on a cellular level, epigenetic age testing offers scientifically grounded, highly actionable data.

References

  1. Johnson AA et al. Human age reversal: Fact or fiction? Aging Cell 2022; https://doi.org/10.1111/acel.13664

  2. Seale et al. Making sense of the ageing methylome. Nat Rev Genet 2022; https://doi.org/10.1038/s41576-022-00477-6

  3. Bell et al. DNA methylation aging clocks: challenges and recommendations. Genome Biol 2019; https://doi.org/10.1186/s13059-019-1824-y

  4. Horvath and Raj. DNA methylation-based biomarkers and the epigenetic clock theory of ageing. Nat Rev Genet 2018; https://doi.org/10.1038/s41576-018-0004-3

  5. Johnson and Shokhirev. First-generation versus next-generation epigenetic aging clocks: Differences in performance and utility. Biogerontology 2025; https://doi.org/10.1007/s10522-025-10265-4

  6. Shokhirev et al. CheekAge: a next-generation buccal epigenetic aging clock associated with lifestyle and health. Geroscience 2024; https://doi.org/10.1007/s11357-024-01094-3

  7. Shokhirev et al. CheekAge, a next-generation epigenetic buccal clock, is predictive of mortality in human blood. Front Aging 2024; https://doi.org/10.3389/fragi.2024.1460360

What is epigenetic age?

Epigenetic age is an indicator of your biological age based on your body’s unique DNA methylation patterns, which reflect cellular function, lifestyle factors, environmental exposures, and past experiences.

Can you change your epigenetic age?

Yes—emerging research shows that epigenetic age can be modified through lifestyle changes such as improved sleep, stress reduction, nutrition, exercise, reducing alcohol consumption, and supportive social relationships.

How do epigenetic clocks predict age?

Epigenetic clocks analyze DNA methylation at hundreds or thousands of CpG sites using statistical models and machine-learning methods such as elastic net regression, LASSO, or ridge regression to generate an age prediction.

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