Symptoms, timeline & priorities
What changed, when did it start, and what makes it better or worse? How does it affect daily life? We review prior evaluations, treatments tried and the improvements that matter most to you.
TruDiagnostic™
Epigenetics.A closer look at you.
Explore your biological age and functional health with specialized epigenetic testing, interpreted with your Astra care team.
DNA methylation
Understand the science
Your genes are part of the story.
Epigenetics explores how gene activity is regulated. Chemical marks on DNA can be influenced by aging, environment and daily habits without changing the DNA sequence itself.
At Astra, the conversation begins with you: what you want to understand, what you already know about your health and how additional information could help shape your next step.
Epigenetics explained · MedlinePlus01 / Your initial visit
A clearer baseline.Before choosing a test.
A comprehensive assessment connects your symptom history, daily routines, examination and existing results. These are examples of the questions that help your clinician identify priorities and decide whether additional testing would be useful.
Medical & family history
Which conditions, surgeries or hospitalizations have you had? Which illnesses run in your family, and at what ages did they develop? Relevant reproductive or hormonal changes also help establish context.
Medicines, supplements & allergies
What prescriptions, over-the-counter medicines, hormones, vitamins or herbal products do you use—and at what doses? We ask about recent changes, benefits, side effects, allergies and previous reactions.
Nutrition, digestion & weight
What do you eat and drink on a typical day? Have you restricted foods, noticed digestive symptoms or experienced unintended weight changes? Your eating pattern and symptom history guide any further nutritional evaluation.
Movement & physical function
How much time do you spend active or sitting? What aerobic or strength activity do you do? We ask whether pain, fatigue, breathlessness or changes in strength limit exercise or everyday tasks.
Sleep, schedule & recovery
How long and how regularly do you sleep, and do you wake refreshed? Snoring, breathing pauses, daytime sleepiness and shift work may point to issues that need a focused sleep assessment.
Mood, stress & coping
Have you noticed low mood, loss of interest, persistent worry or stress affecting your functioning? Validated depression or anxiety questionnaires may be selected according to age and clinical context, with further evaluation when indicated.
Nicotine, alcohol & exposures
Do you currently smoke or vape, or have you in the past? How much alcohol do you drink, and do you use other substances? We also ask about relevant exposures at work or home.
Support, safety & access to care
Do food costs, housing, transportation, personal safety or other responsibilities make care harder to follow? Who can support you? These questions help make recommendations practical for your circumstances.
Establish a clinical baseline
Your clinician reviews relevant examination findings, blood pressure, weight trends and prior laboratory results. Glucose, cholesterol or other conventional tests and preventive screenings are selected according to your symptoms, age and risk—not as a required panel for everyone.
Agree on a useful reason to test
What do you hope to learn, and how could the result change your care? Before ordering, discuss the evidence, limitations, cost and alternatives. Epigenetic age estimates have uncertain individual clinical utility; a care plan can also proceed without epigenetic testing.
Clinical references behind this assessment
These conversation topics combine IFM’s history-taking framework with established preventive-care recommendations. They are adapted discussion prompts, not a validated questionnaire specifically required before epigenetic testing. Your clinician selects the appropriate tools and follow-up; a positive screening result needs clinical evaluation.
Examples include PHQ-2/PHQ-9 for depression and GAD-2/GAD-7 for anxiety. USPSTF recommends routine anxiety screening through age 64; evidence is insufficient for routine screening at 65 or older. Symptoms at any age still require appropriate clinical assessment.
- IFM · History, symptom timeline and lifestyle framework
- IFM · Clinical examination and individualized testing
- AHA · Life’s Essential 8 cardiovascular health assessment
- NIH/NIA · Medical history and medication review
- NIH/NHLBI · Sleep assessment
- USPSTF · Adult depression screening
- USPSTF · Anxiety screening and age-specific guidance
- USPSTF · Alcohol screening
- CMS · Health-related social needs
- Epigenomics, 2025 · Limits of epigenetic clocks for individual decisions
If testing is chosen, follow TruDiagnostic’s sample-collection instructions and confirm arrangements with our team. Bring your medication and supplement list and relevant previous results to your visit.
Specialized tests by TruDiagnostic
Two perspectives.One personal picture.
Biological aging
TruAge™
Estimates biological age and pace of aging from DNA methylation patterns.
$425 USD · test only
- OMICmAge: biological age
- DunedinPACE: pace of aging
- SYMPHONYAge: estimates for 11 organ systems
Functional health
TruHealth™
Uses methylation-based surrogate markers to explore patterns related to nutrition, metabolism and inflammation.
$425 USD · test only
- Nutrition-related patterns
- Metabolic health signals
- Immune and inflammation patterns
TruAge™ + TruHealth™
A combined option brings both reports together from one sample. Your provider can help you decide which approach fits your goals.
$750 USD · both tests only · save $100
Epigenetic scores are estimates. They support a broader clinical conversation and do not diagnose disease, replace standard testing or guarantee a particular health outcome.
Inside your report
Small signals.Meaningful conversations.
These are some of the biomarkers and scores we can explore together. Your symptoms, history and goals help us decide which findings deserve attention.
TruAge
Biological age & aging speed
OMICmAge · DunedinPACE
Compare estimated biological age with calendar age and explore your pace of aging.
TruAge
Aging across body systems
SYMPHONYAge
Estimates across 11 organ systems, including the brain, heart and liver, add context to the overall age score.
TruHealth
Nutrition & fatty acids
Vitamin D · Choline · Omega-3 · DHA
Explore nutrition-related signals alongside your diet and supplement use.
TruHealth
Metabolic & cardiovascular health
Glucose · HbA1c · LDL-C · Triglycerides
Patterns to discuss alongside blood pressure, metabolic history and conventional lab results.
TruHealth
Inflammation & immune patterns
CRP · IL-6 · CD4/CD8
Signals that may help focus further evaluation when interpreted with symptoms and medical history.
TruHealth
Stress & cellular energy
Cortisol · DHEA-S · ATP5B · NAD+ pathways
Explore patterns related to stress physiology and energy metabolism in the context of sleep, recovery and daily habits.
From a signal to a next step
TruHealth markers are estimates derived from DNA methylation, not direct blood concentrations. A finding may lead us to review habits or order a conventional test before deciding on treatment. Changes over time are interpreted with your clinical progress; a score alone does not diagnose disease or prove that a treatment worked.
Take a look before you test
See what your resultscould look like.
Open a sample, explore the measurements and bring your questions to your visit. Both PDFs are in English and can be downloaded without signing up.
Sample reportPDF · English · 29 pages · 5.0 MB
TruHealth™
Explore nutrition and functional-health sections, reference comparisons and explanations of individual epigenetic markers.
Combined sample reportPDF · English · 53 pages · 8.4 MB
TruAge™ + TruHealth™
See how biological age, pace of aging, organ-system estimates and functional-health findings appear together in a sample report.
These documents contain sample or illustrative results, not your personal results or a promise of improvement. Report layouts, included markers and reference ranges may change; your provider will explain the version you receive.
02 / Your test, step by step
From your home.Back to a conversation.
A provider-guided test with at-home collection. Here’s how your sample becomes a report you can review together.
- 01
Your provider orders the test
After your assessment, your provider selects TruAge, TruHealth or both and arranges for the kit to be shipped to your home when appropriate.
- 02
Your kit arrives at home
The kit includes collection and return materials. Confirm registration with our team and read the instructions before collecting; the lab needs a registered kit to process your sample.
- 03
Collect your own sample
Use the supplied finger-prick kit to collect a small blood sample at home. Follow the kit’s collection, drying and packaging directions. Contact our team if you need help.
- 04
Send it to the specialized lab
Return the sample using the prepaid materials provided. TruDiagnostic’s CLIA-certified laboratory analyzes DNA methylation patterns and prepares your report.
- 05
Review results with your provider
When the report is ready, your included results-review visit connects the findings with your history, questions and care plan. Together, decide on the next steps.
When can I expect results?
TruDiagnostic estimates about 2–4 weeks after its lab receives the sample for provider-ordered kits. Shipping time is separate, and turnaround may vary.
03 / From results to follow-up
Understand your values.Decide what comes next.
Once your results are available, your second included visit connects the report with your clinical evaluation and a plan you understand.
- 01
Understand the report
Review biological age, pace of aging and organ-system estimates with TruAge; explore nutrition, metabolic, immune, inflammation and other methylation-based signals with TruHealth.
- 02
Read each value in context
Reference comparisons help explain a result. A higher or lower value is not always better; interpretation depends on the marker and report. These estimates differ from direct blood measurements.
- 03
Investigate possible contributors
Connect findings with your screenings, symptoms and history. If needed, your provider may order additional labs, personalized testing or diagnostic studies, or recommend additional assessment technology.
- 04
Build a practical care plan
Discuss nutrition, movement, daily habits and appropriate treatment options, including alternatives and their evidence, benefits and risks. The aim is to address modifiable factors and possible underlying causes; results vary.
- 05
Follow up on treatment outcomes
Follow up over time, often at 3 or 6 months, to review changes in symptoms, wellbeing and relevant measurements. Together, assess your response to treatment, adjust the plan and decide whether repeat testing is clinically useful.
Later follow-up consultations may have a lower fee than the initial $399 two-visit consultation. Confirm the follow-up fee before scheduling.
If the tests are repeated, the test price remains $425 each or $750 for both, charged separately from follow-up.
Ask about follow-up
A single epigenetic score cannot identify the cause of a symptom or prove that aging or disease has been reversed. Additional evaluation may be needed before making treatment decisions.
Explore TruDiagnostic reports04 / Your consultation & testing
Two visits.One thoughtful starting point.
Epigenetics consultation
$399 USD
Includes your initial visit and results-review visit.
- Comprehensive history and health screenings
- Guidance on selecting your epigenetic tests
- Review of results and discussion of treatment options
- Personalized next steps and follow-up planning
Tests are charged separately. Additional labs, diagnostic studies, treatments and any monitoring or assessment devices needed for your care plan are priced separately.
Book my initial visitPlan your starting cost
Choose the testing option that fits your clinical assessment and goals.
- Consultation + one test$399 + $425
- $824
- Consultation + both tests$399 + $750
- $1,149
All prices in USD. Each total includes the two consultation visits and the selected test option. Any additional services are priced separately.
Options for your next step
Your care. More possibilities.
Explore payment options to complement your wellness plan.
Explore your payment options.
Learn about optional Cherry payment plans for your care at Astra Medical Group. Open the portal to review available options and terms.
Your next step, with CareCredit.
Explore financing for your care and continue to the secure CareCredit application.
- Credit card
Financing is subject to approval and provider terms. Confirm the options available for your service; estimates are not a quote or an approval.
Before your visit
A little clarity.
Bring your questions. We’ll help you understand your options.
Is this the same as a genetic test?
Genetic tests examine the DNA sequence. Epigenetic testing examines chemical marks, including DNA methylation, that can influence gene activity without changing that sequence.
Does a biological age score diagnose disease?
No. These are statistical estimates, not a diagnosis or a prediction of your lifespan. They complement clinical evaluation and do not replace screening or conventional diagnostic tests.
Does TruHealth directly measure vitamin levels?
TruHealth reports methylation-based surrogate markers. These are different from direct blood measurements; your clinician may recommend conventional testing to investigate a finding.
What does the consultation include?
The $399 fee includes your initial clinical visit and a second visit to review results and discuss treatment options. Tests are charged separately. Additional labs, diagnostic studies, treatments and any monitoring or assessment devices needed for your care plan are priced separately.
How often should I repeat testing?
Follow-up may be recommended at 3 or 6 months. Your provider decides whether repeat testing is useful. Later consultation fees may be lower; confirm before booking. Repeated tests remain $425 each or $750 for both, separate from the visit.
What does testing cost?
TruAge and TruHealth are $425 each, or $750 together. With the $399 two-visit consultation, the starting total is $824 for one test or $1,149 for both. Prices are in USD; additional services are separate.