The Most Important Longevity Tool - Free
The health tracker I wish existed the day I learned I carried two copies of APOE4.
There’s a question I get asked more than any other in the APOE4 community:
“Where do I even start?”
And I get it.
When you carry the APOE4 gene, the stakes feel high. The urgency is very real.
When I learned I was APOE4/4, I started reading. Then I started testing and collecting data - lots of data.
Blood tests. Sleep scores. Glucose readings. Blood pressure. Medications. Supplements. Exercise logs. Cognitive assessments. Genetics. Wearable data.
I knew my latest numbers, but often couldn’t remember whether they were improving or worsening - and often, I wasn’t sure what was most urgent to address.
Sound familiar?
That’s where tracking comes in.
One of the most valuable lessons I’ve learned over the years is that health optimization isn’t about finding the newest supplement, peptide, or biohack.
It’s about measuring where we are today so we know what deserves our attention tomorrow.
Understanding the big picture can reveal opportunities for intervention long before disease develops - and not just Alzheimer’s.
What Doctors Measure - and What Actually Matters
An annual physical is a starting point, not a finish line. I know of people whose Homocysteine is 14, A1C is 5.6, or Free T3 is 2.3 who are told everything is "normal" despite ongoing symptoms or risk factors.
Standard bloodwork checks the basics: cholesterol, glucose, a few liver enzymes, and perhaps thyroid function. But for those of us focused on the prevention of cognitive decline and healthy aging, many of the most informative markers are rarely included on a routine lab order.
Markers like:
ApoB - a far more accurate predictor of cardiovascular risk than LDL cholesterol alone
hs-CRP and Homocysteine - markers linked to inflammation and cognitive decline
Fasting Insulin - often one of the earliest signs of metabolic dysfunction
Omega-3 Status - a modifiable marker with important implications for brain and cardiovascular health
Free T3 and IGF-1 - hormones that influence energy, metabolism, cognition, and longevity
Magnesium RBC - a more meaningful measure than standard serum magnesium
And that’s before we get to sleep quality, HRV, blood pressure trends, body composition, cognition, and exercise capacity.
The problem isn’t that this information is unavailable.
The problem is that it’s scattered on lab portals, doctor’s notes, PDFs, sticky notes and wearable apps. When I wanted to see whether my deep sleep was improving over time, I found myself scrolling through weeks of Oura data trying to piece together the trend.
There is rarely a single place where we can see it all together and understand what is actually happening with our health.
Why I’m Giving Away the Tracker
As my own collection of health data grew, I built a spreadsheet to organize it.
Then I improved and expanded it to share with those new to APOE4 and health tracking.
My original intention was to keep it as a members-only resource. But the more I worked on it, the more I realized that understanding our numbers is one of the most powerful things we can do for our future health.
So I’ve decided to make the E4Thrive Health Tracker available to everyone.
Free. No account or membership required.
Over the past eight years, I’ve spent thousands of dollars on testing, made plenty of mistakes, and learned which markers matter most. This is the tracker I wish I’d had from the beginning.
What’s Inside the E4Thrive Health Tracker?
The workbook includes dedicated panels for:
Cardiovascular Health
Inflammation & Immune Markers
Metabolic Health
Hormones & Thyroid Function
Nutrients
Sleep & Recovery
Standard CBC & CMP Labs
Brain Health & Cognitive Tracking
Gut Health & Toxic Burden
Medications & Supplements
Personal Notes
At the center is a dashboard that automatically pulls the latest results from across the workbook and compares them to evidence-based optimal targets.
Instead of hunting through dozens of reports to find the last ApoB result, vitamin D level, or latest blood pressure reading, everything is visible in one place.
One screen.
One snapshot.
One organized view of your health.
Whether you’re APOE4-positive or simply interested in healthy aging, start tracking.
We don’t need perfect genetics (nobody has them!), the perfect supplement stack, or the perfect doctor.
We need a plan.
We need a baseline.
And we need a way to see whether the choices we’re making are moving us in the right direction.
We can’t manage what we don’t measure.
Know your numbers.
Start Today!


Karen, Here is what popped up when I tried to download. "Website Blocked due to suspicious content/activity. We strongly recommend you do not continue. You may be putting your safety at risk by visiting this site." I am excited to use this tool but have never received this warning before from my malware software.
I am excited to use this wonderful tool, however I am unable to download it as the file size is too big. Is there another way I can perhaps download the dashboard and modules separately? Many thanks for all the work you’ve done here Karen and for sharing it with all of us who are with you on this journey.